Routine Arthroscopy and Access: Central and Peripheral Compartments, Iliopsoas Bursa, Peritrochanteric, and Subgluteal Spaces

Disorders of the Peritrochanteric and Deep Gluteal Space

“…7,8 This author has preferred a modified cruciate incision that relaxes the iliotibial band, eliminating the snapping, while removing little tendon, and does not rely on any suture lines to heal. 9 Historically, recalcitrant lateral-sided hip pain has been attributed to chronic trochanteric bursitis, but it is now recognized that abductor lesions are more common sources of lateral hip pain that fails to respond to conservative treatment. 10,11 Thus, the term "greater trochanteric pain syndrome" was coined as a less specific, but more accurate term for the constellation of disorders that can present within the trochanteric region.…”

Synovial Proliferative Disorders

“…1). 4 Capsulotomies around the portal sites markedly improve maneuverability and access, whereas a formal interportal capsulotomy may be performed for more extensive procedures and for improved access to the periphery.…”

Hip arthroscopy for extra-articular hip disease

“…The peritrochanteric compartment consists of the greater trochanter and its bursa, the iliotibial band, and the gluteus medius and minimus tendons. The deep subgluteal space contains the short external rotator muscles, the piriformis, and the sciatic nerve [3,[5][6][7].…”

“…Various portals have been described for use in diagnosis and treatment of extra-articular hip pathology, which vary depending on surgeon preference and the pathology being treated; we describe these within each pathologyspecific section below and acknowledge that there are multiple ways to perform these procedures successfully. Recently published literature has been dedicated to outlining in great detail relevant surgical anatomy [5,6]. We strongly recommend studying these publications, as well as the pathologyspecific references cited.…”