Hip arthroscopy was first described in 1931 by Burman, and in recent years the applications have extended to labral surgery, osteochondroplasty, and a variety of other procedures. Hip arthroscopy may also be employed to extract loose or foreign bodies from the hip, and may be associated with more rapid recovery than an open procedure. We present a case of arthroscopic bullet removal from the hip in a 24-year-old man.
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Arthroscopic Removal of a Free-Floating Bullet From the Hip Joint.
Cureus
December 2023
3rd Orthopedic Department, Interbalkan Medical Center, Thessaloniki, GRC.
Gunshot injuries and bullet removal are extremely rare indications for hip arthroscopy. We present the case of a 22-year-old male with a free-floating bullet in the hip joint after a gunshot injury. A thorough imaging investigation was used to demonstrate the exact location of the foreign body.
View Article and Find Full Text PDFArthroscopic Removal of Extra-Articular Foreign Bodies From the Shoulder: Inside-Out Technique.
Arthrosc Tech
July 2023
Department of Orthopaedic Surgery, Augusta University, Augusta, Georgia, U.S.A.
Arthroscopic shoulder surgery can be performed for retrieval of bullets and retained metallic fragments in the glenohumeral and subacromial spaces. Previous case reports and case series have demonstrated the effectiveness of an arthroscopic approach over an open procedure, as it is less invasive, allows for improved inspection and documentation of the joint surfaces and periarticular structures, and potentially leads to a faster recovery. An arthroscopic approach for extracting foreign bodies from both the quadrilateral space and the posterior extra-articular space by first accessing the glenohumeral space has yet to be described.
View Article and Find Full Text PDFArthroscopic Anterior Glenoid Reconstruction Using a Distal Tibial Allograft Positioned With an Intra-Articular Guide and Secured With Double-Button Fixation.
Arthrosc Tech
June 2022
University of Calgary, Department of Trauma and Orthopaedic Surgery, Calgary, Alberta, Canada.
Recurrent shoulder instability and its role in bone loss from the anterior glenoid is well recognized throughout the literature. This technique paper presents an all-arthroscopic technique that uses distal tibial allograft and double-button suture fixation to address anterior recurrent shoulder instability. With the patient in the lateral decubitus position, we use the posterior portal to position the double-barrel drill guide tangential to the face of the glenoid, while viewing through the anterosuperolateral portal.
View Article and Find Full Text PDFArthroscopy Should be Used With Caution for Gunshot Wounds to the Hip.
Arthrosc Sports Med Rehabil
October 2021
Department of Orthopaedic Surgery.
Purpose: To evaluate the safety and efficacy of hip arthroscopy immediately following gunshot wound (GSW) to the hip.
Methods: Patients who received hip arthroscopy for GSWs from 2006 to 2020 by 2 surgeons at a level I trauma center were identified by Current Procedural Terminology codes. Inclusion criteria were those patients who suffered a GSW to the hip, received hip arthroscopy for treatment, and had a minimum follow-up of 2 months.
Acute Arthroscopic Removal of a Bullet Embedded in the Glenoid: A Case Report.
J Orthop Case Rep
March 2021
Department of Orthopedics, St. Louis University School of Medicine, St. Louis, Missouri, USA.
Introduction: Retained bullets in joint spaces have been shown to cause both mechanical and chemical damage to the joint surfaces, leading to the risk of arthritis if untreated.
Case Report: A case of arthroscopic treatment for a gunshot to the shoulder with a retained bullet embedded in the glenoid is presented. The patient presented with multiple gunshots to his back and extremities, including gunshot to the left leg with popliteal vein injury, gunshot to the back with lumbar level laminar fractures and acute spinal cord injury, and gunshot to the left shoulder with a retained bullet in the posterior superior glenoid.
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