Hip Arthroscopy – set up and access to central compartment
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Hip arthroscopy now is performed ever more frequently though historically was considered technically difficult with limited indications.
Over recent years equipment and techniques have greatly improved. Furthermore, understanding of pre-arthritic intra articular conditions of the hip that can be assessed and treated by hip arthroscopy have been refined. This understanding has developed in parallel with improved imaging techniques such as high resolution MRI.
The hip joint can be divided into the central compartment (femoral head, acetabulum) and the peripheral compartment (intra capsular neck of femur). The boundary between the two is the acetabular labrum. The central compartment is accessed to deride or repair the acetabular labrum, articular cartilage of the acetabulum or femoral head and the ligamentum teres. The commonest reasons to access the peripheral compartment are to address cam deformities of the femoral neck or to retrieve loose bodies.
Author:Christopher Edward Bache FRCS (Tr & Orth)
Institution: The Royal Orthopaedic Hospital Birmingham, UK.
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Question 1 of 15
Which one of the following structures is not visualised within the central compartment?CorrectIncorrect
Question 2 of 15
Which one of the following modalities is least useful in assessing intra articular hip pathology?CorrectIncorrect
Question 3 of 15
Regarding complications of hip arthroscopy which one of the following is true?CorrectIncorrect
Question 4 of 15
Which one of the following is not an indication for hip arthroscopy?CorrectIncorrect
Question 5 of 15
Which one of the following is not true regarding set up in hip arthroscopy?CorrectIncorrect
Question 6 of 15
Regarding access to the hip which one of the following is true?CorrectIncorrect
Question 7 of 15
Which one of the following structures are not at risk during access to the central compartment?CorrectIncorrect
Question 8 of 15
Which one of the following is not generally used for central compartment arthroscopy?CorrectIncorrect
Question 9 of 15
How much distraction of the hip joint is necessary to perform safe arthroscopy? One answer only is correct.CorrectIncorrect
Question 10 of 15
Which one of the following does not reduce risk of iatrogenic labral damage?CorrectIncorrect
Question 11 of 15
Which arthroscpoic portal is generally created first?CorrectIncorrect
Question 12 of 15
Concerning capsulotomy which one of the following is true?CorrectIncorrect
Question 13 of 15
Which one of the following is not a portal used to access the central compartment of the hip ?.CorrectIncorrect
Question 14 of 15
Which one of the following is true regarding post operative rehabilitation?CorrectIncorrect
Question 15 of 15
Which one of the following is not true regarding results of hip arthroscopy?CorrectIncorrect