Fig. 1 Exposure of the femoral head (F), labrum (L), and acetabular rim (A), with probing of the labrum using a nerve hook to determine labral pathology Fig. 2 Calcified…
Fig. 1 Portal placement for trochanteric bursectomy. A preferred technique is to use the anterolateral portal and the DALA portal. Other portals can be used according to surgeon preference Diagnostic…
Fig. 1 Hip chondral lesions : surgical alternatives and novel technique with platelet-rich plasma and mononuclear cells concentrate. (a–c) Standard alternatives for hip chondral lesions. (a) Microfractures. (b) Thermal chondroplasty….
Variable Normal values Abnormal values CAM location Lesion between 12 and 4 o’clock Alpha angle >42° Coronal center-edge angle 41° <20° Sagittal center-edge angle 31° <20° Neck-shaft angle 126–139° Coxa…
Fig. 1 Patient setup in the supine position for left hip arthroscopy Gentle hip distraction is applied to obtain approximately 10 mm of joint distraction confirmed fluoroscopically (see Fig. 2a,…
Fig. 1 Greater trochanteric bursa injection. The needle is inserted perpendicular to the skin and directed at the point of maximal tenderness at the greater trochanter (GT) Gluteus Medius Tendon…
Fig. 1 A guide wire is passed through the lateral femoral cortex into the necrotic area of the femoral head. The starting point should not be distal to the lesser…
Fig. 1 Stulberg IV hip that is not amenable to arthroscopic intervention. Clinical symptoms of greater trochanteric impingement. Note the amount of bone that would need to be removed to…
Radiographic measurement Normal range Dysplastic hip Miscellaneous Lateral center-edge angle 25–50° <20° AP radiograph Anterior center-edge angle 24–45° <20° False profile Acetabular angle 33–38° >42° AP radiograph Tönnis angle <10°…
Fig. 1 Varus derotation intertrochanteric osteotomy. The patient is a 28-year-old female with left hip pain for over 2 years. The left leg is 1.5 cm long. The left leg…
