Hip Arthroscopy: An Emerging Gold Standard
2006; Elsevier BV; Volume: 22; Issue: 12 Linguagem: Inglês
10.1016/j.arthro.2006.10.002
ISSN1526-3231
AutoresJames H. Lubowitz, Gary G. Poehling,
Tópico(s)Shoulder Injury and Treatment
ResumoAs the Arthroscopy Association of North America and Arthroscopy: The Journal of Arthroscopic and Related Surgery enjoy a third decade, the emergence of hip arthroscopy as a gold standard of treatment for diverse hip joint pathology reminds us of one of the joys of being arthroscopic surgeons. Specifically, we are reminded of the joy we derive from doing work where we continually experience and observe new technology and techniques as they evolve from experimental, to state of the art, to the gold standard of care. As the shoulder has followed the knee joint in arthroscopy, now it appears that hip arthroscopy has emerged as the gold standard for the treatment of some hip pathology and the state of the art for other pathology whereas it is perhaps still at the experimental level for yet other pathology. The surgical indications for hip arthroscopy are detailed in the expert opinion of Arthroscopy Associate Editor Emeritus, J. W. Thomas Byrd, M.D., in this issue.1Byrd J.W.T. Hip arthroscopy: Surgical indications.Arthroscopy. 2006; (In press)Google Scholar We thank Tom for his willing response to our solicitation that he share level V evidence while Arthroscopy readers await studies of higher levels of evidence.2Lubowitz J.H. Introducing level V evidence to Arthroscopy.Arthroscopy. 2006; 22 (editorial): 237Abstract Full Text Full Text PDF Scopus (6) Google Scholar, 3Lubowitz J.H. Understanding evidence-based arthroscopy.Arthroscopy. 2004; 20 (editorial): 1-3Abstract Full Text Full Text PDF PubMed Scopus (17) Google Scholar, 4Maffulli N. Level V evidence: Is it really the way forward?.Arthroscopy. 2006; 22 (letter): 916Abstract Full Text Full Text PDF PubMed Scopus (1) Google Scholar In fact, these reports are coming with increasing frequency. Searching our Web site, www.arthroscopyjournal.org, using the key words “hip arthroscopy,” we found 12 articles in 20065Ilizaliturri VM, Zarate-Kalfopulos B, Martinez-Escalante FA, Cuevas-Olivo R, Camacho-Galindo J. Arthroscopic retrieval of a broken guidewire fragment from the hip joint after cannulated screw fixation of slipped capital femoral epiphysis. Arthroscopy in press, available online 12 September, 2006. doi:10.1016/j.arthro.2005.08.048Google Scholar, 6Nusem I. Jabur M.K.A. Playford E.G. Arthroscopic treatment of septic arthritis of the hip.Arthroscopy. 2006; 22 (el-902.e3. Available online at www.arthroscopyjournal.org.): 902PubMed Google Scholar, 7Wettstein M. Jung J. Dienst M. Arthroscopic psoas tenotomy.Arthroscopy. 2006; 22 (e1-907.e4. Available online at www.arthroscopyjournal.org.): 907PubMed Google Scholar, 8Freedman B.A. Potter B.K. Dinauer P.A. Giuliani J.R. Kuklo T.R. Murphy K.P. Prognostic value of magnetic resonance arthrography for Czerny stage II and III acetabular labral tears.Arthroscopy. 2006; 22: 742-747Abstract Full Text Full Text PDF PubMed Scopus (53) Google Scholar, 9Philippon M.J. Schenker M. Briggs K. Second-look arthroscopy of chondral lesions of the acetabulum treated with arthroscopic microfracture.Arthroscopy. 2006; 22 (suppl, abstr SS-58). Available online at www.arthroscopyjournal.org.: e29-e30Google Scholar, 10Philippon M.J. Stubbs A. Schenker M. Briggs K. Factors associated with revision hip arthroscopy.Arthroscopy. 2006; 22 (suppl, abstr SS-60). Available online at www.arthroscopyjournal.org.: e30-e31Google Scholar, 11Yamamoto Y. Usui I. Arthroscopic surgery for degenerative rupture of the ligamentum teres femoris.Arthroscopy. 2006; 22 (e1-689.e3. Available online at www.arthroscopyjournal.org.): 689PubMed Google Scholar, 12Ilizaliturri Jr, V.M. Martinez-Escalante F.A. Chaidez P.A. Camacho-Galindo J. Endoscopic iliotibial band release for external snapping hip syndrome.Arthroscopy. 2006; 22: 505-510Abstract Full Text Full Text PDF PubMed Scopus (134) Google Scholar, 13Murphy K.P. Ross A.E. Javernick M.A. Lehman Jr., R.A. 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Use of an independent skeletal distractor in hip arthroscopy.Arthroscopy. 1986; (in press)Google Scholar, 99Ilizaliturri Jr, V.M. Acosta-Rodriguez E. Camacho-Galindo J. A minimalist approach to hip arthroscopy: The slotted cannula.Arthroscopy. 2006; (in press)Google Scholar On the basis of the quantitative trend cited above, we anticipate that future contributors of reports on hip arthroscopy will be many. Most exciting of all may be areas of controversy. We are intrigued by those hip arthroscopy indications for which Dr. Byrd notes that there may be more questions than answers. Notable examples include indications for acetabular labral repair, where Dr. Byrd opines that “technology for repair is more advanced than our understanding of its application,” and treatment of hip joint sepsis (“even in the presence of a total joint arthroplasty [!]”), where “future research is required to refine our understanding of the indications for arthroscopic versus open treatment.”1Byrd J.W.T. Hip arthroscopy: Surgical indications.Arthroscopy. 2006; (In press)Google Scholar As always, the Editors encourage Arthroscopy readers to pursue and submit original research of the highest levels of evidence. Because we anticipate a continued increase in the number of hip arthroscopy submissions, we also anticipate that, through research, collaboration, and our never-ending pursuit of scientific understanding, someday we will achieve more answers than questions. Hip Arthroscopy: An Emerging Gold StandardArthroscopyVol. 23Issue 6PreviewAfter reading your editorial,1 we are concerned that some readers may come away with the impression that the first choice for treating hip pathology amenable to joint preservation should be hip arthroscopy. Unlike the knee, where pure ligamentous/cartilage injury represents the main underlying pathology, in the hip it is just the opposite.2,3 In the vast majority of cases, the primary pathology is a bony dysmorphism (dysplasia, femoroacetabular impingement) that subsequently leads to damage of the labral/chondral complex. Full-Text PDF
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