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Hip Manipulation Under Anesthesia for Post-Hip Arthroscopy Pericapsular Scarring: Indications and Techniques
Natalie M Gaio1, Elizabeth H G Turner2, Andrea M Spiker1
1Department of Orthopedic Surgery, University of Wisconsin-Madison, Madison, Wisconsin, U.S.A.
Pericapsular scarring after hip arthroscopy can limit hip range of motion. A hip manipulation under anesthesia is presented as a technique to address this persistent complication, restoring function.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
Background:
- Hip arthroscopy is increasingly common, with a known complication profile.
- Pericapsular scarring/adhesions are an under-documented complication causing decreased hip range of motion and function.
Purpose of the Study:
- To describe pericapsular scarring as a post-hip arthroscopy complication.
- To demonstrate the technique of hip manipulation under anesthesia for treating this condition.
Main Methods:
- Literature review of hip arthroscopy complications.
- Description of a surgical technique: hip manipulation under anesthesia for pericapsular scarring.
Main Results:
- Pericapsular scarring can lead to persistent pain and functional deficits post-hip arthroscopy.
- Hip manipulation under anesthesia is a potential treatment for refractory cases.
Conclusions:
- Pericapsular scarring is a relevant complication of hip arthroscopy.
- Hip manipulation under anesthesia offers a viable solution for managing this condition when conservative measures fail.
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