Hip Arthroscopy Keene NH

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Thomas Lacey, MD FACS
590 Court St
Keene, NH
Gender
Male
Education
Medical School: Rochester
Graduation Year: 1944

Data Provided By:
Paul C Bettinger
(603) 354-5454
590 Court St
Keene, NH
Specialty
Hand Surgery

Data Provided By:
Paul C Bettinger, MD
603-354-5454 x3563
590 Court St
Keene, NH
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Tufts Univ Sch Of Med, Boston Ma 02111
Graduation Year: 1989

Data Provided By:
Dr.Paul Bettinger
(603) 354-5454
590 Court Street
Keene, NH
Gender
M
Education
Medical School: Tufts Univ Sch Of Med
Year of Graduation: 1989
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

Data Provided By:
Anthony H Presutti
(603) 354-5482
590 Court St
Keene, NH
Specialty
Adult Reconstructive Orthopaedic Surgery

Data Provided By:
Cherie A Holmes
(603) 354-5482
590 Court Street
Keene, NH
Specialty
Orthopedic Surgery

Data Provided By:
Wade Hampton Penny
(603) 354-5454
590 Court St
Keene, NH
Specialty
Orthopedic Surgery

Data Provided By:
Mark B Silbey, MD
603-354-5454 x8408
590 Court St
Keene, NH
Specialties
Orthopedics
Gender
Male
Education
Medical School: Columbia Univ Coll Of Physicians And Surgeons, New York Ny 10032
Graduation Year: 1985

Data Provided By:
Anthony H Presutti, MD
(603) 354-5482
580 Court St # 590
Keene, NH
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Harold Roger Hansen, MD
(603) 354-5400
Spofford, NH
Specialties
Orthopedics
Gender
Male
Education
Medical School: Jefferson Med Coll-Thos Jefferson Univ, Philadelphia Pa 19107
Graduation Year: 1969

Data Provided By:
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Hip Arthroscopy

A Patient's Guide to Hip Arthroscopy

Introduction

A hip arthroscopy is a procedure where a small video camera attached to a fiberoptic lens is inserted into the hip joint to allow a surgeon to see without making a large incision. Arthroscopy is now used to evaluate and treat orthopedic problems in many different joints of the body. While not as common as arthroscopy of the knee and shoulder, hip arthroscopy is used to evaluate and treat certain problems affecting the hip joint and the space outside the hip joint known as the greater trochanteric bursa.

This guide will help you understand

  • what parts of the hip are treated during hip arthroscopy
  • what types of conditions are treated with hip arthroscopy
  • what to expect before and after hip arthroscopy

Anatomy

What parts of the hip are involved?


The hip joint is one of the true ball-and-socket joints of the body. The hip socket is called the acetabulum and forms a deep cup that surrounds the ball of the upper thigh bone. The thigh bone itself is called the femur, and the ball on the end is the femoral head. The ball and socket arrangement gives the hip a large amount of motion needed for daily activities like walking, squatting, and stair-climbing.

The surfaces of the femoral head and the inside of the acetabulum are covered with articular cartilage. This material is about one-quarter of an inch thick in most large joints. Articular cartilage is a tough, slick material that allows the surfaces to slide against one another without damage.

The gluteus maximus is the largest of three gluteal muscles of the buttock. This muscle spans the side of the hip and joins the iliotibial band. The iliotibial band is a long tendon that passes over the bursa on the outside of the greater trochanter. It runs down the side of the thigh and attaches just below the outside edge of the knee. Two other buttock muscles attach to the greater trochanter, the gluteus medius and the gluteus minimus. These muscles are known as the abductors because they function to pull the lower leg away from the body - a motion that is called abduction. These muscles can be torn where they attach to the greater trochanter causing pain and and weakness as well as a snapping sensation.

Where friction must occur between muscles, tendons, and bones, there is usually a bursa. A bursa is a thin sac of tissue that contains a bit of fluid to lubricate the area where the friction occurs. The bursa is a normal structure, and the body will even produce a bursa in response to friction. The bursa next to the greater trochanter is called the greater trochanteric bursa.

The hip joint is surrounded by a water-tight pocket called the joint capsule. This capsule is formed by ligaments, connective tissue and synovial tissue. When the joint capsule is filled with sterile saline and is distended, the surgeon can insert the arthroscope into the pocket that i...

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