• Title/Summary/Keyword: Hip arthroscopy

Search Result 24, Processing Time 0.021 seconds

Intra-abdominal hypertension during hip arthroscopy: a case report

  • Saeyoung Kim;Hyun-Su Ri;Ji Hyun Kim;iyong Yeom
    • Journal of Yeungnam Medical Science
    • /
    • v.40 no.1
    • /
    • pp.102-105
    • /
    • 2023
  • Symptomatic extravasation of irrigation fluid is a rare complication of hip arthroscopy. However, depending on the amount of fluid, intra-abdominal hypertension (IAH) may occur and even develop into abdominal compartment syndrome, which can seriously alter hemodynamic circulation. Therefore, it is important for anesthesiologists to promptly recognize the abnormal signs of IAH for early diagnosis and better clinical outcomes. Nevertheless, these signs are difficult to detect because they are usually obscured when the patient is under anesthesia and masked by surgical drapes. We report a case of IAH under general anesthesia during hip arthroscopy to highlight possible symptoms and signs.

Arthroscopic Management of Septic Coxitis (화농성 고관절염의 관절경적 처치)

  • Moon, Young-Lae;Lee, Sang-Hang;Cho, Sam-Ho
    • Journal of the Korean Arthroscopy Society
    • /
    • v.4 no.2
    • /
    • pp.144-147
    • /
    • 2000
  • Purpose : The purpose of this study is to evaluate the usefulness of arthroscopy in the management of septic coxitis in adults. Materials and Methods : The subjects were 9 patients ranging from 46 to 61 years of age. All patients were diagnosed to have septic coxitis by arthrocentesis and laboratory tests. Operative arthroscopy of the hip has been performed on the patients under supine position. All patients had a follow-up period of more than 12 months by checking ESR and CRP, and by evaluating the function with Harris hip scoring system. Results : The laboratory abnormalities returned to normal level in average of 11.9 days after the surgery. Twelve months after the surgery, all patients showed normal functional hip without any discomfort. Conclusion : Arthroscopic debridement and irrigation technique seem to have more advantages than open drainage in the management of septic coxitis minimizing the morbidity of the hip joint, while it obtains the same results as open technique.

  • PDF

Remaining Loose Bodies after Arthroscopic Surgery Including Extensive Capsulectomy for Synovial Chondromatosis of the Hip

  • Lee, Young-Kyun;Moon, Kyung Ho;Kim, Jin-Woo;Hwang, Ji Sup;Ha, Yong-Chan;Koo, Kyung-Hoi
    • Clinics in Orthopedic Surgery
    • /
    • v.10 no.4
    • /
    • pp.393-397
    • /
    • 2018
  • Background: The purpose of our study was to evaluate the usefulness of hip arthroscopy including extensive capsulectomy for synovial chondromatosis of the hip. Methods: From 2008 to 2016, 13 patients with synovial chondromatosis of the hip were treated with arthroscopic removal of loose bodies and synovectomy using three arthroscopic portals. An extensive capsulectomy was performed to allow the remaining loose bodies to be out of the extracapsular space, and the excised capsule was not repaired. All patients were assessed by clinical scores and the radiographs were reviewed to determine whether the remaining loose bodies disappeared at the last follow-up. Results: Eight men and two women were followed up for a minimum of 1 year (mean, 3.8 years; range, 1 to 6.8 years) after hip arthroscopy. Clinical outcomes such as modified Harris hip score, University of California Los Angeles score, and Western Ontario and McMaster Universities Osteoarthritis Index score improved at the last follow-up. Although seven hips had remaining loose bodies after arthroscopic surgery, the remaining loose bodies disappeared in five hips (71.4%) at the last follow-up. Conclusions: Arthroscopic surgery was useful to treat synovial chondromatosis of the hip. In spite of limited removal of loose bodies, arthroscopic procedures including extensive capsulectomy could be effective for the treatment of synovial chondromatosis of the hip.

Comparison of Various Joint Decompression Techniques in Septic Arthritis of the Hip in Children: A Systematic Review and Meta-Analysis

  • Sitanshu Barik;Vikash Raj;Sant Guru Prasad;Richa;Varun Garg;Vivek Singh
    • Hip & pelvis
    • /
    • v.35 no.2
    • /
    • pp.73-87
    • /
    • 2023
  • The aim of this review is to conduct an analysis of existing literature on outcomes of application of various methods of joint decompression in management of septic arthritis of the hip in children. A search of literature in PubMed, Embase, and Google Scholar was conducted for identification of studies reporting on the outcomes of intervention for septic arthritis of the hip in children. Of the 17 articles selected, four were comparative studies; two of these were randomized controlled trials while the rest were single arm studies. Statistical difference was observed between the proportion of excellent clinical and radiological outcomes in arthrotomy (90%, 95% confidence interval [CI] 81-98%; 89%, 95% CI 80-98%), arthroscopy (95%, 95% CI 91-100%; 95%, 95% CI 90-99%), and arthrocentesis (98%, 95% CI 97-100%; 99%, 95% CI 97-100%), respectively. The highest overall rate of additional unplanned procedures was observed in the arthrocentesis group (24/207, 11.6%). Patients who underwent arthrocentesis had a statistically greater chance of excellent clinical and radiological outcomes, although the highest level of need for additional unplanned surgical intervention was observed in the arthrocentesis group, followed by the arthroscopy group and the arthrotomy group. Future conduct of a prospective multi-centric study focusing on the developed and developing world, along with acquisition of data. such as delay of treatment and severity of disease will enable assessment of the efficacy of one technique over the other by surgeons worldwide.

Diagnosis of Acetabular Labral Injury (고관절 비구순 손상의 진단)

  • Rhyu, Kee Hyung
    • Journal of the Korean Arthroscopy Society
    • /
    • v.15 no.2
    • /
    • pp.158-164
    • /
    • 2011
  • As the instruments as well as techniques for hip arthroscopy have developed, the interests and understandings of acetabular labral tear have also increased. As a consequence, the diagnosis itself was increased. However, it is still difficult to be diagnosed accurately in an ordinary clinic. In this brief review, the clinical and radiological characteristics and diagnostic implications of acetabular labral lesions were described to help the surgeon to make a right decision.

  • PDF

Anatomic Concerns about Hip Arthroscopy (고관절 관절경을 위한 해부학적 관점)

  • Kim, S.J.;Oh, Kwang-Jun
    • Journal of the Korean Arthroscopy Society
    • /
    • v.14 no.2
    • /
    • pp.79-87
    • /
    • 2010
  • 고관절경을 시행하는 집도의사는 관절경을 통해 관찰되는 정상 고관절의 해부학적 구조물에 대한 정확한 지식과 삽입구 위치에 대한 숙지를 통해 환자의 증상과 비정상 관절경 소견을 임상적으로 연관 시키는 것이 중요하며, 적절한 환자의 선택과 고관절경의 술기에 대한 항상성을 유지할 수 있어야 최소 침습적인 술기의 장점을 가지고 있는 고관절경의 만족할 만한 치료 결과를 기대할 수 있다.

  • PDF

Arthroscopic Treatment for Painful Hip in Young Patients (젊은 연령의 동통성 고관절에 대한 관절경적 치료)

  • Choi Nam Yong;Kim Yong Sik;Sohn Jong Min;Han Suk Ku;Lee Seong Keun;Seo Sang Il
    • Journal of the Korean Arthroscopy Society
    • /
    • v.5 no.1
    • /
    • pp.36-40
    • /
    • 2001
  • Purpose : We analyzed the effectiveness of arthroscopic diagnosis and treatment for painful hip in young patients caused by labral tear or synovial disease. Materials and Methods : From May 1997 to June 1998,7 young patients who had painful hip were diagnosed by history, physical examination, radiologic studies(including plain films, MRI, MR arthrogram) and arthroscopy. We treated the lesions by arthroscopic surgery and followed up for more than 1 year. Results : On arthroscopy, the labrum was torn in 6 cases and chronic synovitis was found in 1 case. After arthroscopic surgery, pain was eliminated completely in 5 cases and mild pain remained in 2 cases, respectively. But there was no limitation in activities of daily living and athletic performances. Conclusion : Arthroscopy is effective in diagnosis and treatment of labral tears and synovial diseases in young patients.

  • PDF