Setting Sail in Hip Arthroscopy: The 'Rudder Technique' for Spinal Needle Access Through the Mid-anterior Portal
Authors: McCarroll TR, Kahana-Rojkind AH, Keane JC, Schab AR, Kuhns BD, Domb BG
DOI: 10.1016/j.eats.2024.103191
Background
Precise, atraumatic joint access is critical in hip arthroscopy. The "rudder technique" improves control over spinal needle insertion through the mid-anterior portal.
Methods
The technique uses the beveled edge of the spinal needle as a “rudder” to steer through soft tissue, enhancing accuracy during joint entry.
Key Findings
- Provides controlled, efficient access.
- Reduces risk of injury during joint entry.
- Particularly useful for surgeons learning the procedure or dealing with complex anatomy.
Conclusion
The rudder technique improves safety and precision in hip arthroscopy joint access and can enhance surgical outcomes.
What Does This Mean for Providers?
This technique enhances control and precision during joint access in hip arthroscopy, reducing the risk of iatrogenic injury. By utilizing the spinal needle’s beveled edge to navigate soft tissues, it offers a reliable, reproducible method—especially beneficial for less experienced surgeons or in anatomically challenging cases.