By J.W. Thomas Byrd, Carlos A. Guanche, Richard K. N. Ryu
AANA complicated Arthroscopy: The Hip, via J.W. Thomas Byrd, MD and Carlos A. Guanche, MD, is helping you're making the best use of complex and rising, state of the art arthroscopic thoughts for dealing with a variety of hip difficulties. prime arthroscopic surgeons speak about disease-specific ideas, coping with and heading off issues, and rehabilitation protocols…in print and on-line. 6 video clips exhibit administration of chondral lesions, arthroscopic débridement of pincer impingement and labral fix, arthroscopic femoroplasty: correction of cam lesion, endoscopic unencumber of endotibial band, arthroscopic remedy of peritrochanteric issues of the hip, and extra.
- Access the totally searchable textual content, in addition to a video library of techniques and hyperlinks to PubMed, on-line at expertconsult.com.
- Stay present via insurance of sizzling themes like Tears of the Cartilaginous Labrum, Chondral Lesions, Femoroacetabular Impingement – Cam, Abductor Tears, and exterior Snapping Hip Syndrome.
- Hone your talents because of 6 video clips of techniques—on administration of Chondral Lesions, Arthroscopic Débridement of Pincer Impingement and Labral fix, Arthroscopic Femoroplasty: Correction of Cam Lesion, Endoscopic liberate of Endotibial Band, Arthroscopic therapy of Peritrochanteric problems of the Hip, and more—performed by way of experts.
- See arthroscopic surgical info in complete colour and comprehend nuances via interpretative drawings of technical details.
- Optimize surgical effects and results with an emphasis on complex and rising arthroscopic options, surgical information, and pearls.
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Extra info for AANA Advanced Arthroscopy. The Hip
2007; 455:78-87. Labat JJ, Riant T, Robert R, et al. Diagnostic criteria for pudendal neuralgia by pudendal nerve entrapment (Nantes criteria). Neurourol Urodyn. 2008; 27:306-10. Clohisy JC, Nunley RM, Otto RJ, Schoenecker PL. The frog-leg lateral radiograph accurately visualized hip cam impingement abnormalities. Clin Orthop Relat Res. 2007;(462):115-121. Eijer H, Leunig M, Mahomed M, Ganz R. Cross-table lateral radiograph for screening of anterior femoral head-neck offset in patients with femoroacetabular impingement.
SECTION B Procedures This page intentionally left blank C H A P T E R 2 Chondral Lesions Corey A. Wulf Cartilage defects in synovial joints, in particular weightbearing joints, remain difficult to treat. Patient factors that contribute to the difficulty in treating cartilage defects include age and desired activity levels. Techniques to restore hyaline cartilage have been successful in the laboratory setting but have not been reliably reproduced in vivo. Much of what we know with respect to treatment of cartilage defects is based on our experience with chondral lesions in the knee.
Physical examination findings associated with chondral lesions tend to be vague and nonspecific. Gait evaluation is most often normal or mildly antalgic in patients with focal chondral lesions, with the exception of acute traumatic injuries. Inspection of the patient in the supine position is helpful. In the setting of acute trauma associated with a hip effusion or hemarthrosis, the patient may hold the leg in slight flexion, external rotation, and abduction. This position places the joint capsule at maximal volume and is a more comfortable position.