The Hip AANA Advanced Arthroscopic Surgical Techniques

J. W. Thomas Byrd, MD is the founder of Nashville Sports Medicine & Orthopaedic Center, as well as the Nashville Sports Medicine Foundation, a nonprofit entity dedicated to research and education with a principal interest in hip disorders and arthroscopy. He is the third generation of physicians in his family to serve the Nashville community. He is team physician for the Tennessee Titans, has served as physician for the US Olympic team, and is a consulting orthopedic surgeon for numerous professional sports franchises from the National Football League, National Hockey League, National Basketball Association, Women’s National Basketball Association, Major League Baseball, and Major League Soccer, as well as players from the Professional Golfers’ Association, Ladies Professional Golf Association, and Association of Tennis Professionals. He is a Clinical Professor in Vanderbilt University’s Department of Orthopaedic Surgery and Rehabilitation and serves on the Advisory Board for the Titleist Performance Institute.

Dr. Byrd is President of the International Society for Hip Arthroscopy and Immediate Past President of the Arthroscopy Association of North America. He is a member of the International Hip Society, Herodicus Society, Twentieth Century Orthopaedic Association, American Orthopaedic Society for Sports Medicine, International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine, and Hip Society.

Dr. Byrd pioneered many of the techniques popular in hip arthroscopy today and designed many of the instruments commonly used for performing the procedure. He has authored 3 textbooks on hip arthroscopy, edited numerous other texts and journals, and published over 100 scientific papers, technical and review articles, and book chapters. He has been one of the leaders in defining and developing the role of less-invasive arthroscopic techniques in and around the hip.
 
Asheesh Bedi, MD is the Harold and Helen W. Gehring Professor of Orthopaedic Surgery and Chief of Sports Medicine and Shoulder Surgery at the University of Michigan and MedSport Program. He is also an Adjunct Assistant Professor at the Hospital for Special Surgery/Weill Cornell Medical College. He is a team physician for the University of Michigan, Eastern Michigan University, and Detroit Lions and a consultant for the National Football League and National Hockey League Players Association. Dr. Bedi specializes in both arthroscopic and open surgery for athletic injuries of the shoulder, elbow, hip, and knee. He is a Taubman Emerging Scholar and recognized clinician-scientist at the University of Michigan.

Dr. Bedi completed his undergraduate training at Northwestern University, where he graduated Summa Cum Laude. He graduated from the University of Michigan Medical School with AOA recognition and remained in Ann Arbor to pursue residency training in orthopedic surgery at the University of Michigan. After completing his training, Dr. Bedi completed a 2-year fellowship in sports medicine and shoulder surgery at the Hospital for Special Surgery and Weill Cornell Medical College in New York. He has also pursued additional dedicated training with Dr. Bryan Kelly in arthroscopic hip surgery for young athletes.

Dr. Bedi has also been recognized with the Leonard Marmor Outstanding Orthopaedic Resident Award and the Hospital for Special Surgery Philip D. Wilson Award for Excellence in both 2008 and 2009 for his efforts in orthopedic research and tendon-bone healing studies with Dr. Scott Rodeo. He is the winner of the 2010 Neer Award of the American Shoulder and Elbow Surgeons and a recipient of the 2010 Cabaud Award from the American Orthopedic Society for Sports Medicine. He has authored over 300 articles, chapters, and peer-reviewed publications on shoulder, elbow, knee, and hip injuries in athletes.
 
Allston J. Stubbs, MD is an Associate Professor of Orthopaedic Surgery at the Wake Forest School of Medicine in Winston-Salem, North Carolina. He specializes in orthopedic sports medicine and hip joint restoration. He serves as Medical Director of Hip Arthroscopy for Wake Forest Baptist Health. He is Board certified by the American Board of Orthopaedic Surgery and holds Subspecialty Certification in Sports Medicine. He is an active member of several orthopedic societies, serving on editorial and leadership boards. In the field of hip arthroscopy, he has authored research journal articles, created orthopedic instructional videos, and instructed at national and international orthopedic surgery conferences.
 

Dedication
Acknowledgments
About the Editors
Contributing Authors
Foreword by James M. Glick, MD
Introduction

Section I        Introduction
Chapter 1          A Layered Approach to Patient Evaluation With Prearthritic Hip Pain: History and Physical Examination
Jonathan A. Godin, MD, MBA and Richard C. Mather III, MD, MBA
Chapter 2          Imaging in Hip Preservation Surgery: Plain X-Rays, Computed Tomography, and Magnetic Resonance Imaging
Elizabeth A. Howse, MD and Allston J. Stubbs, MD, MBA
Chapter 3          Indications for Hip Arthroscopy
William Brian Acker II, MD; James R. Ross, MD; Christopher M. Larson, MD; and Asheesh Bedi, MD
Chapter 4          Arthroscopic and Open Anatomy of the Hip
Scott R. Kling, MD; Michael R. Karns, MD; Sunny H. Patel, MD; William Kelton Vasileff, MD; and Michael J. Salata, MD

Section II      Operative Setup
Chapter 5          The Supine Approach to Hip Arthroscopy
Lance Maynard, DO, MS and John J. Christoforetti, MD
Chapter 6          The Lateral Approach to Hip Arthroscopy
Thomas G. Sampson, MD and Joshua D. Sampson, MD
Chapter 7          The Use of Intraoperative Fluoroscopy and Dynamic Examination in Hip Arthroscopy: Achieving a Complete Femoroacetabular Impingement Correction
Christopher M. Larson, MD and Rebecca M. Stone, MS, ATC
Chapter 8          Portal Placement in Hip Arthroscopy: Anatomic Considerations and Access to the Central, Peripheral, and Peritrochanteric Spaces
Geoffrey D. Abrams, MD; Joshua D. Harris, MD; and Marc R. Safran, MD
Chapter 9          Alternative Approaches to Access to the Hip Joint: Starting in the Peripheral Compartment
Matthias Kusma, MD and Michael Dienst, MD

Section III    Central and Peripheral Compartments
Chapter 10        Approaches to Capsulotomy and Capsular Management in Hip Arthroscopy
Jeffrey J. Nepple, MD; Asheesh Bedi, MD; and Christopher M. Larson, MD
Chapter 11        Arthroscopic Labral Debridement, Repair, and Stitch Configurations
Andrew B. Wolff, MD and Matthew Mantell, MD
Chapter 12        Arthroscopic Management of Focal Chondral Injuries in the Hip
Thomas H. Wuerz, MD, MSc and Shane J. Nho, MD, MS
Chapter 13        Management of the Deficient Labrum: Arthroscopic Labral Reconstruction— Indications and Technique
Christiano A. C. Trindade, MD and Marc J. Philippon, MD
Chapter 14        Arthroscopic Treatment of Rim Impingement: Focal Retroversion, Global Retroversion, and Extra-Articular Impingement
Ryan M. Degen, MD; Eilish O’Sullivan, PT, DPT, OCS, SCS; and Bryan T. Kelly, MD
Chapter 15        Arthroscopic Treatment of Cam-Type Deformity
Michael B. Gerhardt, MD; Nicholas Johnson, MD; and Brandon Johnson, MD

Section IV     Extracapsular Management
Chapter 16        Treatment of the Iliopsoas Tendon: Indications and Arthroscopic Approaches for Lengthening and Release
Allston J. Stubbs, MD, MBA and Elizabeth A. Howse, MD
Chapter 17        Greater Trochanteric Pain Syndrome and Endoscopy of the Peritrochanteric Space
Víctor M. Ilizaliturri Jr, MD; Marco Acuna-Tovar, MD; Eduardo Acosta-Rodriguez, MD; and Pedro Joachin-Hernandez, MD
Chapter 18        Arthroscopic Management of Abductor Tears
J. W. Thomas Byrd, MD
Chapter 19        Arthroscopic Management of Traumatic Hip Instability: Indications and Approach
G. Peter Maiers II, MD and Emily Cha, MD
Chapter 20        Endoscopy of the Deep Gluteal Space
Hal D. Martin, DO; Munif Ahmad Hatem, MD; and Ian J. Palmer, PhD
Chapter 21        Endoscopy of Proximal Hamstring Injuries
Carlos A. Guanche, MD
Chapter 22        Common Complications of Hip Arthroscopy and Their Management
Fotios Paul Tjoumakaris, MD and John P. Salvo, MD

Section V       Controversies and Future Considerations
Chapter 23        Is There a Role for Arthroscopy in Hip Instability and Dysplasia? Indications and Technique
Benjamin G. Domb, MD and Chris Stake, DHA
Chapter 24        The Role of Arthroscopy in Pediatric Hip Disorders: Slipped Capital Femoral Epiphysis and Legg-Calvé-Perthes Disease
Patrick Vavken, MD, MSc and Yi-Meng Yen, MD, PhD
Chapter 25        The Role of Computer Modeling and Navigation in Arthroscopic Hip Surgery
Andrew W. Kuhn, BA; Eric P. Tannenbaum, MD; James R. Ross, MD; and Asheesh Bedi, MD
Chapter 26        Special Considerations for Revision Hip Arthroscopy
Eilish O’Sullivan, PT, DPT, OCS, SCS and Bryan T. Kelly, MD

Financial Disclosures
Index