Castillo Sáenz José F, Carrera Emilio Tufiño, Gutiérrez Ricardo A, De La Ossa Luis
Centro Ortopedico Panama Clinic - The Panama Clinic, Panama City, Panama.
Arthrosc Tech. 2024 Nov 1;14(4):103296. doi: 10.1016/j.eats.2024.103296. eCollection 2025 Apr.
The capsule management during hip arthroscopy continues to be an important concern independent of the approach (inside-out or outside-in). Preserving most of the anatomy of the capsule ligaments is challenging when we encounter hips with large cam deformities. T-capsulotomy is a good option to improve visualization, but it requires the disruption of the zona orbicularis, increasing the risk for developing instability if not repaired properly or hip adhesions and motion restriction when we do close it or secondary to the capsular disruption itself. In this Technical Note, we introduce a technique to assist us during the hip arthroscopy, specifically in the osteochondroplasty. By doing this, we improve our visualization of the femoral head-neck junction when correcting a cam deformity in a less invasive way, preserving more of the normal anatomy of the hip capsule.
髋关节镜检查期间的关节囊管理仍然是一个重要问题，与手术入路（由内向外或由外向内）无关。当我们遇到存在大凸轮畸形的髋关节时，保留关节囊韧带的大部分解剖结构具有挑战性。T形关节囊切开术是改善视野的一个好选择，但它需要破坏环形带，如果修复不当会增加发生不稳定的风险，或者在我们缝合时会导致髋关节粘连和活动受限，或者继发于关节囊破坏本身。在本技术说明中，我们介绍一种在髋关节镜检查期间，特别是在骨软骨成形术中辅助我们的技术。通过这样做，我们在以微创方式矫正凸轮畸形时，能更好地观察股骨头颈交界处，保留更多髋关节囊的正常解剖结构。
