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Posterolateral Acetabuloplasty and Distal Femoral Neckplasty, Labral Repair, and Capsular Plication for Hip Reverse Contre-Coupe Lesion Sivashankar Chandrasekaran, M.B.B.S., F.R.A.C.S., John P. Walsh, M.A., David E. Hartigan, M.D., Parth Lodhia, M.D., F.R.C.S.C., Carlos Suarez-Ahedo, M.D., Benjamin G. Domb, M.D. Arthroscopy Techniques Volume 6, Issue 3, Pages e627-e634 (June 2017) DOI: /j.eats Copyright © 2017 Arthroscopy Association of North America Terms and Conditions
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Fig 1 Preoperative x-rays: (A) supine anteroposterior, (B) false profile, and (C) 45° Dunn views. The following were noted: lateral center edge angle 46°, anterior center edge angle 46°, alpha angle 49°, coxa profunda, no crossover sign of the acetabular rim, and posterior acetabular rim lateral to center of the femoral head. Arthroscopy Techniques 2017 6, e627-e634DOI: ( /j.eats ) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions
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Fig 2 D-Gemric magnetic resonance imaging (axial and coronal) demonstrates increased signal within the anterosuperior labrum suggestive of a probable tear, indicated by arrows. Arthroscopy Techniques 2017 6, e627-e634DOI: ( /j.eats ) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions
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Fig 3 Intraoperative findings (patient in supine position, left hip viewed through anterolateral portal with probe entering through midanterior portal). (A) Iliopsoas impingement lesion at 3 o'clock position on the psoas U. (B) Seldes type 1 labral tear from 12 o'clock to 3 o'clock with a 1.5-cm2 grade 1 Acetabular Labral Articular Disruption defect. (C) Prominent posterolateral acetabular rim. (D) Irregularities of the distal posterolateral femoral neck. (A, acetabulum; C, capsule; FH, femoral head; FN, femoral neck; L, labrum; LT, ligamentum teres.) Arthroscopy Techniques 2017 6, e627-e634DOI: ( /j.eats ) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions
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Fig 4 Arthroscopic procedures performed (patient in supine position, left hip viewed through anterolateral portal). (A) Acetabuloplasty. (B) Labral repair. (C) Iliopsoas fractional lengthening. (D) Femoroplasty. (FH, femoral head; FN, femoral neck; IP, iliopsoas; L, labrum.) Arthroscopy Techniques 2017 6, e627-e634DOI: ( /j.eats ) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions
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Fig 5 Postoperative x-rays: correction of the acetabular postolateral over coverage. Arthroscopy Techniques 2017 6, e627-e634DOI: ( /j.eats ) Copyright © 2017 Arthroscopy Association of North America Terms and Conditions
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