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Postoperative imaging in arthroscopic hip surgery

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Abstract

Arthroscopic surgery of the hip, compared to that of the knee or the shoulder, has only recently been developed in any significant way. Current indications for arthroscopic surgery of the hip include: diagnosis and treatment of lesions symptomatic of the acetabular labrum, femoroacetabular impingement (FAI), chondral lesions, joint infections, lesions of the teres ligament, impingement of the psoas tendon, pathology of the peritrochanteric space, external snapping hip (coxa saltans), and traumatic and atraumatic instability. Principal indications for imaging of the hip with arthroscopic techniques are represented by persistent groin pain which may be caused by inadequate recognition or treatment of bone alteration of FAI, fractures in the site of resectioned bones, intra-articular adhesion, development of cartilaginous lesions, iatrogenic chondral lesions, recurrent lesions of the fibrocartilaginous acetabular labrum and heterotopic ossification. Postoperative checkup examinations can be undertaken with conventional radiography. The appearance or persistence of groin pain may be investigated using MRI, arthro-MRI and even CT scans.

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Author information

Authors and Affiliations

  1. Department of Radiology, Cardarelli Hospital, Naples, Italy

    F. Di Pietto & R. de Ritis

  2. Department of Advanced Biomedical Sciences, Federico II University, Naples, Italy

    V. Chianca & L. Ginolfi

  3. Radiology Section, Health Service, Navy Command of Brindisi, Brindisi, Italy

    E. Cesarano

  4. Department of Internal Clinical and Experimental Medicine and Surgery, Second University of Naples, Naples, Italy

    A. Reginelli

  5. Department of Biotechnologies and Applied Clinical Sciences, University of L’Aquila, L’Aquila, Italy

    A. Barile

  6. Department of Medicine and Health Sciences, University of Molise, Campobasso, Italy

    M. Zappia

  7. AORN A. Cardarelli, Via A. Cardarelli, 9, 80131, Naples, Italy

    F. Di Pietto

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  1. F. Di Pietto
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  2. V. Chianca
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  7. M. Zappia
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  8. L. Ginolfi
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Correspondence to F. Di Pietto.

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The authors declare that they have no conflict of interest.

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For this type of article, formal consent from a local ethics committee is not required.

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Informed consent was obtained from all patients before diagnostic examination.

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Di Pietto, F., Chianca, V., de Ritis, R. et al. Postoperative imaging in arthroscopic hip surgery. Musculoskelet Surg 101 (Suppl 1), 43–49 (2017). https://doi.org/10.1007/s12306-017-0459-y

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  • DOI: https://doi.org/10.1007/s12306-017-0459-y

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