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Diagnostic Hip Arthroscopy

Scott D. Martin, MD
Brigham and Women's/Mass General Health Care Center

Dilate Main Viewing Portal

  1. High Flow Rate
  2. Puncture-Capsule Orifice
  3. Pulvinar, Condyloid Notch, and Ligamentum Teres

Examine Labrum, Femoral Head, and Transverse Ligament

  1. Discoloration of Labrum
  2. Articular Cartilage Bubbling
  3. Labral Fraying

Probe Labrum

  1. Assessment of Labral Damage
  2. Shave Labral Fray

Debride Labrum

Explore Medial Structures

  1. Medial Gutter, Medial Synovial Fold, and Zona Orbicularis
  2. Range of Motion
  3. Labral Seal

Explore Peripheral Compartment

  1. Opening Capsule via Increased Flow Rate

Continue Labral Debridement

Check Capsular Reflection, Survey Joint, and Close

  1. Lateral Synovial Fold and Vasculature