Iliopsoas Release

The spinal needle is placed directly on the lesser trochanter under fluoroscopy. With the arthroscope introduced, a second portal is then established. Adhesions or

Fig. 7. The surgical area remains covered in sterile drapes while the traction is then released and the hip flexed 45°. (Inset) Illustrates position of the hip without the overlying drape. (Courtesy of J.W. Thomas Byrd, MD.)

fibrinous debris within the bursa may need to be debrided to achieve clear visualization (Fig. 11). Staying next to the bone avoids straying into the medial soft tissues. As the iliopsoas is identified, the tendinous portion can be released (Fig. 12).

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