Key Points Numerous nonstructural hip disorders may be amenable to arthroscopic intervention. Successful operative hip arthroscopy is first dependent on proper patient selection, careful patient positioning, and accurate portal placement. Routine hip arthroscopy should include both central and peripheral compartments.…
Key Points Metastatic bone disease is a relatively common problem that will become more common as the population ages. Pain and loss of mobility as a result of bone metastasis can severely impair a patient's quality of life. The treatment…
Key Points Primary malignant tumors about the hip are rare. Early recognition is critical in curative treatment. Chemotherapy or radiation may be indicated, depending on histology. Durable limb salvage techniques are applicable to most patients. Introduction Primary malignant processes frequently…
Key Points Many benign tumors about the hip require only observation and reassurance provided to the patient. The aggressiveness of treatment is matched to the aggressiveness of the tumor. Surgical treatment for benign tumors most commonly consists of curettage or…
Key points Characteristics that make an osseous lesion more likely to be malignant include an associated soft tissue mass, periosteal elevation, a permeative appearance, large size, and rapid growth. A well-planned biopsy is critical and should be undertaken (or at…
Key Points Hip dislocations and femoral head fractures are the result of high-energy trauma and usually are associated with other injuries. Posterior hip dislocations are much more common than anterior dislocations. Patients who have sustained a posterior hip dislocation usually…
Key Points In evaluating acetabular fractures, accurate imaging of the pelvis is needed with plain radiographs, oblique radiographs, and, frequently, three-dimensional imaging. Treatment is guided by classification of the fracture pattern and assessment of the fracture location and displacement, along…
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Key Points The treatment of intertrochanteric femur fractures is almost always operative. Compression hip screws are best used in stable fracture patterns and are associated with low rates of complications when properly positioned within the center of the femoral head.…
Key Points In the physiologically young and active adult, the goals of fixation are to preserve the femoral head, achieve union, and avoid osteonecrosis. Open reduction and internal fixation (ORIF) through a single Watson-Jones anterolateral or a dual incision (Smith-Petersen…