Hip Arthroscopy: Surgical Indications

doi:10.1016/j.arthro.2006.08.021

Arthroscopy: The Journal of Arthroscopic & Related Surgery

Volume 22, Issue 12, December 2006, Pages 1260-1262

https://doi.org/10.1016/j.arthro.2006.08.021 Get rights and content

Abstract

Successful outcomes of hip arthroscopy are most clearly dependent on selecting appropriate patients. The indications are numerous and continue to evolve. These indications are summarized in this report. The anatomic architecture of the hip region imposes unique challenges to performing this procedure. As a surgeon’s experience evolves, so will his or her indications for this operation. It is imperative to be knowledgeable about the technique, to exercise care with the procedure, and to be certain that it is being performed for proper reasons.

Section snippets

Indications

Removal of symptomatic loose bodies represents the clearest indication for hip arthroscopy. The diagnosis is often evident; the importance of loose body removal is well documented in the literature, and arthroscopy offers a much less invasive alternative to traditional open techniques.

Labral lesions represent the most common indication for hip arthroscopy. Favorable results can be expected with debridement of painful labral tears, but there are numerous caveats. MRI scans may reveal labral

Pearls

As indications and technology evolve, one should remember these dictums regarding hip arthroscopy: First, a successful outcome is most clearly dependent on proper patient selection. A technically well-executed procedure will fail when performed for the wrong reason. This may include failure of the procedure to meet the patient’s expectations. Thus, preoperatively, it may be necessary to suggest to patients that they modulate their goals. Second, the patient must be properly positioned for the

Conclusions

The indications for arthroscopic surgery of the hip are numerous and growing. For many patients, arthroscopy offers a method of treatment where none before existed, whereas for others, arthroscopy provides a much less invasive alternative to traditional open procedures. For each surgeon, it is important that the indications match his or her skill level with the technique. Thus a hip arthroscopist’s indications for surgery will evolve with that individual’s experience.

References (0)

Cited by (0)

: J.W.T.B. is a paid consultant for Smith & Nephew Endoscopy, Andover, Massachusetts.

View full text