Arthroscopy for hip dislocation and fracture-dislocation.
We reviewed consecutive patients undergoing hip arthroscopy for loose bodies after sustaining hip dislocations and fracture-dislocations not requiring open fracture management. Eleven patients were identified, all with intra-articular loose bodies diagnosed by computed tomography. After 3 weeks, all patients underwent hip arthroscopy in which loose bodies were removed and labral pathology debrided. No patient developed any of the complications (avascular necrosis, heterotopic ossification, nerve injury) associated with hip arthrotomy. Arthroscopic treatment of intraarticular loose bodies after hip dislocations and fracture-dislocations allows excellent joint visualization for loose body removal and labral tear diagnosis and treatment.
Owens
Brett D
BD
Keller Army Hospital, West Point, New York 10996, USA. brettowens@pol.net
Busconi
Brian D
BD
D000293:Adolescent; D000328:Adult; D001182:Arthroscopy / Q000379:methods*; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006617:Hip Dislocation / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006620:Hip Fractures / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007594:Joint Loose Bodies / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D008297:Male; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed