Arthroscopic Hip Capsular Closure for Far Medial Defects Along the Iliopsoas Fossa
As the prevalence of hip arthroscopy increases, hip capsular defects are increasingly recognized as a source of recurrent symptoms in the young athletic hip. The hip capsule is of substantial importance in providing joint stability and normal biomechanics. Several recent studies have demonstrated th...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-03-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628724004043 |
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| author | Zachary V. Braig, M.D. Xuankang Pan, B.S. Aaron J. Krych, M.D. Shane J. Nho, M.D. Mario Hevesi, M.D. Ph.D. |
| author_facet | Zachary V. Braig, M.D. Xuankang Pan, B.S. Aaron J. Krych, M.D. Shane J. Nho, M.D. Mario Hevesi, M.D. Ph.D. |
| author_sort | Zachary V. Braig, M.D. |
| collection | DOAJ |
| description | As the prevalence of hip arthroscopy increases, hip capsular defects are increasingly recognized as a source of recurrent symptoms in the young athletic hip. The hip capsule is of substantial importance in providing joint stability and normal biomechanics. Several recent studies have demonstrated that capsular closure at the time of primary hip arthroscopy improves both short- and long-term patient-reported outcomes, revision rates, and conversion to arthroplasty. Similarly, capsular insufficiency has been shown to be a source of recurrent pain and microinstability. Arthroscopic hip capsular management in the setting of chronic defects can be technically challenging, and far medial defects along the iliopsoas bursa are historically difficult to successfully repair because of challenging access and common lack of a proximal cuff of tissue for repair. We present an effective method for arthroscopic management of far medial hip capsular defects that consistently allows for reproducible capsular repair even in the absence of proximal capsular tissue. |
| format | Article |
| id | doaj-art-ff0dcaae88ca407c8a85f0f1247c8313 |
| institution | Kabale University |
| issn | 2212-6287 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj-art-ff0dcaae88ca407c8a85f0f1247c83132025-08-20T03:44:10ZengElsevierArthroscopy Techniques2212-62872025-03-0114310325710.1016/j.eats.2024.103257Arthroscopic Hip Capsular Closure for Far Medial Defects Along the Iliopsoas FossaZachary V. Braig, M.D.0Xuankang Pan, B.S.1Aaron J. Krych, M.D.2Shane J. Nho, M.D.3Mario Hevesi, M.D. Ph.D.4Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A.Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A.Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A.Department of Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A.Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A.; Address correspondence to Mario Hevesi, M.D., Ph.D., Department of Orthopedic Surgery, Mayo Clinic, 200 First St. SW, Rochester, Minnesota, U.S.A.As the prevalence of hip arthroscopy increases, hip capsular defects are increasingly recognized as a source of recurrent symptoms in the young athletic hip. The hip capsule is of substantial importance in providing joint stability and normal biomechanics. Several recent studies have demonstrated that capsular closure at the time of primary hip arthroscopy improves both short- and long-term patient-reported outcomes, revision rates, and conversion to arthroplasty. Similarly, capsular insufficiency has been shown to be a source of recurrent pain and microinstability. Arthroscopic hip capsular management in the setting of chronic defects can be technically challenging, and far medial defects along the iliopsoas bursa are historically difficult to successfully repair because of challenging access and common lack of a proximal cuff of tissue for repair. We present an effective method for arthroscopic management of far medial hip capsular defects that consistently allows for reproducible capsular repair even in the absence of proximal capsular tissue.http://www.sciencedirect.com/science/article/pii/S2212628724004043 |
| spellingShingle | Zachary V. Braig, M.D. Xuankang Pan, B.S. Aaron J. Krych, M.D. Shane J. Nho, M.D. Mario Hevesi, M.D. Ph.D. Arthroscopic Hip Capsular Closure for Far Medial Defects Along the Iliopsoas Fossa Arthroscopy Techniques |
| title | Arthroscopic Hip Capsular Closure for Far Medial Defects Along the Iliopsoas Fossa |
| title_full | Arthroscopic Hip Capsular Closure for Far Medial Defects Along the Iliopsoas Fossa |
| title_fullStr | Arthroscopic Hip Capsular Closure for Far Medial Defects Along the Iliopsoas Fossa |
| title_full_unstemmed | Arthroscopic Hip Capsular Closure for Far Medial Defects Along the Iliopsoas Fossa |
| title_short | Arthroscopic Hip Capsular Closure for Far Medial Defects Along the Iliopsoas Fossa |
| title_sort | arthroscopic hip capsular closure for far medial defects along the iliopsoas fossa |
| url | http://www.sciencedirect.com/science/article/pii/S2212628724004043 |
| work_keys_str_mv | AT zacharyvbraigmd arthroscopichipcapsularclosureforfarmedialdefectsalongtheiliopsoasfossa AT xuankangpanbs arthroscopichipcapsularclosureforfarmedialdefectsalongtheiliopsoasfossa AT aaronjkrychmd arthroscopichipcapsularclosureforfarmedialdefectsalongtheiliopsoasfossa AT shanejnhomd arthroscopichipcapsularclosureforfarmedialdefectsalongtheiliopsoasfossa AT mariohevesimdphd arthroscopichipcapsularclosureforfarmedialdefectsalongtheiliopsoasfossa |