107 THE IMPORTANT ROLE OF THE ARTHROSCOPIC HIP SURGERY IN THE ATHLETES WITH HIP INJURIES. A RETROSPECTIVE STUDY

Abstract

Hip arthroscopy has gradually evolved over the past two decades. Recently hip arthroscopy has an increasing role in diagnosis and treatment for specific intra articular and extra articular hip injuries and especially for soft tissue injuries.

February 2002 – May 2009

• 18 athletes

• 5 football players

• 8 basketball players

• 2 weight lifters

• 3 gymnasts

Mean age: 32 y.o. (19–39 y.o.)

Undiagnosed hip pain, Osteoarthritis, Labral pathology, Loose bodies, Osteochondral defects, Sepsis, Liga-mentum Teres, Trauma, Synovitis

Symptoms: Deep dull ache pain during hip flexion and external or internal rotation. Decreased R.O.M.

12/18 Cam sign + (positive), 11/18 Pincher sign + (positive), 14/18 Impingement syndrome in adduction and in flexion.

Instrumentation and Equipment: 30°, 70°, 4,5mm arthroscope, High flow rate mechanical pump, 15 gauge 6" cardiac needle, Convex full radius chondroplasty blades, Special electrocautery (Philippon), Distraction apparatus, Mechanical water pump unit, Image intensifier

• Surgery: Standard orthopaedic traction table, Supine position, Hip is extended and abducted 25°

• Portals: Anterior, Anterolateral, Posterolateral

• Intraoperative Findings – Results

Detachment of the labrum, 2/18 erosion of the articular cartilage of the acetabulum and drilling of the bare area, 12/18 Cam sign excision

The athletes with symptoms of an internal hip pain and impingement signs after a clinical exam of their hip will get a benefit from an arthroscopic procedure for treating any existing cetabulo-femoral pathology, especially for the athletes with femoraloacetabular impingement syndrome (FAI).