Hip arthroscopy: An anatomic study of portal placement and relationship to the extra-articular structures

Author(s):  
J.W.Thomas Byrd ◽  
James N. Pappas ◽  
M.Jane Pedley
Foot & Ankle ◽  
1993 ◽  
Vol 14 (3) ◽  
pp. 142-147 ◽  
Author(s):  
Lawrence A. Feiwell ◽  
Carol Frey

Numerous anatomic structures are at risk when performing ankle arthroscopy through the more commonly utilized portals. The purpose of this paper was to demonstrate the relative safety of each of the arthroscopic portal and Acufex external ankle distractor pin sites by measuring their proximity to the neurovascular structures surrounding the ankle joint. Six fresh cadaver specimens and 12 fresh-frozen, be-low-knee amputations were utilized for this study. An Acufex ankle distractor was applied using the standard technique. Anteromedial, anterolateral, anterocentral, posterolateral, and posteromedial portals were placed using an 11-blade scalpel to make 5-mm longitudinal incisions. The joint capsule was penetrated and a 3-mm arthroscope was placed into the ankle joint. The skin surrounding each of the portals was carefully removed and the proximity of any nerves or vessels was measured with respect to the arthroscope. At least one incidence of contact or penetration of a nerve or vessel was noted for each site. The anterocentral portal was at greatest risk for nerve or vessel damage. The anterolateral, anteromedial, and posterolateral portals were the safest areas for portal placement, with no penetration of neurovascular structures in any case.


Author(s):  
Hao-Che Tang ◽  
Jason Brockwell ◽  
Michael Dienst

Abstract Hip arthroscopy is a well-recognized procedure for the treatment of several hip pathologies. Different methods of arthroscopic access to the hip have been published. The most popular approach is the central compartment first technique, where the first portal to the central compartment is placed under traction and fluoroscopic control. This technique, however, carries the risk of iatrogenic damage to the cartilage and labrum, especially when adequate distraction cannot be obtained. In addition, secondary exposure of the peripheral compartment frequently requires larger capsulotomies. The current article is to describe an alternative arthroscopic approach to the hip with the peripheral compartment being first accessed. The peripheral compartment first technique offers the advantages of a limited capsular release for peripheral compartment exposure and a reduced risk of iatrogenic cartilage and labrum damage during subsequent central compartment portal placement.


2016 ◽  
Vol 5 (4) ◽  
pp. e851-e856 ◽  
Author(s):  
Tanya Keough ◽  
David Wilson ◽  
Ivan Wong

Author(s):  
Giancarlo C. Polesello ◽  
André Eugênio Omine Fernandes ◽  
Liszt Palmeira de Oliveira ◽  
João Paulo Tavares Linhares ◽  
Marcelo C. Queiroz

2003 ◽  
Vol 19 (9) ◽  
pp. e125-e127 ◽  
Author(s):  
Victor M Ilizaliturri ◽  
Fernando S Valero ◽  
Pedro A Chaidez ◽  
Jose M Aguilera

Author(s):  
Geoffrey D. Abrams ◽  
Joshua D. Harris ◽  
Marc R. Safran

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