images/isrrt/16H45 DR JN CAKIC RM 1A SESSION 3 FRIDAY.pdf

Two Broad CategoriesTwo Broad CategoriesAlternative to arthrotomyfor traditionally recognized forms of hip pathology Method of management for conditions that previously wereunrecognized and untreated:Loose bodiesSepsisArthritisPatients simply resigned to living within the constraints of their symptomsLabral tearsArticular injuriesRuptured ligamentum teresAnatomyLabrum and AcetabulumAdvantages of HipArthroscopyLabrumSoft rimCircumferentialAcetabulumDeepConcentricLig. TeresLess invasive vs..arthrotomyAllows surgeon to addressintraarticular derangementsthat were previouslyundiagnosed/untreatedRecent InterestPatient Assessment and SymptomsArthroscopic equipmentadaptations have led toimproved safety &visualizationImproved surgicaltechniquesBetter understanding ofanatomy andbiomechanics of hip jointImproved imagingtechniquesCharacteristic Exacerbations Symptoms worse with activities Straight plane activities relatively well-tolerated Twisting, such as turning changing directions Seated position may be uncomfortable,especially with hip flexion Rising from seated position often painful (catching) Difficulty ascending and descending stairs Symptoms with entering/exiting an automobile Difficulty with shoes, socks, hose, etc. (OA)2