Chahla Jorge, Sherman Benjamin, Wydra Frank, Gerhardt Michael B
Cedars Sinai Kerlan Jobe Institute, Santa Monica, California, U.S.A.
Riverside University Health System, Moreno Valley, California, U.S.A.
Arthrosc Tech. 2019 Jan 1;8(1):e93-e96. doi: 10.1016/j.eats.2018.09.005. eCollection 2019 Jan.
Hip arthroscopy is commonly performed for the treatment of femoroacetabular impingement and labral pathology. When arthroscopy for femoroacetabular impingement is performed, a capsulotomy is often utilized to maximize access and allow for improved visualization. When an extended interportal or T capsulotomy is performed, the iliofemoral ligament is transected, which can lead to micro or gross instability. The purpose of this Technical Note is to describe an alternative approach to the standard T capsulotomy using a pie crusting technique, which provides improved visualization of the femoral head-neck junction during the femoroplasty without the need for an extended capsulotomy and can also serve to create venting holes that prevent hematoma formation within the capsule.
髋关节镜检查常用于治疗股骨髋臼撞击症和盂唇病变。在进行股骨髋臼撞击症的关节镜检查时，通常会采用关节囊切开术以最大限度地扩大视野并改善可视化效果。当进行扩大的跨门或T形关节囊切开术时，髂股韧带会被切断，这可能导致微观或宏观不稳定。本技术说明的目的是描述一种使用扇形切开技术替代标准T形关节囊切开术的方法，该方法在股骨成形术期间可改善股骨头颈交界处的可视化，无需进行扩大的关节囊切开术，还可用于创建排气孔以防止关节囊内形成血肿。
