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Lateral T-Capsulotomy with Hip Arthroscopy for Access and Excision of Posterior Intra-Articular Mass

There is a lack of literature regarding arthroscopic access to the posterior peripheral compartment of the hip. Compared with open surgery, arthroscopy offers less-invasive treatment for intra-articular mass excision. Arthroscopic hip mass excision has focused on selective resection of lesions in th...

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Detalles Bibliográficos
Autores principales: Alrabaa, Rami G., Kannan, Abhishek, Padaki, Ajay S., Zhang, Alan L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9705929/
https://www.ncbi.nlm.nih.gov/pubmed/36457402
http://dx.doi.org/10.1016/j.eats.2022.08.004
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author Alrabaa, Rami G.
Kannan, Abhishek
Padaki, Ajay S.
Zhang, Alan L.
author_facet Alrabaa, Rami G.
Kannan, Abhishek
Padaki, Ajay S.
Zhang, Alan L.
author_sort Alrabaa, Rami G.
collection PubMed
description There is a lack of literature regarding arthroscopic access to the posterior peripheral compartment of the hip. Compared with open surgery, arthroscopy offers less-invasive treatment for intra-articular mass excision. Arthroscopic hip mass excision has focused on selective resection of lesions in the central compartment and anterior peripheral compartment due to difficult and previously undescribed posterior access. We introduce a technique for arthroscopic excision of a posterior intra-articular hip mass consistent with pigmented villonodular synovitis, also known as tenosynovial giant cell tumor, using a modified T-capsulotomy based on the lateral aspect of the hip capsule. This modified capsulotomy allows for more posterior and lateral access to the central and peripheral compartments while minimizing violation of the iliofemoral ligament.
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spelling pubmed-97059292022-11-30 Lateral T-Capsulotomy with Hip Arthroscopy for Access and Excision of Posterior Intra-Articular Mass Alrabaa, Rami G. Kannan, Abhishek Padaki, Ajay S. Zhang, Alan L. Arthrosc Tech Technical Note There is a lack of literature regarding arthroscopic access to the posterior peripheral compartment of the hip. Compared with open surgery, arthroscopy offers less-invasive treatment for intra-articular mass excision. Arthroscopic hip mass excision has focused on selective resection of lesions in the central compartment and anterior peripheral compartment due to difficult and previously undescribed posterior access. We introduce a technique for arthroscopic excision of a posterior intra-articular hip mass consistent with pigmented villonodular synovitis, also known as tenosynovial giant cell tumor, using a modified T-capsulotomy based on the lateral aspect of the hip capsule. This modified capsulotomy allows for more posterior and lateral access to the central and peripheral compartments while minimizing violation of the iliofemoral ligament. Elsevier 2022-10-20 /pmc/articles/PMC9705929/ /pubmed/36457402 http://dx.doi.org/10.1016/j.eats.2022.08.004 Text en © 2022 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Technical Note
Alrabaa, Rami G.
Kannan, Abhishek
Padaki, Ajay S.
Zhang, Alan L.
Lateral T-Capsulotomy with Hip Arthroscopy for Access and Excision of Posterior Intra-Articular Mass
title Lateral T-Capsulotomy with Hip Arthroscopy for Access and Excision of Posterior Intra-Articular Mass
title_full Lateral T-Capsulotomy with Hip Arthroscopy for Access and Excision of Posterior Intra-Articular Mass
title_fullStr Lateral T-Capsulotomy with Hip Arthroscopy for Access and Excision of Posterior Intra-Articular Mass
title_full_unstemmed Lateral T-Capsulotomy with Hip Arthroscopy for Access and Excision of Posterior Intra-Articular Mass
title_short Lateral T-Capsulotomy with Hip Arthroscopy for Access and Excision of Posterior Intra-Articular Mass
title_sort lateral t-capsulotomy with hip arthroscopy for access and excision of posterior intra-articular mass
topic Technical Note
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9705929/
https://www.ncbi.nlm.nih.gov/pubmed/36457402
http://dx.doi.org/10.1016/j.eats.2022.08.004
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