Glick J M, Sampson T G, Gordon R B, Behr J T, Schmidt E
Arthroscopy. 1987;3(1):4-12. doi: 10.1016/s0749-8063(87)80003-8.
This report describes a new technique by which arthroscopy of the hip provides complete visualization of the joint space. The arthroscope and operative instruments are inserted by a direct lateral approach over the greater trochanter, with the patient in the lateral decubitus position. The involved leg is held in an abducted and flexed position with traction by pulleys hung overhead. Hip abduction and flexion relaxes the capsule and traction separates the joint so that insertion of the arthroscope is facilitated. Arthroscopic examination of the hip joint was performed in 11 patients. The indications for surgery included diagnosis of unresolved hip pain following failure of conservative treatment, removal of loose bodies, exploration and debridement following fracture and/or dislocation, and evaluation of the arthritic hip prior to definitive surgery.
本报告描述了一种新技术，通过该技术髋关节镜检查可实现对关节间隙的完整可视化。关节镜和手术器械通过直接外侧入路，经大转子插入，患者取侧卧位。患侧下肢通过悬挂在头顶上方的滑轮进行牵引，保持在外展和屈曲位。髋关节外展和屈曲可松弛关节囊，牵引可分离关节，便于关节镜的插入。对11例患者进行了髋关节镜检查。手术适应证包括保守治疗失败后仍有未解决的髋关节疼痛的诊断、取出游离体、骨折和/或脱位后的探查和清创，以及在确定性手术前对关节炎性髋关节进行评估。
