• Dr. Domb!

    Thanks a lot for getting my hip right. Looking forward to a full recovery and a great season. Thanks again for everything.

    Corey WoottonChicago Bears and Detroit Lions
  • Thank you for all that you have done for me and the team. My hip feels so much better, and because of you I'm pain free.
    Sylvia Fowles WNBA Finals MVP, 2-time Olympic Gold Medalist
  • Thank you for working your magic! You're the best!
    Zakiya BywatersChicago Red Stars, National Women's Soccer League
  • Thanks for all the love and positive Energy that was put into my surgery. May the Lord bless you and your family.
    Atari BigbyGreen Bay Packers and San Diego Chargers
  • Dr. Domb, Thanks for fixing me up
    Rashied DavisChicago Bears
  • Huge thank you to Dr. Domb for always taking care of me and getting me back on the court in no time!
    Elena Delle DonneChicago Sky, MVP of the WNBA
  • Dr. Domb! Thanks for taking care of the hip! All the best to you and your staff
    Roosevelt ColvinChicago Bears' All-Decade Defense team
  • Thanks doc for fixing my hip!
    Ryan ChiaveriniWindy City Live Co-Host on ABC7

2012 - Iatrogenic Labral Puncture of the Hip is Avoidable

We read with great interest the recent article by Badylak and Keene1 regarding iatrogenic labral puncture during hip arthros- copy. This study reported that the labrum was penetrated in 20% of cases and concluded that the iatrogenic labral injury did not affect the 1- and 2-year clinical results. We applaud the authors' candor in reporting this complication in a total of 50 patients and value the contribution of this article to the nascent body of literature on safe procedures in hip arthroscopy

Indeed, labral injuries are reported as a complication of hip arthroscopy in the literature and may occasionally occur during hip arthroscopy despite the surgeon's best efforts to achieve safe access 2-4. However, we fear that this article may uninten- tionally convey to the reader that a high rate of labral penetra- tion is not a cause for concern. For this reason, we would like to emphasize to the readers that labral injury is not a normal part of hip arthroscopy and should be avoided when possible.

According to our experience, it is possible to perform hip arthroscopy with a low incidence of labral penetration by following a simple safe technique for portal establishment during hip arthroscopy. Using this technique in a series of 300 consecutive cases, we have reported 2 labral penetrations (rate of labral injury, 0.67%). 5 One injury occurred during revision arthroscopy, whereas the second involved a hyperplastic labrum in a dysplastic hip.

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