Hip arthroscopy: Portal placement

Geoffrey D. Abrams, Joshua D. Harris, Marc R. Safran

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The indications for hip arthroscopy are expanding. Initially, works within the central and peripheral compartments were described using a combination of three portals: anterolateral, anterior, and posterolateral. The anterolateral portal is typically the first portal made and is the only portal created without direct visualization. Fluoroscopy and tactile sensation are used to guide the spinal needle and cannula into the correct location, but iatrogenic chondral and labral injuries are potential risks. The anterior portal is in greatest proximity to a neurovascular structure, with the lateral femoral cutaneous nerve located more than 3 mm away. The mid-anterior portal is becoming more popular as it offers similar visualization as the anterior portal yet is more distant from the lateral femoral cutaneous nerve and offers an improved trajectory for suture anchor placement in labral repairs. Accessory portals and peritrochanteric space portals offer viewing and working abilities to address pathologies such as internal and external snapping hips, ischiofemoral impingement, gluteus medius and minimus repairs, and trochanteric bursectomy.

Original languageEnglish (US)
Title of host publicationHip Arthroscopy and Hip Joint Preservation Surgery
PublisherSpringer New York
Pages315-324
Number of pages10
ISBN (Electronic)9781461469650
ISBN (Print)9781461469643
DOIs
StatePublished - Jan 1 2015

ASJC Scopus subject areas

  • Medicine(all)

Fingerprint Dive into the research topics of 'Hip arthroscopy: Portal placement'. Together they form a unique fingerprint.

Cite this