Posterolateral Portal Use During Hip Arthroscopy for Resection of Posterior Hip Cysts

Hip arthroscopy is a widely accepted, minimally invasive technique for treating various hip joint disorders. The traditional approach typically involves the supine position with traction and an anterolateral entry point. However, this approach presents challenges, including insufficient exposure of posterior hip lesions and an increased risk of nerve injury. In this technical note, we describe a posterolateral portal in the lateral decubitus position, eliminating the need for traction and fluoroscopy. This technique provides direct access to posterior hip lesions and facilitates effective resection with minimal muscle damage. Additionally, it avoids interference with anterior structures and circumvents potential complications associated with traction and fluoroscopy. This approach offers a promising alternative for arthroscopic management of posterior hip pathologies.