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Diagnostic Hip Arthroscopy

Jason P. Den Haese Jr., DO1; Scott D. Martin, MD2
1Oklahoma State University Medical Center
2Brigham and Women's/Mass General Health Care Center

1. Dilate Main Viewing Portal

  1. High Flow Rate
  2. Puncture-Capsule Orifice
  3. Pulvinar, Condyloid Notch, and Ligamentum Teres

2. Examine Labrum, Femoral Head, and Transverse Ligament

  1. Discoloration of Labrum
  2. Articular Cartilage Bubbling
  3. Labral Fraying

3. Probe Labrum

  1. Assessment of Labral Damage
  2. Shave Labral Fray

4. Debride Labrum

5. Explore Medial Structures

  1. Medial Gutter, Medial Synovial Fold, and Zona Orbicularis
  2. Range of Motion
  3. Labral Seal

6. Explore Peripheral Compartment

  1. Opening Capsule via Increased Flow Rate

7. Continue Labral Debridement

8. Check Capsular Reflection, Survey Joint, and Close

  1. Lateral Synovial Fold and Vasculature