HIP ARTHROSCOPY

At present, hip arthroscopy arouses a very considerable interest and it is one of the great Orthopaedic surgery’s innovation of resent years.
Hip has been the last big joint that explored with arthroscopic procedures.

The delay in the developing of hip arthroscopy compared to other joints, is probably due to the fact that this joint is anatomically ‘hard’ to deal with in arthroscopy and therefore requires a long learning curve even for the skilful arthroscopist.


Left hip artrhoscopy procedure


Special hip arthroscopy instruments

Femoroacetabular impingement (CAM lesion and Pincer lesion).  The artrhoscopic osteochondroplasty has best results.

INDICATIONS

The indications for hip arthroscopy continue to evolve.

1. INTRA-ARTICULAR PATHOLOGY

• acetabular labrum pathology
• osteochondral pathology
• degenerative pathology
• synovial pathology
• traumatic pathology
• infective pathology
• painful hip arthroprostesis
• femoroacetabular impingement
• post traumatic ostheophytosis
• calcifications and ossifications

2. EXTRA-ARTICULAR PATHOLOGY

• internal and external snapping hip
• trochanteric bursitis
• gluteus medius and minimus tendinopathies


X-ray: CAM deformity of the left hip


X-ray: CAM deformity of the left hip


Hip MRI: CAM deformity of the left hip

Acetabular labral repair animation video (Arthrex)