Hip subluxation as a complication of arthroscopic debridement - PubMed (original) (raw)
Case Reports
Hip subluxation as a complication of arthroscopic debridement
Youssef Benali et al. Arthroscopy. 2009 Apr.
Abstract
Labral lesions are a common indication for hip arthroscopy (HA). We report a case of a 49-year-old woman who underwent HA for a long ventrolateral labral tear and exostosis of the lateral acetabular rim. She also presented with moderate hip dysplasia. The acetabular labrum was resected from the ventral to the lateral aspect; in addition, the exostosis of the lateral acetabular rim was removed. Three months later, the hip joint was unstable and subluxated. According to our literature search, this complication of HA has not yet been reported. This should admonish us to be cautious in performing resection of the labrum and acetabular exostosis especially in patients with hip dysplasia. Because of reduced bony containment of dysplastic hips, the acetabular labrum has a more stabilizing function in dysplastic joints. Therefore, in dysplastic hip joints with extensive labral tears or degeneration, resection of the labrum and acetabular exostosis should be performed carefully and to the most minimal extent.
Similar articles
- Periacetabular osteotomy after failed hip arthroscopy for labral tears in patients with acetabular dysplasia.
Kain MS, Novais EN, Vallim C, Millis MB, Kim YJ. Kain MS, et al. J Bone Joint Surg Am. 2011 May;93 Suppl 2:57-61. doi: 10.2106/JBJS.J.01770. J Bone Joint Surg Am. 2011. PMID: 21543690 - Catastrophic failure of hip arthroscopy due to iatrogenic instability: can partial division of the ligamentum teres and iliofemoral ligament cause subluxation?
Mei-Dan O, McConkey MO, Brick M. Mei-Dan O, et al. Arthroscopy. 2012 Mar;28(3):440-5. doi: 10.1016/j.arthro.2011.12.005. Epub 2012 Feb 1. Arthroscopy. 2012. PMID: 22301357 - Arthroscopic debridement versus refixation of the acetabular labrum associated with femoroacetabular impingement: mean 3.5-year follow-up.
Larson CM, Giveans MR, Stone RM. Larson CM, et al. Am J Sports Med. 2012 May;40(5):1015-21. doi: 10.1177/0363546511434578. Epub 2012 Feb 3. Am J Sports Med. 2012. PMID: 22307078 Clinical Trial. - Hip Dislocation or Subluxation After Hip Arthroscopy: A Systematic Review.
Duplantier NL, McCulloch PC, Nho SJ, Mather RC 3rd, Lewis BD, Harris JD. Duplantier NL, et al. Arthroscopy. 2016 Jul;32(7):1428-34. doi: 10.1016/j.arthro.2016.01.056. Epub 2016 Apr 16. Arthroscopy. 2016. PMID: 27090723 Review.
Cited by
- Comparison of Pain Scores and Functional Outcomes of Patients Undergoing Arthroscopic Hip Labral Repair and Concomitant Capsular Repair or Plication Versus No Closure.
Bindi VE, Hao KA, Freeman DA, Olowofela BO, Moser MW, Farmer KW, Pazik M, Roach RP. Bindi VE, et al. Orthop J Sports Med. 2024 Apr 18;12(4):23259671241243303. doi: 10.1177/23259671241243303. eCollection 2024 Apr. Orthop J Sports Med. 2024. PMID: 38646603 Free PMC article. - Capsular Management in Hip Arthroscopy: Interportal and T-Capsulotomy, Suspension, and Closure.
Lee DR, Simon KN, Levy BA, Krych AJ, Hevesi M. Lee DR, et al. Arthrosc Tech. 2024 Jan 1;13(3):102893. doi: 10.1016/j.eats.2023.102893. eCollection 2024 Mar. Arthrosc Tech. 2024. PMID: 38584622 Free PMC article. - Superior outcomes after arthroscopic treatment of femoroacetabular impingement and labral tears with closed versus open capsule.
Tahoun MF, Lizano-Díez X, Soler BC, Pons MT. Tahoun MF, et al. Knee Surg Sports Traumatol Arthrosc. 2023 Oct;31(10):4501-4509. doi: 10.1007/s00167-022-07266-y. Epub 2022 Dec 5. Knee Surg Sports Traumatol Arthrosc. 2023. PMID: 36471028 - Impact of Capsulotomy on Hip Biomechanics during Arthroscopy.
Lee H, Lim W, Lee S, Jo S, Jo S. Lee H, et al. Medicina (Kaunas). 2022 Oct 9;58(10):1418. doi: 10.3390/medicina58101418. Medicina (Kaunas). 2022. PMID: 36295579 Free PMC article. - Femoroacetabular translation in female athletes and dancers assessed by dynamic hip ultrasonography.
Scott CP, d'Hemecourt PA, Miller PE, Sugimoto D, Jackson SS, Kobelski GP, Whitney KE, Stracciolini A. Scott CP, et al. BMJ Open Sport Exerc Med. 2021 Dec 17;7(4):e001169. doi: 10.1136/bmjsem-2021-001169. eCollection 2021. BMJ Open Sport Exerc Med. 2021. PMID: 34987860 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical