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Hip arthroscopic surgery: patient evaluation, current indications, and outcomes
T Sean Lynch1, Michael A Terry, Asheesh Bedi
1Department of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, 676 North St Claire, Suite 1350, Chicago, IL 60611, USA. tseanlynch@gmail.com
The American Journal of Sports Medicine
|March 2, 2013
Summary
Hip arthroscopic surgery effectively treats athletic hip injuries like labral tears and femoroacetabular impingement (FAI). While short-term results are promising, long-term efficacy in preventing arthritis requires further study.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Arthroscopy
Background:
- Hip arthroscopy has advanced significantly due to better understanding of hip pathology, imaging, and techniques.
- Historically, hip arthroscopy lagged behind shoulder and knee procedures but is now rapidly evolving.
Purpose of the Study:
- To review current indications and evolving techniques in hip arthroscopic surgery.
- To discuss the role of hip arthroscopy in managing athletic hip injuries and complex deformities.
Main Methods:
- Review of current literature and techniques in hip arthroscopic surgery.
- Discussion of indications including labral tears, femoroacetabular impingement (FAI), instability, and chondral lesions.
- Exploration of arthroscopic techniques like capsulotomies for improved surgical access.
Main Results:
- Arthroscopic surgery is indicated for various hip pathologies in athletes, including labral tears and FAI.
- Advanced arthroscopic techniques provide comprehensive treatment for hip deformities.
- Short- and midterm outcomes for arthroscopic treatment of prearthritic hip lesions are favorable.
Conclusions:
- Hip arthroscopic surgery offers effective treatment for numerous hip conditions in athletes.
- Further long-term studies are needed to evaluate its impact on the progression of degenerative changes, particularly in femoroacetabular impingement (FAI).