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Operative Indications for Hip Arthroscopy and Open Hip Preservation Surgery

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Hip Arthroscopy and Hip Joint Preservation Surgery

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Abstract

The use of hip arthroscopy has rapidly increased over the past 30 years and investigations into its use have seen an exponential increase over the past decade. Advancements in techniques and instrumentation have allowed an increasing number of orthopedists to perform this operation to address a rapidly expanding number of disorders of the hip and adjacent anatomy. Hip arthroscopy is most commonly performed for intra-articular conditions such as FAI, labral and chondral lesions, disorders of the synovium and capsule, loose bodies, ligamentum teres injuries, and septic arthritis and as a diagnostic aid in conjunction with other procedures. Periarticular conditions such as greater trochanteric pain syndrome, snapping hip, extra-articular FAI, and pathology in the posterior gluteal space are also increasingly addressed with the aid of hip arthroscopy. Contraindications to the procedure, as its strengths and limitations are better defined through increased study and use, have also evolved. These include the presence of advance stages of osteoarthritis, inflammatory arthritis, various forms of hip dysplasia, chronic muscle pathology, preexisting neurologic injury, and greater trochanter impingement, among others. This chapter will expand upon these indications and contraindications, reviewing evidence to help guide both beginner and advanced hip arthroscopists. As the use of hip arthroscopy continues to expand, the utility and limitations of its use will continue to evolve.

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References

  1. Byrd JW. Hip arthroscopy. J Am Acad Orthop Surg. 2006;14(7):433–44.

    PubMed  Google Scholar 

  2. Burman MS. Arthroscopy or the direct visualization of joints. J Bone Joint Surg Am. 1931;4:669.

    Google Scholar 

  3. Colvin AC, Harrast J, Harner C. Trends in hip arthroscopy. J Bone Joint Surg Am. 2012;94(4):e23.

    Article  PubMed  Google Scholar 

  4. DeLee J, Drez D, Miller MD. DeLee & Drez’s orthopaedic sports medicine principles and practice. Philadelphia: Saunders/Elsevier; 2010.

    Google Scholar 

  5. Rath E, Tsvieli O, Levy O. Hip arthroscopy: an emerging technique and indications. Isr Med Assoc J. 2012;14(3):170–4.

    PubMed  Google Scholar 

  6. Larson CM, Giveans MR. Arthroscopic management of femoroacetabular impingement: early outcomes measures. Arthroscopy. 2008;24(5):540–6.

    Article  PubMed  Google Scholar 

  7. Byrd JW, Jones KS. Arthroscopic management of femoroacetabular impingement: minimum 2-year follow-up. Arthroscopy. 2011;27(10):1379–88.

    Article  PubMed  Google Scholar 

  8. Ganz R, Parvizi J, Beck M, et al. Femoroacetabular impingement: a cause for osteoarthritis of the hip. Clin Orthop Relat Res. 2003;417:112–20.

    PubMed  Google Scholar 

  9. Leunig M, Beaule PE, Ganz R. The concept of femoroacetabular impingement: current status and future perspectives. Clin Orthop Relat Res. 2009;467(3):616–22.

    Article  PubMed Central  PubMed  Google Scholar 

  10. Bedi A, Zalta I, De La Torre K, Keely BT. Radiographic comparison of surgical hip dislocation and hip arthroscopy for treatment of cam deformity in femoroacetabular impingement. Am J Sports Med. 2011;39(Suppl):20S–8S.

    Article  PubMed  Google Scholar 

  11. Domb BG, Stake CE, Botser IB, Jackson TJ. Surgical dislocation of the hip versus arthroscopic treatment of femoroacetabular impingement: a prospective matched-pair study with average 2 year follow up. Arthroscopy. 2013;29(9):1506–13.

    Article  PubMed  Google Scholar 

  12. Harris JD, Erickson BJ, Bush-Joseph CA, Nho SJ. Treatment of femoroacetabular impingement: a systematic review. Curr Rev Musculoskelet Med. 2013;6(3):207–18.

    Article  PubMed Central  PubMed  Google Scholar 

  13. Larson CM, Stone RM. Current concepts and trends for operative treatment of FAI: hip arthroscopy. Curr Rev Musculoskelet Med. 2013;6(3):242–9.

    Article  PubMed Central  PubMed  Google Scholar 

  14. Ferguson SJ, Bryant JT, Ganz R, et al. An in vitro investigation of the acetabular labral seal in hip joint Mechanics. J Biomech. 2003;36:171–8.

    Article  CAS  PubMed  Google Scholar 

  15. Ferguson SJ, Bryant JT, Ganz R, Ito K. The influence of the acetabular labrum on hip joint cartilage consolidation: a poroelastic finite element model. J Biomech. 2000;33(8):953–60.

    Article  CAS  PubMed  Google Scholar 

  16. Diulus CA, Krebs VE, Hanna G, Barsoum WK. Hip arthroscopy technique and indications. J Arthroplasty. 2006;21(4 Suppl 1):68–73.

    Article  PubMed  Google Scholar 

  17. Philippon MJ, Faucet SC, Briggs KK. Arthroscopic hip labral repair. Arthrosc Tech. 2013;2(2):e73–6.

    Article  PubMed Central  PubMed  Google Scholar 

  18. Lynch TS, Terry MA, Bedi A, Kelly BT. Hip arthroscopic surgery: patient evaluation, current indications, and outcomes. Am J Sports Med. 2013;41(5):1174–89.

    Article  PubMed  Google Scholar 

  19. Khanduja V, Villar RN. Arthroscopic surgery of the hip: current concepts and recent advances. J Bone Joint Surg Br. 2006;88(12):1557–66.

    Article  CAS  PubMed  Google Scholar 

  20. Resnick DL, Kang HS, Pretterklieber ML. Internal derangements of joints. Philadelphia: Saunders/Elsevier; 2007.

    Google Scholar 

  21. McCarthy JC, Noble PC, Schuck MR, Wright J, Lee J. The watershed labral lesion: its relationship on early arthritis of the hip. J Arthroplasty. 2001;16(8 Suppl 1):81–7.

    Article  CAS  PubMed  Google Scholar 

  22. Espinosa N, Rothenfluh DA, Beck M, Ganz R, Leunig M. Treatment of femoro-acetabular impingement: preliminary results of labral refixation. J Bone Joint Surg Am. 2006;88(5):925–35.

    Article  PubMed  Google Scholar 

  23. Larson CM, Giveans MR, Stone RM. Arthroscopic debridement versus refixation of the acetabular labrum associated with femoroacetabular impingement: mean 3.5 year follow-up. Am J Sports Med. 2012;40(5):1015–21.

    Article  PubMed  Google Scholar 

  24. Larson CM, Giveans MR. Arthroscopic debridement versus refixation of the acetabular labrum associated with femoroacetabular impingement. Arthroscopy. 2009;25(4):369–76.

    Article  PubMed  Google Scholar 

  25. Schilders E, Dimitrakopoulou A, Bismil Q, et al. Arthroscopic treatment of labral tears in femoroacetabular impingement: a comparative study of refixation and resection with a minimum two-year follow-up. J Bone Joint Surg Br. 2011;93(8):1027–32.

    Article  CAS  PubMed  Google Scholar 

  26. Byrd JW, Jones KS. Hip arthroscopy for labral pathology prospective analysis with 10-year follow-up. Arthroscopy. 2009;25(4):365–8.

    Article  PubMed  Google Scholar 

  27. Yen YM, Kocher MS. Chondral lesions of the hip: microfracture and chondroplasty. Sport Med Arthroscop Rev. 2010;18(2):83–9.

    Article  Google Scholar 

  28. Sampson TG. Arthroscopic treatment of chondral lesions of the hip. Clin Sports Med. 2011;30(2):331–48.

    Article  PubMed  Google Scholar 

  29. Hangody L, Fules P. Autologous osteochondral mosaicplasty for the treatment of full-thickness defects of weight-bearing joints: ten years of experimental and clinical experience. J Bone Joint Surg Am. 2003;85-A Suppl 2:25–32.

    PubMed  Google Scholar 

  30. Hart R, Janecek M, Visca P, Bucek P, Kocis J. Mosaicplasty for the treatment of femoral head defect after incorrect resorbable screw insertion. Arthroscopy. 2003;19(10):E1–5.

    Article  PubMed  Google Scholar 

  31. Jordan MA, Van Thiel GS, Chahal J, Nho SJ. Operative treatment of chondral defects in the hip joint: a systematic review. Curr Rev Musculoskelet Med. 2012;5(3):244–53.

    Article  PubMed Central  PubMed  Google Scholar 

  32. Bardakos NV, Villar RN. The ligamentum teres of the adult hip. J Bone Joint Surg Br. 2009;91:8–15.

    Article  CAS  PubMed  Google Scholar 

  33. Cerezal L, Kassarjian A, Canga A, Dobado MC, Montero JA, et al. Anatomy, biomechanics, imaging, and management of ligamentum teres injuries. Radiographics. 2010;30(6):1637–51.

    Article  PubMed  Google Scholar 

  34. Philippon MJ, Kuppersmith DA, Wolff AB, Briggs KK. Arthroscopic findings following traumatic hip dislocation in 14 professional athletes. Arthroscopy. 2009;25:167–74.

    Article  Google Scholar 

  35. Gray AJ, Villar RN. The ligamentum teres of the hip: an arthroscopic classification of its pathology. Arthroscopy. 1997;13(5):575–8.

    Article  CAS  PubMed  Google Scholar 

  36. Botser IB, Martin DE, Stout CE, Domb BG. Tears of the ligamentum teres: prevalence in hip arthroscopy using 2 classification systems. Am J Sports Med. 2011;39(Suppl):117S–25S.

    Article  PubMed  Google Scholar 

  37. Jackson RW. The septic knee-arthroscopic treatment. Arthroscopy. 1985;1(3):194–7.

    Article  CAS  PubMed  Google Scholar 

  38. Chung WK, Slater GL, Bates EH. Treatment of septic arthritis of the hip by arthroscopic lavage. J Pediatr Orthop. 1993;13(4):444–6.

    Article  CAS  PubMed  Google Scholar 

  39. Hyman JL, Salvati EA, Laurencin CT, Rogers DE, Maynard M, Brause DB. The arthroscopic drainage, irrigation, and debridement of late, acute total hip arthroplasty infections: average 6-year follow-up. J Arthroplasty. 1999;14(8):903–10.

    Article  CAS  PubMed  Google Scholar 

  40. Yamamoto Y, Ide T, Hachisuka N, Maekawa S, Akamatsu N. Arthroscopic surgery for septic arthritis of the hip joint in 4 adults. Arthroscopy. 2001;17(3):290–7.

    Article  PubMed  Google Scholar 

  41. Kim SJ, Choi NH, Ko SH, Linton JA, Park HW. Arthroscopic treatment of septic arthritis of the hip. Clin Orthop Relat Res. 2003;407:211–4.

    Article  PubMed  Google Scholar 

  42. Nusem I, Jabur MK, Playford EG. Arthroscopic treatment of septic arthritis of the hip. Arthroscopy. 2006;22(8):902.e1–3.

    Article  PubMed  Google Scholar 

  43. Blitzer CM. Arthroscopic management of septic arthritis of the hip. Arthroscopy. 1993;9(4):414–6.

    Article  CAS  PubMed  Google Scholar 

  44. El-Sayed AM. Treatment of early septic arthritis of the hip in children: comparison of results of open arthrotomy versus arthroscopic drainage. J Child Orthop. 2008;2(3):229–37.

    Article  PubMed Central  PubMed  Google Scholar 

  45. Fu FH. Sports medicine. Master techniques in orthopaedic surgery, vol. xxiv. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2010. p. 640.

    Google Scholar 

  46. Helms CA, Major NM, Anderson MW, Kaplan P, Dussault R. Musculoskeletal MRI, vol. vii. 2nd ed. Philadelphia: Saunders Elsevier; 2009. p. 442.

    Google Scholar 

  47. Byrd JW, Jones K. Adhesive capsulitis of the hip. Arthroscopy. 2006;22(1):89–94.

    Article  PubMed  Google Scholar 

  48. Smith MV, Sekiya JK. Hip instability. Sports Med Arthrosc. 2010;18(2):108–12.

    Article  PubMed  Google Scholar 

  49. Tibor LM, Sekiya JK. Differential diagnosis of pain around the hip joint. Arthroscopy. 2008;24(12):1407–21.

    Article  PubMed  Google Scholar 

  50. Berkes MB, Cross MB, Shindle MK, Bedi A, Kelly BT. Traumatic posterior hip instability and femoroacetabular impingement in athletes. Am J Orthop. 2012;41(4):166–71.

    PubMed  Google Scholar 

  51. Krych AJ, Thompson M, Larson CM, Byrd JW, Kelly BT. Is posterior hip instability associated with cam and pincer deformity? Clin Orthop Relat Res. 2012;470(12):3390–7.

    Article  PubMed Central  PubMed  Google Scholar 

  52. Ross JR, Zaltz I, Nepple JJ, Schoenecker PL, Clohisy JC. Arthroscopic disease classification and interventions as an adjunct in the treatment of acetabular dysplasia. Am J Sports Med. 2011;39(Suppl):72S–8S.

    Article  PubMed  Google Scholar 

  53. Ross JR, Zaltz I, Nepple JJ, Schoenecker PL, Clohisy JC. Arthroscopic disease classification and interventions as an adjunct in the treatment of acetabular dysplasia. Am J Sports Med. 2011;39(Suppl):72S–8S.

    Article  PubMed  Google Scholar 

  54. Kim KI, Cho YJ, Ramteke AA, Yoo MC. Peri-acetabular rotational osteotomy with concomitant hip arthroscopy for treatment of hip dysplasia. J Bone Joint Surg Br. 2011;93(6):732–7.

    Article  PubMed  Google Scholar 

  55. Matsuda DK. Acute iatrogenic dislocation following hip impingement arthroscopic surgery. Arthroscopy. 2009;25(4):400–4.

    Article  PubMed  Google Scholar 

  56. Ranawat AS, McClincy M, Sekiya JK. Anterior dislocation of the hip after arthroscopy in a patient with capsular laxity of the hip. A case report. J Bone Joint Surg Am. 2009;91(1):192–7.

    Article  PubMed  Google Scholar 

  57. Benali Y, Katthagen BD. Hip subluxation as a complication of arthroscopic debridement. Arthroscopy. 2009;25(4):405–7.

    Article  PubMed  Google Scholar 

  58. Mei-Dan O, McConkey MO, Brick M. Catastrophic failure of hip arthroscopy due to iatrogenic instability: can partial division of the ligamentum teres and iliofemoral ligament cause subluxation? Arthroscopy. 2012;28(3):440–5.

    Article  PubMed  Google Scholar 

  59. Lachiewicz PF, Kauk JR. Anterior iliopsoas impingement and tendinitis after total hip arthroplasty. J Am Acad Orthop Surg. 2009;17(6):337–44.

    PubMed  Google Scholar 

  60. Dora C, Houweling M, Sierra RJ. Iliopsoas impingement after total hip replacement: the results of non-operative management, tenotomy or acetabular revision. J Bone Joint Surg Br. 2007;89(8):1031–560.

    Article  CAS  PubMed  Google Scholar 

  61. Van Riet A, De Schepper J, Delport HP. Arthroscopic psoas release for iliopsoas impingement after total hip replacement. Acta Orthop Belg. 2011;77(1):41–6.

    PubMed  Google Scholar 

  62. Strauss EJ, Nho SJ, Kelly BT. Greater trochanteric pain syndrome. Sports Med Arthrosc. 2010;18(2):113–9.

    Article  PubMed  Google Scholar 

  63. Domb BG, Nasser RM, Botser IB. Partial-thickness tears of the gluteus medius: rationale and technique for trans-tendinous endoscopic repair. Arthroscopy. 2010;26:1697–705.

    Article  PubMed  Google Scholar 

  64. Voos JE, Rudzki JR, Shindel MK, Martin H, Kelly BT. Arthroscopic anatomy and surgical techniques for peritrochanteric space disorders in the hip. Arthroscopy. 2007;23(11):1246.e1–5.

    Article  Google Scholar 

  65. Voos JE, Shindle MK, Pruett A, Asnis PD, Kelly BT. Endoscopic repair of gluteus medius tendon tears of the hip. Am J Sports Med. 2009;37(4):743–7.

    Article  PubMed  Google Scholar 

  66. Contreras ME, Dani WS, Endges WK, De Araujo LC, Berral FJ. Arthroscopic treatment of the snapping iliopsoas tendon through the central compartment of the hip: a pilot study. J Bone Joint Surg Br. 2010;92-B:777–80.

    Article  Google Scholar 

  67. Kelly BT, Williams 3rd RJ, Philippon MJ. Hip arthroscopy: current indications, treatment options, and management issues. Am J Sports Med. 2003;31(6):1020–37.

    PubMed  Google Scholar 

  68. Beltran L, Ghazikhanain V, Padron M, Beltran J. The proximal hamstring muscle-tendon-bone unit: a review of the normal anatomy, biomechanics, and pathophysiology. Eur J Radiol. 2012;81:3772–9.

    Article  PubMed  Google Scholar 

  69. Birmingham P, Muller M, Wickiewicz T, Cavanaugh J, Rodeo S, Warren R. Functional outcome after repair of proximal hamstring avulsions. J Bone Joint Surg Am. 2011;93(19):1819–26.

    Article  PubMed  Google Scholar 

  70. Folsom GJ, Larson CM. Surgical treatment of acute versus chronic complete proximal hamstring ruptures: results of a new allograft technique for chronic reconstructions. Am J Sports Med. 2008;36(1):104–9.

    Article  PubMed  Google Scholar 

  71. Dierckman BD, Guanche CA. Endoscopic proximal hamstring repair and ischial bursectomy. Arthrosc Tech. 2012;1(2):e201–7.

    Article  PubMed Central  PubMed  Google Scholar 

  72. Larson CM. Management of chronic proximal hamstring ruptures: surgical treatment. Operat Tech Sports Med. 2009;17(4):210–4.

    Article  Google Scholar 

  73. Frontera WR, Micheli LJ, Herring SA, SIlver JK. Clinical sports medicine medical management and rehabilitation. Philadelphia: Saunders/Elsevier; 2007.

    Google Scholar 

  74. Smoll NR. Variations of the piriformis and sciatic nerve with clinical consequence: a review. Clin Anat. 2010;23(1):8–17.

    Article  PubMed  Google Scholar 

  75. Martin HD, Shears SA, Johnson JC, Smathers AM, Palmer IJ. The endoscopic treatment of sciatic nerve entrapment/deep gluteal syndrome. Arthroscopy. 2011;27(2):172–81.

    Article  PubMed  Google Scholar 

  76. Stafford GH, Villar RN. Ischiofemoral impingement. J Bone Joint Surg Br. 2011;93(10):1300–2.

    Article  CAS  PubMed  Google Scholar 

  77. Larson CM, Kelly BT, Stone RM. Making a case for anterior inferior iliac spine/subspine hip impingement: three representative case reports and proposed concept. Arthroscopy. 2011;27(12):1732–7.

    Article  PubMed  Google Scholar 

  78. Hetsroni I, Larson CM, Dela Torre K, Zbeda RM, Magennis E, Kelly BT. Anterior inferior iliac spine deformity as an extra-articular source for hip impingement: a series of 10 patients treated with arthroscopic decompression. Arthroscopy. 2012;28(11):1644–53.

    Article  PubMed  Google Scholar 

  79. Sussman WI, Han E, Schuenke MD. Quantitative assessment of the ischiofemoral space and evidence of degenerative changes in the quadratus femoris muscle. Surg Radiol Anat. 2013;35(4):273–81.

    Article  PubMed  Google Scholar 

  80. Hetsroni I, Poultsides L, Bedi A, Larson CM, Kelly BT. Anterior inferior iliac spine morphology correlates with hip range of motion: a classification system and dynamic model. Clin Orthop Relat Res. 2013;471(8):2497–503.

    Article  PubMed Central  PubMed  Google Scholar 

  81. Zaltz I, Kelly BT, Hetsroni I, Bedi A. The crossover sign overestimates acetabular retroversion. Clin Orthop Relat Res. 2013;471(8):2463–70.

    Article  PubMed Central  PubMed  Google Scholar 

  82. Larson CM, Giveans MR, Taylor M. Does arthroscopic FAI correction improve function with radiographic arthritis? Clin Orthop Relat Res. 2011;469(6):1667–76.

    Article  PubMed Central  PubMed  Google Scholar 

  83. Farjo LA, Glick JM, Sampson TG. Hip arthroscopy for acetabular labral tears. Arthroscopy. 1999;15(2):132–7.

    Article  CAS  PubMed  Google Scholar 

  84. Haviv B, O’Donnell J. The incidence of total hip arthroplasty after hip arthroscopy in osteoarthritic patients. Sports Med Arthrosc Rehabil Ther Technol. 2010;2:18.

    Article  PubMed Central  PubMed  Google Scholar 

  85. Larson CM, Giveans MR, Taylor M. Does arthroscopic FAI correction improve function with radiographic arthritis? Clin Orthop Relat Res. 2011;469(6):1667–76.

    Article  PubMed Central  PubMed  Google Scholar 

  86. Philippon MJ, Briggs KK, Carlisle JC, Patterson DC. Joint space predicts THA after hip arthroscopy in patients 50 years and older. Clin Orthop Relat Res. 2013;471(8):2492–6.

    Article  PubMed Central  PubMed  Google Scholar 

  87. Kaminski A, Muhr G, Kutscha-Lissberg F. Modified open arthroscopy in the treatment of septic arthritis of the hip. Ortop Traumatol Rehabil. 2007;9(6):599–603.

    PubMed  Google Scholar 

  88. Flierl MA, Stahel PF, Hak DJ, Morgan SJ, Smith WR. Traction table-related complications in orthopaedic surgery. J Am Acad Orthop Surg. 2010;18(11):668–75.

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI, USA

    Asheesh Bedi

  2. University of Michigan, Ann Arbor, MI, USA

    William B. Acker II

  3. Minnesota Orthopedic Sports Medicine Institute, Twin Cities Orthopedics, 4010 West 65th Street, 55435, Edina, MN, USA

    Christopher M. Larson

  4. Sports Medicine and Shoulder Service, Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI, USA

    James R. Ross

Authors
  1. Asheesh Bedi
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  2. William B. Acker II
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  3. James R. Ross
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  4. Christopher M. Larson
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Corresponding author

Correspondence to Asheesh Bedi .

Editor information

Editors and Affiliations

  1. Department of Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois, USA

    Shane J. Nho

  2. Department of Orthopaedic Surgery, Schulthess Klinik, Zurich, Switzerland

    Michael Leunig

  3. Minnesota Orthopedic Sports Medicine Institute, Twin Cities Orthopedics - Edina, Edina, Minnesota, USA

    Christopher M. Larson

  4. Department of Orthopaedics, University of Michigan, Ann Arbor, Michigan, USA

    Asheesh Bedi

  5. Sports Medicine and Shoulder Service and Center for Hip Preservation Surgery, Hospital for Special Surgery, New York, New York, USA

    Bryan T. Kelly

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Bedi, A., Acker, W.B., Ross, J.R., Larson, C.M. (2015). Operative Indications for Hip Arthroscopy and Open Hip Preservation Surgery. In: Nho, S., Leunig, M., Larson, C., Bedi, A., Kelly, B. (eds) Hip Arthroscopy and Hip Joint Preservation Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6965-0_15

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