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The Bone & Joint Journal

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The Journal of Bone & Joint Surgery British Volume
Vol. 86-B, Issue 6 | Pages 793 - 796
1 Aug 2004
Elsaidi GA Ruch DS Schaefer WD Kuzma K Smith BP

We studied 16 hips (eight cadaver specimens) using arthrography, arthroscopy and anatomical dissection, under incremental traction of up to a maximum of 64 kg, to determine the relationship of the portals to nearby neurovascular structures.

The distance of each arthroscopic portal (anterior, anterolateral, and posterolateral) to the associated neurovascular structures was measured after the application of 23 kg of traction.

Traction of up to 64 kg on the lower limb failed to produce evidence of labral or capsular injury. Furthermore, traction of 23 kg resulted in little change in the position of adjacent neurovascular structures relative to the standard arthroscopic portals.