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Hip subluxation as a complication of arthroscopic debridement. | LitMetric

Hip subluxation as a complication of arthroscopic debridement.

Arthroscopy

Department of Orthopaedic Surgery, Klinikum Dortmund, Dortmund, Germany.

Published: April 2009

AI Article Synopsis

  • Labral lesions are a common reason for hip arthroscopy, highlighted by a case involving a 49-year-old woman with a significant labral tear and bone growth on the acetabular rim.
  • After surgery, the patient experienced unexpected complications, including hip joint instability and subluxation, which had not been documented before in previous cases.
  • The findings suggest that special caution is necessary when performing surgeries on patients with hip dysplasia, as their acetabular labrum plays a crucial role in joint stability.

Article Abstract

Labral lesions are a common indication for hip arthroscopy (HA). We report a case of a 49-year-old woman who underwent HA for a long ventrolateral labral tear and exostosis of the lateral acetabular rim. She also presented with moderate hip dysplasia. The acetabular labrum was resected from the ventral to the lateral aspect; in addition, the exostosis of the lateral acetabular rim was removed. Three months later, the hip joint was unstable and subluxated. According to our literature search, this complication of HA has not yet been reported. This should admonish us to be cautious in performing resection of the labrum and acetabular exostosis especially in patients with hip dysplasia. Because of reduced bony containment of dysplastic hips, the acetabular labrum has a more stabilizing function in dysplastic joints. Therefore, in dysplastic hip joints with extensive labral tears or degeneration, resection of the labrum and acetabular exostosis should be performed carefully and to the most minimal extent.

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Source
http://dx.doi.org/10.1016/j.arthro.2009.01.012DOI Listing

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