By Joseph C. McCarthy
As one of many prime experts in hip arthroscopies, Dr. Joseph McCarthy's textual content offers to turn into a definitive addition to the sector. that includes complete colour, arthroscopic perspectives and contributions from prestigious figures within the orthopaedic group, this article covers all of the necessities of hip arthroscopy together with: examiniations, arthroscopic tactics for free our bodies, labral accidents, defects of the femoral head and acetabulum, remedy for infections, tumors, differential prognosis and, so much uniquely, a bit on pediatric hip accidents. furthermore, it presents surgeons with a close research of rate issues and comparability with open hip approaches in addition to end result research. a must have for any orthopaedic healthcare professional drawn to studying the latest approaches within the remedy of hip accidents and supplying their sufferers with the most secure, most desirable therapy on hand.
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Additional info for Early Hip Disorders: Advances in Detection and Minimally Invasive Treatment
Palmer WE. MR Arthrography of the hip. Sem Musculoskel Radiol 1998;2:349–361. This page intentionally left blank 3997_e04_p45-48 10/30/02 11:58 AM Page 45 4 Treatment Algorithms Christian P. Christensen, Joseph C. McCarthy, and Jo-ann Lee During the history and physical, the clinician should note whether the hip pain is primarily in the anterior groin, in the buttocks or posterior thigh, or in the lateral aspect of the hip and thigh. Though there is some overlap, each of these regions has particular etiologies of pain associated with it.
The acetabular fossa lies in the inferomedial portion of the acetabulum and is filled with the triangular-shaped ligamentum teres and the pulvinar (fat and connective tissue). The fovea capitus (bare area) is a small depression on the medial femoral head, which is the insertion site for the ligamentum teres. 1) The fibrous capsule of the hip joint is reinforced by three prominent thickenings of the joint capsule: the iliofemoral, the pubofemoral, and the ischiofemoral ligaments. The iliofemoral ligament (ligament of Bigelow) is the thickest and strongest.
Symptoms are often vague and nonspecific. The history and findings may suggest such other etiologies as osteoarthritis, synovitis, juxta-articular soft tissue abnormalities, osteonecrosis, or stress fracture. Conventional MRI is limited in evaluating the labrum due to the variability in labral size and shape. 17 Magnetic resonance arthrography should be reserved for the preoperative assessment of patients with chronic hip symptoms and negative results from conventional imaging studies. This procedure converts MRI from a noninvasive examination to an invasive procedure requiring an injection into the hip under fluoroscopic guidance.