Hip Arthroscopy
Hip arthroscopy
Indications
Labral tear
Cam / pincer impingement
Loose bodies / trauma / synovial proliferation
Labral tear
Cam / pincer impingement
Loose bodies / trauma / synovial proliferation
Viewing portal
- 1cm lateral to patella tendon
- 1cm above joint line
- 1 cm below inferior pole patella
Problems
- too medial, in fat pad
- too high, limitation by patella, difficult to see posterior horns
- too low, damage anterior horn meniscus
Limitations
- PCL
- anterior horn LM
Compare both shoulders
- ROM
- anterior and posterior draw
- load and shift
- sulcus sign
TFCC tears
SL instability
Dorsal wrist ganglion
Scaphoid fracture with percutaneous pinning
Distal radius fracture
Tourniquet
Finger Traps Index & middle
Overhead traction device
2.7 mm scope / small joint instrumentation
- stabilise patient with beanbag or lateral rests
- apply skin traction to forearm
- place traction pole at foot of table opposite surgeon
- suspend arm with 10 lb weight
- abduction 60°
- forward flexion of 20°
- tilt top shoulder posteriorly 30° so that glenoid is parallel wwith bed
- mark bony landmark
- prep & free drape
1. Removal Loose body
2. Excison of osteophytes
- coronoid
- olecranon
- aiming to improve ROM / prevent impingement