Challenge of the Week / Sports / 02.21.20

A 29-year-old female patient reports perineal hypoesthesia and dysesthesia on the operative side immediately following hip arthroscopy for treatment of a labral tear and femoroacetabular impingement. Which of the following operative techniques might have decreased the risk of this complication?
  • Labral repair
  • A labral repair would not affect the risk of pudendal nerve palsy.

  • Shorter traction time
  • A shorter traction time can decrease the risk for injury to the pudendal nerve.

  • Perineal post of <8 cm
  • A perineal post of >8 mm may increase risk of palsy by distributing force on a smaller surface area.

  • Extensile capsulotomy
  • Performing an extensile capsulotomy would not affect the risk of pudendal nerve palsy.

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