Peritrochanteric Endoscopy Through Standard Hip Arthroscopy Portals: A Stepwise Approach for Diagnostic Evaluation
Authors
Kahana-Rojkind AH, Wallace IA, Syed T, Quesada-Jimenez R, Sugarman E, Domb BG.
Background
Some causes of hip pain come from structures on the outside of the hip, such as tendons and bursae, and may not always show clearly on MRI scans.
Methods
This paper describes a surgical technique that allows surgeons to look at the outside of the hip joint during hip arthroscopy using the same small incisions already used for the main procedure.
Key Findings
- This technique allows surgeons to directly inspect important structures around the outside of the hip, including muscles and tendons.
- It can reveal problems that may not have been seen on imaging tests before surgery.
- It does not require additional incisions or changing the patient’s position during surgery.
Conclusion
This approach helps surgeons better evaluate the outside of the hip during arthroscopy, improving the ability to find and treat hidden sources of pain.
What Does This Mean For Patients
If you are having hip arthroscopy, this technique may help your surgeon identify additional causes of pain during the same procedure, even if they were not visible on scans beforehand. This can potentially lead to more complete treatment in a single surgery.