Unresolved Hip Pain

Diagnostic arthroscopy is not a substitute for clinical diagnostic skills and appropriately coordinated investigative studies. As stated by Dr. Jack Hughston, "looking is not a substitute for thinking." Considered casually, unresolved hip pain would certainly be an easily abused indication.

Arthroscopy has defined many elusive and often treatable causes of hip pain. This success has done much to stimulate advancements among noninvasive investigative studies. As various imaging methods continue to improve, the role of diagnostic arthros-copy should diminish. Numerous situations still ex

FIGURE 2.27. A 59-year-old man with a painful left total hip from the anterior portal, the relationship of the lateral two portals arthroplasty. (A) AP fluoroscopic view demonstrates distraction of is demonstrated within the joint, also illustrating the intact artic-

the joint allowing placement of the three standard arthroscopic por- ulating surfaces of the prosthesis. (D) The interface of the bone (B)

tals. (B) Fibrinous tissue is present and being biopsied. (C) Viewing and acetabular shell (A) is visualized behind the acetabular liner (L).

FIGURE 2.27. A 59-year-old man with a painful left total hip from the anterior portal, the relationship of the lateral two portals arthroplasty. (A) AP fluoroscopic view demonstrates distraction of is demonstrated within the joint, also illustrating the intact artic-

the joint allowing placement of the three standard arthroscopic por- ulating surfaces of the prosthesis. (D) The interface of the bone (B)

tals. (B) Fibrinous tissue is present and being biopsied. (C) Viewing and acetabular shell (A) is visualized behind the acetabular liner (L).

ist in which arthroscopy is contemplated without a clear diagnosis, but at least with a high degree of suspicion that the problem is intraarticular and potentially amenable to arthroscopic intervention or, as stated by Burman in 1931, " ... a good differential of various lesions that may be amenable to arthroscopic intervention."89 Under appropriate circumstances, the literature still supports the role of diagnostic arthros-copy. In the study by Baber et al., arthroscopy altered the diagnosis in more than half of 328 patients undergoing the procedure.90

Essentials of Human Physiology

Essentials of Human Physiology

This ebook provides an introductory explanation of the workings of the human body, with an effort to draw connections between the body systems and explain their interdependencies. A framework for the book is homeostasis and how the body maintains balance within each system. This is intended as a first introduction to physiology for a college-level course.

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