Aprato Alessandro, Giachino Matteo, Masse Alessandro
School of Medicine, University of Turin, Turin, Italy.
Muscles Ligaments Tendons J. 2016 Dec 21;6(3):309-316. doi: 10.11138/mltj/2016.6.3.309. eCollection 2016 Jul-Sep.
Hip arthroscopy has gained popularity among the orthopedic community and a precise assessment of indications, techniques and results is constantly brought on.
In this chapter the principal standard entry portals for central and peripheral compartment are discussed. The description starts from the superficial landmarks for portals placement and continues with the deep layers. For each entry point an illustration of the main structures encountered is provided and the principal structures at risk for different portals are accurately examined. Articular anatomical description is carried out from the arthroscope point of view and sub-divided into central and peripheral compartment. The two compartments are systematically analyzed and the accessible articular areas for each portal explained. Moreover, some anatomical variations that can be found in the normal hip are reported.
The anatomical knowledge of the hip joint along with a precise notion of the structures encountered with the arthroscope is an essential requirement for a secure and successful surgery. Level of evidence: V.
髋关节镜检查在骨科领域越来越受欢迎，对其适应症、技术和结果的精确评估也在不断进行。
在本章中，讨论了中央和周边间隙的主要标准入口通道。描述从通道放置的表面标志开始，接着是深层结构。为每个入口点提供了所遇到主要结构的图示，并精确检查了不同通道存在风险的主要结构。从关节镜的角度进行关节解剖描述，并分为中央和周边间隙。对这两个间隙进行系统分析，并解释每个通道可进入的关节区域。此外，还报告了正常髋关节中可能发现的一些解剖变异。
髋关节的解剖知识以及对关节镜所遇到结构的精确概念是安全、成功手术的基本要求。证据级别：V级。
