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Revision Hip Arthroscopy for Graft Retear and Residual Cam Lesion in a Previously Labral Reconstructed Hip
Persistent pain after hip arthroscopy may be due to residual impingement, hip dysplasia, osteoarthritis progression, labral injury, or insufficient capsular closure. A patient’s history, physical examination findings, and imaging studies should be used to determine whether revision hip arthroscopy i...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8821039/ https://www.ncbi.nlm.nih.gov/pubmed/35155105 http://dx.doi.org/10.1016/j.eats.2021.10.003 |
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author | Perry, Allison K. Trasolini, Nicholas A. Gursoy, Safa Vadhera, Amar S. Williams, Joel Nho, Shane J. Chahla, Jorge |
author_facet | Perry, Allison K. Trasolini, Nicholas A. Gursoy, Safa Vadhera, Amar S. Williams, Joel Nho, Shane J. Chahla, Jorge |
author_sort | Perry, Allison K. |
collection | PubMed |
description | Persistent pain after hip arthroscopy may be due to residual impingement, hip dysplasia, osteoarthritis progression, labral injury, or insufficient capsular closure. A patient’s history, physical examination findings, and imaging studies should be used to determine whether revision hip arthroscopy is indicated. If surgical management is chosen, careful preoperative planning is essential. During revision hip arthroscopy, the presence and location of adhesions should be considered during interportal capsulotomy and T-capsulotomy creation and while applying traction sutures. The presence of a residual cam or pincer lesion and the adequacy of the labrum or labral graft should be assessed and properly addressed. If capsular redundancy is recognized, capsular plication may be performed. The purpose of this Technical Note is to describe an approach to revision hip arthroscopy for labral repair and residual cam lesion resection. |
format | Online Article Text |
id | pubmed-8821039 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-88210392022-02-11 Revision Hip Arthroscopy for Graft Retear and Residual Cam Lesion in a Previously Labral Reconstructed Hip Perry, Allison K. Trasolini, Nicholas A. Gursoy, Safa Vadhera, Amar S. Williams, Joel Nho, Shane J. Chahla, Jorge Arthrosc Tech Technical Note Persistent pain after hip arthroscopy may be due to residual impingement, hip dysplasia, osteoarthritis progression, labral injury, or insufficient capsular closure. A patient’s history, physical examination findings, and imaging studies should be used to determine whether revision hip arthroscopy is indicated. If surgical management is chosen, careful preoperative planning is essential. During revision hip arthroscopy, the presence and location of adhesions should be considered during interportal capsulotomy and T-capsulotomy creation and while applying traction sutures. The presence of a residual cam or pincer lesion and the adequacy of the labrum or labral graft should be assessed and properly addressed. If capsular redundancy is recognized, capsular plication may be performed. The purpose of this Technical Note is to describe an approach to revision hip arthroscopy for labral repair and residual cam lesion resection. Elsevier 2022-01-21 /pmc/articles/PMC8821039/ /pubmed/35155105 http://dx.doi.org/10.1016/j.eats.2021.10.003 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Technical Note Perry, Allison K. Trasolini, Nicholas A. Gursoy, Safa Vadhera, Amar S. Williams, Joel Nho, Shane J. Chahla, Jorge Revision Hip Arthroscopy for Graft Retear and Residual Cam Lesion in a Previously Labral Reconstructed Hip |
title | Revision Hip Arthroscopy for Graft Retear and Residual Cam Lesion in a Previously Labral Reconstructed Hip |
title_full | Revision Hip Arthroscopy for Graft Retear and Residual Cam Lesion in a Previously Labral Reconstructed Hip |
title_fullStr | Revision Hip Arthroscopy for Graft Retear and Residual Cam Lesion in a Previously Labral Reconstructed Hip |
title_full_unstemmed | Revision Hip Arthroscopy for Graft Retear and Residual Cam Lesion in a Previously Labral Reconstructed Hip |
title_short | Revision Hip Arthroscopy for Graft Retear and Residual Cam Lesion in a Previously Labral Reconstructed Hip |
title_sort | revision hip arthroscopy for graft retear and residual cam lesion in a previously labral reconstructed hip |
topic | Technical Note |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8821039/ https://www.ncbi.nlm.nih.gov/pubmed/35155105 http://dx.doi.org/10.1016/j.eats.2021.10.003 |
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