The current situation in hip arthroscopy

Figures

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  Fig. 1. Arthroscopic portals (right hip). ASIS, antero superior iliac spine; GT, greater trochanter; A, anterior portal; AL, anterolateral portal; PL, posterolateral portal; DAL, distal anterolateral portal; PAL, proximal anterolateral portal.

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  Fig. 2. Arthroscopic view from the anterolateral portal (right hip). a) Labrum, b) chondrolabral delamination, c) cotyloid fossa, d) femoral head.

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  Fig. 3. Arthroscopic view from the anterolateral portal (right hip). a) ArthroMRI with a ‘herniation pit’ at the head-neck junction, b) arthroMRI with pathological alpha angle (60°), c) intra-operative view of the ‘herniation pit’ at the head-neck junction after resection of ‘cam’ deformity.

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  Fig. 4. Three-dimensional CT reconstruction in sub-spine impingement: a) antero-inferior iliac spine (AIIS), b) femoral neck impingement area against AIIS.

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  Fig. 5. Left hip arthroscopic view. Psoas impingement (circle in dotted line): a) femoral head, b) capsule-labral recess, c) psoas tendon.

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  Fig. 6. Right hip (peritrochanteric endoscopic view). Gluteus medius (GM) tear (lower left corner image). Repair of GM with anchors to the greater trochanter (GT).

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  Fig. 7. Right hip. Deep gluteal space (endoscopic view). a) Sciatic nerve close to the b) ischial tunnel.