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Hip Arthroscopic Synovectomy and Labral Repair in a Patient With Rheumatoid Arthritis With a 2-Year Follow-up  Nobuyuki Watanabe, M.D., Ph.D., Hirotaka.

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Presentation on theme: "Hip Arthroscopic Synovectomy and Labral Repair in a Patient With Rheumatoid Arthritis With a 2-Year Follow-up  Nobuyuki Watanabe, M.D., Ph.D., Hirotaka."— Presentation transcript:

1 Hip Arthroscopic Synovectomy and Labral Repair in a Patient With Rheumatoid Arthritis With a 2-Year Follow-up  Nobuyuki Watanabe, M.D., Ph.D., Hirotaka Iguchi, M.D., Ph.D., Hiroto Mitsui, M.D., Ph.D., Kaneaki Tawada, M.D., Satona Murakami, M.D., Ph.D., Takanobu Otsuka, M.D., Ph.D.  Arthroscopy Techniques  Volume 3, Issue 4, Pages e523-e526 (August 2014) DOI: /j.eats Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

2 Fig 1 Preoperative (A) anteroposterior and (B) Lauenstein radiographs. The hip condition was classified as Larsen grade 3. Postoperative (C) anteroposterior and (D) Lauenstein radiographs showed joint remodeling. The Larsen grade improved to grade 2. Arthroscopy Techniques 2014 3, e523-e526DOI: ( /j.eats ) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

3 Fig 2 A radial scan was performed by magnetic resonance imaging with a diagnostic hip injection. (A) Damaged cartilage and bone marrow edema of the femoral head were seen on magnetic resonance imaging. (B) A retrospective observation showed that there was a labral tear from the 12-o’clock position to the 2-o’clock position (arrow). Arthroscopy Techniques 2014 3, e523-e526DOI: ( /j.eats ) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

4 Fig 3 Intraoperative arthroscopic view from anterolateral portal in spine. (A) Cartilage damage was seen on both the femoral head side and acetabular side. (B) Synovectomy around the ligamentum teres was performed with a radiofrequency probe. (C) Rice bodies (arrow) were removed with a grasper. Fibrillation and degeneration were noted on the acetabular cartilage. (D) A longitudinal labral tear from the 12-o’clock position to the 2-o’clock position (arrow) was present. (E) Labral suturing was performed to repair the torn labrum using a suture anchor.11 (F) Two single-knot labral sutures were placed (arrows). (A, acetabulum; AC, acetabular cartilage; FH/H, femoral head; L, labrum.) Arthroscopy Techniques 2014 3, e523-e526DOI: ( /j.eats ) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions


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