Capsular Plication for Treatment of Iatrogenic Hip Instability

Slides:

Advertisements

Similar presentations

Capsular Plication for Treatment of Iatrogenic Hip Instability

Advertisements

David M. Levy, M. D. , Ljiljana Bogunovic, M. D. , Jeffrey S

David M. Levy, M. D. , Ljiljana Bogunovic, M. D. , Jeffrey S

Arthroscopic Treatment of Subscapularis Calcific Tendonitis

Aaron J. Krych, M. D. , Michael K. Shindle, M. D. , Sean Baran, M. D

Arthroscopic Anterior and Posterior Glenoid Bone Augmentation With Capsular Plication for Ehlers-Danlos Syndrome With Multidirectional Instability Mitchel.

Benjamin D. Kuhns, M. S. , Brandon J. Erickson, M. D. , Leah R

Sean Baran, M.D., Aaron J. Krych, M.D., Diane L. Dahm, M.D.

Arthroscopic Management of Posterior Instability due to “Floating” Posterior Inferior Glenohumeral Ligament Lesions Lawrence O'Malley, M.D., Eric D.

A Method for Capsular Management and Avoidance of Iatrogenic Instability: Minimally Invasive Capsulotomy in Hip Arthroscopy Csaba Forster-Horvath, M.D.,

Arthroscopic Technique for Treatment of Combined Pathology Associated With Femoroacetabular Impingement Syndrome Using Traction Sutures and a Minimal.

Inside-Out Repair for Radial Meniscus Tears

Drew Lansdown, M. D. , Eamon D. Bernardoni, M. S. , Eric J. Cotter, B

Arthroscopic Rotator Cuff Repair With Concomitant Capsular Release

Arthroscopy of the Nondistractable Hip: A Novel Extracapsular Approach

Use of the Quadriceps Tendon in Arthroscopic Acetabular Labral Reconstruction: Potential and Benefits as an Autograft Option Sang Eun Park, M.D., Yujin.

Comprehensive Clinical Evaluation of Femoroacetabular Impingement: Part 3, Magnetic Resonance Imaging Andrew G. Geeslin, M.D., Matthew G. Geeslin, M.D.,

Routine Complete Capsular Closure During Hip Arthroscopy

Surgical Technique for Release of Anterior Interval Scarring of the Knee After Anterior Cruciate Ligament Reconstruction Michael Rose, M.D., Ryan McNeilan,

Remplissage of the Femoral Head-Neck Junction in Revision Hip Arthroscopy: A Technique to Correct Excessive Cam Resection Jonathan M. Frank, M.D., Jorge.

Karan A. Patel, M. D. , Anikar Chhabra, M. D. , Jill A. Goodwin, M. D

Posterolateral Acetabuloplasty and Distal Femoral Neckplasty, Labral Repair, and Capsular Plication for Hip Reverse Contre-Coupe Lesion Sivashankar Chandrasekaran,

Hip Arthroscopy Capsular Closure: The Figure of Eight Technique

Travis J. Menge, M. D. , Jorge Chahla, M. D. , Eduardo Soares, M. D

Arthroscopic Treatment of a Reverse Hill-Sachs Lesion

William Slikker, M. D. , Geoffrey S. Van Thiel, M. D. , M. B. A

Arthroscopic Repair of Inferior Labrum From Anterior to Posterior Lesions Associated With Multidirectional Instability of the Shoulder David M. Burt,

Vipin Asopa, M. B. Ch. B. , B. Sc. , M. R. C. S. , Ph. D. , F. R. C. S

Ultrasound-Guided Portal Placement for Hip Arthroscopy

A Novel Technique for Ligamentum Teres Reconstruction With “All-Suture” Anchors in the Medial Acetabular Wall Omer Mei-Dan, M.D., Mark O. McConkey, M.D.,

Arthroscopic Acetabular Microfracture With the Use of Flexible Drills: A Technique Guide Bryan D. Haughom, M.D., Brandon J. Erickson, M.D., Danil Rybalko,

Capsular Suspension Technique for Hip Arthroscopy

Gregory A. Sawyer, M. D. , Michael J. Hulstyn, M. D. , Brett C

Soshi Uchida, M. D. , Ph. D. , Cecilia Pascual-Garrido, M. D

Arthroscopic Repair of a Glenoid Avulsion of the Glenohumeral Ligament

Arthroscopic Decompression of Spinoglenoid Notch Cyst and SLAP Repair Through a Single Working Portal Trai Promsang, M.D., M.S., Kitiphong Kongrukgreatiyos,

Hip Arthroscopy and the Anterolateral Portal: Avoiding Labral Penetration and Femoral Articular Injuries Stephen Kenji Aoki, M.D., James Thomas Beckmann,

The Arthroscopic Bankart-Plus Procedure for Treatment of Anterior Shoulder Instability With Small to Intermediate Glenoid Defects Philipp Moroder, M.D.,

Arthroscopic Superior Capsular Reconstruction for Treatment of Massive Irreparable Rotator Cuff Tears Alan M. Hirahara, M.D., F.R.C.S.C., Christopher.

Arthroscopic Treatment of Labral Tears and Concurrent Avascular Necrosis of the Femoral Head in Young Adults David M. Beck, M.D., Brian K. Park, M.D.,

Mini-open Repair of the Floating Anterior Inferior Glenohumeral Ligament: Combined Treatment of Bankart and Humeral Avulsion of the Glenohumeral Ligament.

Using a Posterolateral Portal to Pass and Tie the Suture of the Inferior Anchor During Arthroscopic Bankart Repair Walid Reda, M.D., Ph.D., Ahmed Khedr,

Arthroscopic Capsular Repair in the Treatment of Femoroacetabular Impingement Roxanne M. Chow, M.D., William M. Engasser, B.A., Aaron J. Krych, M.D.,

Arthroscopic Technique for Treatment of Combined Pathology Associated With Femoroacetabular Impingement Syndrome Using Traction Sutures and a Minimal.

Creating and Closing the T-Capsulotomy for Improved Visualization During Arthroscopic Treatment of Femoroacetabular Impingement Christopher L. Camp,

Hip Capsulolabral Spacer Placement for the Treatment of Severe Capsulolabral Adhesions After Hip Arthroscopy Marc J. Philippon, M.D., Fernando P. Ferro,

Shane J. Nho, M. D. , M. S. , Jeffrey S. Grzybowski, B. S

Simon Lee, M. P. H. , Marc S. Haro, M. D. , M. S. P. T

Arthroscopic Acetabular Microfracture With the Use of Flexible Drills: A Technique Guide Bryan D. Haughom, M.D., Brandon J. Erickson, M.D., Danil Rybalko,

Improved Arthroscopic Visualization of Peripheral Compartment

Periportal Capsulotomy: A Technique for Limited Violation of the Hip Capsule During Arthroscopy for Femoroacetabular Impingement Emily J. Monroe, M.D.,

Arthroscopic Hip Labral Repair

Arthroscopic Remplissage for Engaging Hill-Sachs Lesions in Patients With Anterior Shoulder Instability Christopher L. Camp, M.D., Diane L. Dahm, M.D.,

The Pie-Crusting Technique for Capsular Management During Hip Arthroscopy Jorge Chahla, M.D., Ph.D., Benjamin Sherman, D.O., Frank Wydra, M.D., Michael.

Brook A. Adams, M. D. , William H. Garrett, B. S. , Garth B. Wright, M

A Simple Technique for Capsular Repair After Hip Arthroscopy

Arthroscopic Repair of Posterior Glenohumeral Capsular Rupture With Concomitant Anterior and Posterior Labrum Detachment Robert A. Duerr, M.D., John.

Sivashankar Chandrasekaran, M. B. B. S. , F. R. A. C. S. , S

Omer Mei-Dan, M. D. , Tigran Garabekyan, M. D. , Mark McConkey, M. D

Yasuo Ohnishi, M. D. , Ph. D. , Cecilia Pascual-Garrido, M. D

Arthroscopic Repair of a Glenoid Avulsion of the Glenohumeral Ligament

Arthroscopic Lysis of Adhesions and Anterior Interval Release With Manipulation Under Anesthesia for Severe Post-traumatic Knee Stiffness: A Simple and.

Joan C. Monllau, M. D. , Ph. D. , Maximiliano Ibañez, M. D

Benjamin G. Domb, M. D. , Asheesh Gupta, M. D. , Christine E. Stake, M

Savan D. Patel, M. D. , Peter J. Boxley, B. A. , Richard W. Kang, M. S

The Arthroscopic Bankart-Plus Procedure for Treatment of Anterior Shoulder Instability With Small to Intermediate Glenoid Defects Philipp Moroder, M.D.,

Roxanne M. Chow, M.D., Aaron J. Krych, M.D., Bruce A. Levy, M.D.

Drew Lansdown, M. D. , Eamon D. Bernardoni, M. S. , Eric J. Cotter, B

Arthroscopy Techniques

Arthroscopic Saucerization and All-Inside Repair of a Delaminated Discoid Lateral Meniscus William A. Zuke, B.A., Gregory L. Cvetanovich, M.D., Beatrice.

Presentation transcript:

Capsular Plication for Treatment of Iatrogenic Hip Instability David M. Levy, M.D., Jeffrey Grzybowski, B.A., Michael J. Salata, M.D., Richard C. Mather, M.D., Stephen K. Aoki, M.D., Shane J. Nho, M.D., M.S. Arthroscopy Techniques Volume 4, Issue 6, Pages e625-e630 (December 2015) DOI: 10.1016/j.eats.2015.07.007 Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 1 Microinstability of a right hip is indicated by significant joint space widening under fluoroscopy while the operative limb is manually distracted in 20° of abduction. Arthroscopy Techniques 2015 4, e625-e630DOI: (10.1016/j.eats.2015.07.007) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 2 (A) Axial and (B) coronal T2-weighted magnetic resonance imaging cuts of a right hip show a patulous capsule with extravasation of contrast suggestive of an anterior capsular defect (asterisks). (C) Revision hip arthroscopy confirms a large anterosuperior capsular defect (yellow outline). Arthroscopy Techniques 2015 4, e625-e630DOI: (10.1016/j.eats.2015.07.007) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 3 Left hip arthroscopy, viewed from the anterolateral portal, shows adhesions (asterisk) at the capsulolabral interval, which may indicate microinstability in the context of a positive drive-through sign. Arthroscopy Techniques 2015 4, e625-e630DOI: (10.1016/j.eats.2015.07.007) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 4 A positive drive-through sign is shown by the ease of maneuvering the arthroscope deep to the iliofemoral ligament on arthroscopy of a left hip, viewed from the anterolateral portal. One should note that this patient has a redundant capsule with a clear interface between the normal capsule (arrow) and inflamed scar tissue (asterisk) between the capsule and acetabulum. Arthroscopy Techniques 2015 4, e625-e630DOI: (10.1016/j.eats.2015.07.007) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 5 For closure of the horizontal interportal capsulotomy, 2 to 3 sutures are passed with the hip in 20° to 30° of flexion, as shown on arthroscopy of a left hip, viewed from the anterolateral portal. After all sutures have been passed, the hip is brought into neutral extension and the sutures are then tied sequentially. Arthroscopy Techniques 2015 4, e625-e630DOI: (10.1016/j.eats.2015.07.007) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions