Hip arthroscopy may be used to treat selected intra-articular lesions even in trauma cases. Although most of the published studies are small case series, results are encouraging. On the other hand, there is consensus about the importance of surgeon’s experience in hip arthroscopy and about the limitations of this technique. Intra-articular injuries are not limited to hip dislocations only, but can be associated with femur head fractures, acetabular fractures, and even soft tissue injuries not associated with a fracture. During arthroscopic treatment of these affections care must be taken in mobilizing, translating, and reducing fracture fragment(s), considering fluoroscopic guidance and the use of chopstick technique where indicated. Allowing early mobilization of hip and protected weight bearing as well as performing interval postoperative radiographic assessment is mandatory.
Arthroscopic treatment of traumatic events is conditioned to the amount of articular damage suffered and to the time the hip has been dislocated before reduction. Complications directly related to the performance of hip arthroscopy such as fluid extravasation into the gluteal compartment, scrotal or perineal pressure wounds, nerve injuries, iatrogenic cartilage injury, and cardiac arrest resulting from abdominal compartment syndrome are rare.
In this chapter we review the indications for hip arthroscopy in trauma cases and the current evidence for these arthroscopic techniques.
Hip arthroscopy Loose bodies Traumatic hip dislocation Arthroscopic reduction Hip fractures
This is a preview of subscription content, log in to check access.
Burman MS. Arthroscopy for direct visualization of joints. J Bone Joint Surg. 1931;13:669–95.Google Scholar
Mullis BH, Dahners LE. Hip arthroscopy to remove loose bodies after traumatic dislocation. J Orthop Trauma. 2006;20(1):22–6.CrossRefGoogle Scholar
Hc E. Posterior fracture dislocations of the hip. J Bone Joint Surg Am. 1974;56:1103–27.CrossRefGoogle Scholar
Epstein HC, Wiss d, Cozen L. Posterior fracture dislocation of the hip with fractures of the femoral head. Clin Orthop. 1985;201:9–17.Google Scholar
Armstrong JR. Traumatic dislocation of the hip joint: review of 101 dislocations. J Bone Joint Surg Br. 1948;30:430–5.CrossRefGoogle Scholar
Steward MJ, McCarroll HR Jr, Mulhollan JS. Fracture-dislocation of the hip. Acta Orthop Scand. 1975;46:507–25.Google Scholar
Gay SB, Sistrom C, Wang GJ, et al. Percutaneous screw fixation of acetabular fractures with CT guidance: preliminary results of a new technique. AJR Am J Roentgenol. 1992;158:819–22.CrossRefGoogle Scholar
Hougaard K, Thomsen PB. Traumatic posterior fracture-dislocation of the hip with fracture of the femoral head or neck, or both. J Bone Joint Surg Am. 1988;70:233–9.CrossRefGoogle Scholar
Roeder LF, Delee JC. Femoral head fractures associated with posterior hip dislocation. Clin Orthop Relat Res. 1980;147:121–30.Google Scholar
Sahin V, Karankas ES, Aksu S, et al. Traumatic hip dislocation and fracture-dislocation of the hip. A long term follow up study. J Trauma. 2003;54:520–9.CrossRefGoogle Scholar