AANA Fellowship Education - Hip Arthroscopy: Central Compartment-Presentation (PDF)

Presentation (PDF)

Pdf Summary

The "Hip Arthroscopy: Central Compartment" webinar, held on January 5, 2021, featured expert faculty including Drs. Carlos A. Guanche, Brian D. Busconi, J.W. Thomas Byrd, and Jovan R. Laskovski. The session covered diagnostic techniques, normal anatomical variants, labral tear management, and case discussions related to hip arthroscopy, with a focus on the central compartment.<br /><br />Dr. Brian D. Busconi emphasized a thorough diagnostic approach, highlighting the importance of understanding three-dimensional hip deformities (pincer, cam, degenerative types), capsular conditions (hyperlaxity, stiffness), and patient goals for tailored surgical planning. He outlined preoperative setup essentials such as dedicated OR staffing, distraction tables, specialized instruments, and positioning techniques like Trendelenburg to reduce traction-related risks and improve access. Portal placements, including anterior, anterolateral, posterolateral, and distal anterolateral accessory (DALA), were discussed with attention to safe zones and capsular management to optimize visualization and repair outcomes. Surgical principles focus on assessing cartilage, osseous morphology, and managing labral and capsular pathology with bony corrections and soft tissue repairs.<br /><br />Dr. J.W. Thomas Byrd addressed normal variants in the central compartment, cautioning against overdiagnosing labral tears due to common anatomical variants like labral clefts, triradiate physeal scars, stellate creases, and supraacetabular fossae. He stressed the challenges in hip arthroscopy evolution, noting its complex anatomy and the ongoing need to differentiate normal from pathological findings in a joint constrained by thick soft tissue and dense capsule. Understanding these variants helps prevent misinterpretation in imaging and arthroscopic examinations.<br /><br />Dr. Carlos Guanche led case discussions highlighting variant presentations, labral tear diversity, ligamentum issues, and chondral injuries, fostering clinical decision-making insights.<br /><br />The webinar underlined meticulous preoperative planning, respect for hip anatomy variations, and precision in arthroscopic technique to enhance diagnostic accuracy and surgical success in hip arthroscopy.

Keywords

Hip Arthroscopy

Central Compartment

Labral Tear Management

Diagnostic Techniques

Three-Dimensional Hip Deformities

Capsular Conditions

Preoperative Setup

Portal Placement

Normal Anatomical Variants

Surgical Planning