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Review Question - QID 7397

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QID 7397 (Type "7397" in App Search)
When performing hip arthroscopy, the hip should be placed in neutral to slight internal rotation to protect which of the following structures?

Femoral nerve

17%

293/1696

Lateral femoral cutaneous nerve

24%

404/1696

Ascending lateral femoral circumflex artery

6%

95/1696

Ascending medial femoral circumflex artery

8%

128/1696

Sciatic nerve

45%

762/1696

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The sciatic nerve is at greatest risk for injury during hip arthroscopy with placement of a posterolateral (posterior paratrochanteric portal). It can be within 3 cm of this portal. Advancing the trocar with the hip in neutral to slight internal rotation helps to protect the sciatic nerve from iatrogenic injury. The two structures in closest proximity with placement of arthroscopy portals are the lateral femoral cutaneous nerve (anterior portal) and the ascending branch of the lateral femoral circumflex artery (mid-anterior portal). The femoral nerve and medial femoral circumflex arteries are located medial to these anterior portals. Rotation of the hip has not been associated with increased risk of injury to any of these additional structures.

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