Setting Sail in Hip Arthroscopy: The “Rudder Technique” for Spinal Needle Access Through the Mid-anterior Portal

Hip arthroscopy is a technically demanding procedure with a steep learning curve. Even accessing the hip joint, if performed improperly, will make the remainder of the case more difficult and potentially cause iatrogenic injury. Much like the rudder of a boat, the spinal needle bevel edge can be ste...

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Bibliographic Details
Main Authors: Tyler R. McCarroll, M.D., Ady H. Kahana-Rojkind, M.D., Jessica C. Keane, B.S., Andrew R. Schab, B.S., Benjamin D. Kuhns, M.D., Benjamin G. Domb, M.D.
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628724003244
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Summary:Hip arthroscopy is a technically demanding procedure with a steep learning curve. Even accessing the hip joint, if performed improperly, will make the remainder of the case more difficult and potentially cause iatrogenic injury. Much like the rudder of a boat, the spinal needle bevel edge can be steered through tissue in a manner to ensure smooth sailing when accessing the hip. The purpose of this article is to provide a better understanding of how to maximize the capabilities of a bevel-edge needle through use of the “rudder technique” to gain access in a more efficient and atraumatic fashion.
ISSN:2212-6287