hip arthroscopy in the athletic patient: current techniques and spectrum of disease by michael k....
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![Page 1: Hip Arthroscopy in the Athletic Patient: Current Techniques and Spectrum of Disease by Michael K. Shindle, James E. Voos, Benton E. Heyworth, Douglas N](https://reader035.vdocuments.mx/reader035/viewer/2022062409/56649e455503460f94b3aae6/html5/thumbnails/1.jpg)
Hip Arthroscopy in the Athletic Patient: Current Techniques and Spectrum of Disease
by Michael K. Shindle, James E. Voos, Benton E. Heyworth, Douglas N. Mintz, Luis E. Moya, Robert L. Buly, and Bryan T. Kelly
J Bone Joint Surg AmVolume 89(suppl 3):29-43
October 1, 2007
©2007 by The Journal of Bone and Joint Surgery, Inc.
![Page 2: Hip Arthroscopy in the Athletic Patient: Current Techniques and Spectrum of Disease by Michael K. Shindle, James E. Voos, Benton E. Heyworth, Douglas N](https://reader035.vdocuments.mx/reader035/viewer/2022062409/56649e455503460f94b3aae6/html5/thumbnails/2.jpg)
Anteroposterior radiograph demonstrating the method for measuring the Tönnis angle of the hip.
Michael K. Shindle et al. J Bone Joint Surg Am 2007;89:29-43
©2007 by The Journal of Bone and Joint Surgery, Inc.
![Page 3: Hip Arthroscopy in the Athletic Patient: Current Techniques and Spectrum of Disease by Michael K. Shindle, James E. Voos, Benton E. Heyworth, Douglas N](https://reader035.vdocuments.mx/reader035/viewer/2022062409/56649e455503460f94b3aae6/html5/thumbnails/3.jpg)
Anteroposterior radiograph demonstrating the method for measuring the center-edge angle of Wiberg.
Michael K. Shindle et al. J Bone Joint Surg Am 2007;89:29-43
©2007 by The Journal of Bone and Joint Surgery, Inc.
![Page 4: Hip Arthroscopy in the Athletic Patient: Current Techniques and Spectrum of Disease by Michael K. Shindle, James E. Voos, Benton E. Heyworth, Douglas N](https://reader035.vdocuments.mx/reader035/viewer/2022062409/56649e455503460f94b3aae6/html5/thumbnails/4.jpg)
Anteroposterior radiograph of the pelvis, demonstrating the crossover sign that is indicative of a retroverted acetabulum.
Michael K. Shindle et al. J Bone Joint Surg Am 2007;89:29-43
©2007 by The Journal of Bone and Joint Surgery, Inc.
![Page 5: Hip Arthroscopy in the Athletic Patient: Current Techniques and Spectrum of Disease by Michael K. Shindle, James E. Voos, Benton E. Heyworth, Douglas N](https://reader035.vdocuments.mx/reader035/viewer/2022062409/56649e455503460f94b3aae6/html5/thumbnails/5.jpg)
Michael K. Shindle et al. J Bone Joint Surg Am 2007;89:29-43
©2007 by The Journal of Bone and Joint Surgery, Inc.
![Page 6: Hip Arthroscopy in the Athletic Patient: Current Techniques and Spectrum of Disease by Michael K. Shindle, James E. Voos, Benton E. Heyworth, Douglas N](https://reader035.vdocuments.mx/reader035/viewer/2022062409/56649e455503460f94b3aae6/html5/thumbnails/6.jpg)
Michael K. Shindle et al. J Bone Joint Surg Am 2007;89:29-43
©2007 by The Journal of Bone and Joint Surgery, Inc.
![Page 7: Hip Arthroscopy in the Athletic Patient: Current Techniques and Spectrum of Disease by Michael K. Shindle, James E. Voos, Benton E. Heyworth, Douglas N](https://reader035.vdocuments.mx/reader035/viewer/2022062409/56649e455503460f94b3aae6/html5/thumbnails/7.jpg)
Michael K. Shindle et al. J Bone Joint Surg Am 2007;89:29-43
©2007 by The Journal of Bone and Joint Surgery, Inc.
![Page 8: Hip Arthroscopy in the Athletic Patient: Current Techniques and Spectrum of Disease by Michael K. Shindle, James E. Voos, Benton E. Heyworth, Douglas N](https://reader035.vdocuments.mx/reader035/viewer/2022062409/56649e455503460f94b3aae6/html5/thumbnails/8.jpg)
Michael K. Shindle et al. J Bone Joint Surg Am 2007;89:29-43
©2007 by The Journal of Bone and Joint Surgery, Inc.
![Page 9: Hip Arthroscopy in the Athletic Patient: Current Techniques and Spectrum of Disease by Michael K. Shindle, James E. Voos, Benton E. Heyworth, Douglas N](https://reader035.vdocuments.mx/reader035/viewer/2022062409/56649e455503460f94b3aae6/html5/thumbnails/9.jpg)
Michael K. Shindle et al. J Bone Joint Surg Am 2007;89:29-43
©2007 by The Journal of Bone and Joint Surgery, Inc.
![Page 10: Hip Arthroscopy in the Athletic Patient: Current Techniques and Spectrum of Disease by Michael K. Shindle, James E. Voos, Benton E. Heyworth, Douglas N](https://reader035.vdocuments.mx/reader035/viewer/2022062409/56649e455503460f94b3aae6/html5/thumbnails/10.jpg)
Michael K. Shindle et al. J Bone Joint Surg Am 2007;89:29-43
©2007 by The Journal of Bone and Joint Surgery, Inc.
![Page 11: Hip Arthroscopy in the Athletic Patient: Current Techniques and Spectrum of Disease by Michael K. Shindle, James E. Voos, Benton E. Heyworth, Douglas N](https://reader035.vdocuments.mx/reader035/viewer/2022062409/56649e455503460f94b3aae6/html5/thumbnails/11.jpg)
Michael K. Shindle et al. J Bone Joint Surg Am 2007;89:29-43
©2007 by The Journal of Bone and Joint Surgery, Inc.
![Page 12: Hip Arthroscopy in the Athletic Patient: Current Techniques and Spectrum of Disease by Michael K. Shindle, James E. Voos, Benton E. Heyworth, Douglas N](https://reader035.vdocuments.mx/reader035/viewer/2022062409/56649e455503460f94b3aae6/html5/thumbnails/12.jpg)
Michael K. Shindle et al. J Bone Joint Surg Am 2007;89:29-43
©2007 by The Journal of Bone and Joint Surgery, Inc.
![Page 13: Hip Arthroscopy in the Athletic Patient: Current Techniques and Spectrum of Disease by Michael K. Shindle, James E. Voos, Benton E. Heyworth, Douglas N](https://reader035.vdocuments.mx/reader035/viewer/2022062409/56649e455503460f94b3aae6/html5/thumbnails/13.jpg)
Michael K. Shindle et al. J Bone Joint Surg Am 2007;89:29-43
©2007 by The Journal of Bone and Joint Surgery, Inc.
![Page 14: Hip Arthroscopy in the Athletic Patient: Current Techniques and Spectrum of Disease by Michael K. Shindle, James E. Voos, Benton E. Heyworth, Douglas N](https://reader035.vdocuments.mx/reader035/viewer/2022062409/56649e455503460f94b3aae6/html5/thumbnails/14.jpg)
Michael K. Shindle et al. J Bone Joint Surg Am 2007;89:29-43
©2007 by The Journal of Bone and Joint Surgery, Inc.
![Page 15: Hip Arthroscopy in the Athletic Patient: Current Techniques and Spectrum of Disease by Michael K. Shindle, James E. Voos, Benton E. Heyworth, Douglas N](https://reader035.vdocuments.mx/reader035/viewer/2022062409/56649e455503460f94b3aae6/html5/thumbnails/15.jpg)
Michael K. Shindle et al. J Bone Joint Surg Am 2007;89:29-43
©2007 by The Journal of Bone and Joint Surgery, Inc.
![Page 16: Hip Arthroscopy in the Athletic Patient: Current Techniques and Spectrum of Disease by Michael K. Shindle, James E. Voos, Benton E. Heyworth, Douglas N](https://reader035.vdocuments.mx/reader035/viewer/2022062409/56649e455503460f94b3aae6/html5/thumbnails/16.jpg)
Michael K. Shindle et al. J Bone Joint Surg Am 2007;89:29-43
©2007 by The Journal of Bone and Joint Surgery, Inc.
![Page 17: Hip Arthroscopy in the Athletic Patient: Current Techniques and Spectrum of Disease by Michael K. Shindle, James E. Voos, Benton E. Heyworth, Douglas N](https://reader035.vdocuments.mx/reader035/viewer/2022062409/56649e455503460f94b3aae6/html5/thumbnails/17.jpg)
Michael K. Shindle et al. J Bone Joint Surg Am 2007;89:29-43
©2007 by The Journal of Bone and Joint Surgery, Inc.
![Page 18: Hip Arthroscopy in the Athletic Patient: Current Techniques and Spectrum of Disease by Michael K. Shindle, James E. Voos, Benton E. Heyworth, Douglas N](https://reader035.vdocuments.mx/reader035/viewer/2022062409/56649e455503460f94b3aae6/html5/thumbnails/18.jpg)
Sagittal fast-spin-echo (cartilage-sensitive) magnetic resonance image demonstrating an anterior labral tear (arrow) after a posterior subluxation.
Michael K. Shindle et al. J Bone Joint Surg Am 2007;89:29-43
©2007 by The Journal of Bone and Joint Surgery, Inc.
![Page 19: Hip Arthroscopy in the Athletic Patient: Current Techniques and Spectrum of Disease by Michael K. Shindle, James E. Voos, Benton E. Heyworth, Douglas N](https://reader035.vdocuments.mx/reader035/viewer/2022062409/56649e455503460f94b3aae6/html5/thumbnails/19.jpg)
Michael K. Shindle et al. J Bone Joint Surg Am 2007;89:29-43
©2007 by The Journal of Bone and Joint Surgery, Inc.
![Page 20: Hip Arthroscopy in the Athletic Patient: Current Techniques and Spectrum of Disease by Michael K. Shindle, James E. Voos, Benton E. Heyworth, Douglas N](https://reader035.vdocuments.mx/reader035/viewer/2022062409/56649e455503460f94b3aae6/html5/thumbnails/20.jpg)
Michael K. Shindle et al. J Bone Joint Surg Am 2007;89:29-43
©2007 by The Journal of Bone and Joint Surgery, Inc.
![Page 21: Hip Arthroscopy in the Athletic Patient: Current Techniques and Spectrum of Disease by Michael K. Shindle, James E. Voos, Benton E. Heyworth, Douglas N](https://reader035.vdocuments.mx/reader035/viewer/2022062409/56649e455503460f94b3aae6/html5/thumbnails/21.jpg)
Michael K. Shindle et al. J Bone Joint Surg Am 2007;89:29-43
©2007 by The Journal of Bone and Joint Surgery, Inc.
![Page 22: Hip Arthroscopy in the Athletic Patient: Current Techniques and Spectrum of Disease by Michael K. Shindle, James E. Voos, Benton E. Heyworth, Douglas N](https://reader035.vdocuments.mx/reader035/viewer/2022062409/56649e455503460f94b3aae6/html5/thumbnails/22.jpg)
Michael K. Shindle et al. J Bone Joint Surg Am 2007;89:29-43
©2007 by The Journal of Bone and Joint Surgery, Inc.
![Page 23: Hip Arthroscopy in the Athletic Patient: Current Techniques and Spectrum of Disease by Michael K. Shindle, James E. Voos, Benton E. Heyworth, Douglas N](https://reader035.vdocuments.mx/reader035/viewer/2022062409/56649e455503460f94b3aae6/html5/thumbnails/23.jpg)
Michael K. Shindle et al. J Bone Joint Surg Am 2007;89:29-43
©2007 by The Journal of Bone and Joint Surgery, Inc.
![Page 24: Hip Arthroscopy in the Athletic Patient: Current Techniques and Spectrum of Disease by Michael K. Shindle, James E. Voos, Benton E. Heyworth, Douglas N](https://reader035.vdocuments.mx/reader035/viewer/2022062409/56649e455503460f94b3aae6/html5/thumbnails/24.jpg)
Michael K. Shindle et al. J Bone Joint Surg Am 2007;89:29-43
©2007 by The Journal of Bone and Joint Surgery, Inc.
![Page 25: Hip Arthroscopy in the Athletic Patient: Current Techniques and Spectrum of Disease by Michael K. Shindle, James E. Voos, Benton E. Heyworth, Douglas N](https://reader035.vdocuments.mx/reader035/viewer/2022062409/56649e455503460f94b3aae6/html5/thumbnails/25.jpg)
Michael K. Shindle et al. J Bone Joint Surg Am 2007;89:29-43
©2007 by The Journal of Bone and Joint Surgery, Inc.
![Page 26: Hip Arthroscopy in the Athletic Patient: Current Techniques and Spectrum of Disease by Michael K. Shindle, James E. Voos, Benton E. Heyworth, Douglas N](https://reader035.vdocuments.mx/reader035/viewer/2022062409/56649e455503460f94b3aae6/html5/thumbnails/26.jpg)
Treatment algorithm for the management of traumatic dislocation or subluxation of the hip in athletic patients.
Michael K. Shindle et al. J Bone Joint Surg Am 2007;89:29-43
©2007 by The Journal of Bone and Joint Surgery, Inc.
![Page 27: Hip Arthroscopy in the Athletic Patient: Current Techniques and Spectrum of Disease by Michael K. Shindle, James E. Voos, Benton E. Heyworth, Douglas N](https://reader035.vdocuments.mx/reader035/viewer/2022062409/56649e455503460f94b3aae6/html5/thumbnails/27.jpg)
Intraoperative photograph of a left hip with the portals in place.
Michael K. Shindle et al. J Bone Joint Surg Am 2007;89:29-43
©2007 by The Journal of Bone and Joint Surgery, Inc.
![Page 28: Hip Arthroscopy in the Athletic Patient: Current Techniques and Spectrum of Disease by Michael K. Shindle, James E. Voos, Benton E. Heyworth, Douglas N](https://reader035.vdocuments.mx/reader035/viewer/2022062409/56649e455503460f94b3aae6/html5/thumbnails/28.jpg)
Arthroscopic image of the insertion of the gluteus maximus tendon (arrow) onto the linea aspera.
Michael K. Shindle et al. J Bone Joint Surg Am 2007;89:29-43
©2007 by The Journal of Bone and Joint Surgery, Inc.
![Page 29: Hip Arthroscopy in the Athletic Patient: Current Techniques and Spectrum of Disease by Michael K. Shindle, James E. Voos, Benton E. Heyworth, Douglas N](https://reader035.vdocuments.mx/reader035/viewer/2022062409/56649e455503460f94b3aae6/html5/thumbnails/29.jpg)
Arthroscopic image of a left hip, demonstrating the hip abductors (arrow) and the iliotibial band (arrowhead).
Michael K. Shindle et al. J Bone Joint Surg Am 2007;89:29-43
©2007 by The Journal of Bone and Joint Surgery, Inc.
![Page 30: Hip Arthroscopy in the Athletic Patient: Current Techniques and Spectrum of Disease by Michael K. Shindle, James E. Voos, Benton E. Heyworth, Douglas N](https://reader035.vdocuments.mx/reader035/viewer/2022062409/56649e455503460f94b3aae6/html5/thumbnails/30.jpg)
Arthroscopic image of a left hip after release of the iliotibial band in a z-type manner to treat external coxa saltans.
Michael K. Shindle et al. J Bone Joint Surg Am 2007;89:29-43
©2007 by The Journal of Bone and Joint Surgery, Inc.
![Page 31: Hip Arthroscopy in the Athletic Patient: Current Techniques and Spectrum of Disease by Michael K. Shindle, James E. Voos, Benton E. Heyworth, Douglas N](https://reader035.vdocuments.mx/reader035/viewer/2022062409/56649e455503460f94b3aae6/html5/thumbnails/31.jpg)
Arthroscopic image of a left hip, demonstrating the insertion of the gluteus medius onto the greater trochanter (arrow).
Michael K. Shindle et al. J Bone Joint Surg Am 2007;89:29-43
©2007 by The Journal of Bone and Joint Surgery, Inc.
![Page 32: Hip Arthroscopy in the Athletic Patient: Current Techniques and Spectrum of Disease by Michael K. Shindle, James E. Voos, Benton E. Heyworth, Douglas N](https://reader035.vdocuments.mx/reader035/viewer/2022062409/56649e455503460f94b3aae6/html5/thumbnails/32.jpg)
Arthroscopic image of the gluteus medius and its tendon captured with sutures after they are passed sequentially through the edges of the prepared tendon with a suture-passing device.
Michael K. Shindle et al. J Bone Joint Surg Am 2007;89:29-43
©2007 by The Journal of Bone and Joint Surgery, Inc.