Avoiding the labrum in hip arthroscopy.

Iatrogenic joint damage is a potential complication of any arthroscopic procedure. The anatomic constraints of the hip cause particular concern. The greatest risks are perforation of the acetabular labrum and scuffing of the articular surface.

Arthroscopy of the elbow for synovial chondromatosis.

Two cases of arthroscopic removal of multiple loose bodies are presented. Successful results were achieved, and patients had 4-year follow-up. Both cases involved classic manifestations of synovial chondromatosis.

Bioabsorbable interference screws for graft fixation in anterior cruciate ligament reconstruction.

The central one third of the patellar tendon autograft is popular because the bone-tendon-bone (BTB) construct provides several graft fixation options, robust graft incorporation, and a mechanically sufficient substitute. Interference screw fixation is one method used to secure the graft. Bioabsorbable interference screws may offer advantages over metal interference screws.

Traction versus distension for distraction of the joint during hip arthroscopy.

Distraction is the most popular technique used in hip arthroscopy. It has been postulated that, if adequate distraction cannot initially be achieved with traction, it will be overcome by distension. The purpose of this study is to quantitate the additive effects of traction and distension in achieving distraction of the hip joint for arthroscopy.

Labral lesions: an elusive source of hip pain case reports and literature review.

Three cases are presented highlighting varied aspects of labral lesions as a primary or contributing source of mechanical hip pain; including one chronic labral tear associated with old trauma, an acutely entrapped labrum, and a degenerative labral tear associated with osteoarthritis. The diagnosis of labral lesions may be elusive. Arthrography, double-contrast arthrography followed by computerized tomography, and magnetic resonance imaging all have been reported in the assessment of these lesions with variable success.

Hip arthroscopy: an anatomic study of portal placement and relationship to the extra-articular structures.

The purpose of this study is to accurately describe the relationship of the major neurovascular structures to standard portals used in hip arthroscopy. Placement of three standard arthroscopic portals was simulated in eight fresh paired cadaveric hip specimens by placing Steinmann pins into the joint under fluoroscopic control. The specimens were then dissected and the relationship of the portals to the following structures was recorded: lateral femoral cutaneous nerve, femoral nerve, ascending branch of the lateral circumflex femoral artery, superior gluteal nerve, and sciatic nerve.

Hip arthroscopy utilizing the supine position.

The purpose of this article is to demonstrate the merits of the supine position in arthroscopic surgery about the hip. Twenty consecutive patients successfully underwent arthroscopy by this technique. The procedure is performed on a standard fracture table with fluoroscopy.

Elbow arthroscopy for arthrofibrosis after type I radial head fractures.

The purpose of this study was to provide emphasis on recognizing arthrofibrosis as a potential complication of nondisplaced radial head fractures and the role of arthroscopy in its management. This series consists of five patients treated with arthroscopic debridement for arthrofibrosis after type I radial head fractures. Arthroscopy was considered only if the patient's range of motion had plateaued with significant residual loss of motion after an aggressive physical therapy program.

Jones fracture: relearning an old injury.

No longer should the Jones fracture be confused with more proximal injuries at the base of the fifth metatarsal. Historically, the lack of differentiation of these two injuries has led to much confusion about their natural history and consequently about the best method of treatment. It is presently well understood that the more proximal injuries typically respond satisfactorily to short-term immobilization.