Avoiding iatrogenic injury during portal placement in hip arthroscopy.

Abstract

Hip arthroscopy has gained immense popularity in the treatment of many intra and extra-articular pathologies in and around the hip joint. The anterolateral portal is the most common portal used to establish access at arthroscopy and being the first, it has to be placed blindly under image intensifier guidance. The subsequent portals are placed under direct arthroscopic visualisation. Iatrogenic acetabular labral injury (IALI) has been reported to occur during the first portal placement and its incidence varies from 0.67% to 20%.1–3 We present an easy technique to prevens IALI.