Arthroscopic Technique of Capsular Plication for the Treatment of Hip Instability

被引：69

作者：

Chandrasekaran, Sivashankar ^{[1
]}

Vemula, S. Pavan ^{[1
]}

Martin, Timothy J. ^{[1
]}

Suarez-Ahedo, Carlos ^{[1
]}

Lodhia, Parth ^{[1
]}

Domb, Benjamin G. ^{[1
,2
]}

机构：

[1] Amer Hip Inst, Westmont, IL USA

[2] Hinsdale Orthopaed, Westmont, IL USA

来源：

ARTHROSCOPY TECHNIQUES | 2015年 / 4卷 / 02期

关键词：

D O I：

10.1016/j.eats.2015.01.004

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Atraumatic instability or microinstability of the hip is a recognized cause of groin pain and hip instability. Risk factors include female sex, ligamentous laxity, and borderline dysplasia. Arthroscopically, the joint may distract easily, and there may be associated ligamentum teres tears and laxity of the capsule on manual probing. The use of arthroscopic capsular plication in this cohort of patients has shown good to excellent results. Biomechanically, a capsular plication aims to create an imbrication and inferior shift of the capsule to augment the screw-home mechanism of the capsuloligamentous structures and thereby improve stability in extension and external rotation. The purpose of this article is to detail the step-by-step surgical technique of arthroscopic capsular plication, in addition to the indications, pearls, and pitfalls of the technique.

引用

页码：E163 / E167

页数：5

共 15 条

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Labral Penetration Rate in a Consecutive Series of 300 Hip Arthroscopies [J].