Articles

Hip arthroscopy
Khemarin Seng MD

Hip arthroscopy is a minimally invasive, soft tissue sparing surgery that is performed for a variety of painful hip conditions such as labral tears, hip impingement, loose bodies and other conditions that cause mechanical irritation about the hip joint.  A 4 mm camera is placed into the hip joint and through multiple small incisions, a variety of procedures can be performed that would otherwise require a large incision, overnight hospital stay and potential for prolonged rehabilitation.

Establishing an arthroscopic hip portal

Historically, hip arthroscopy has been around since 1930.  Recently, the advances in technology and access to the hip joint have made our recognition of hip problems more clear and arthroscopic treatment more readily available.  Labral repairs, bone reshaping, tendon releases and repairs can be performed successfully. So far, early results of hip arthroscopy are encouraging and comparable to similar open hip procedures.

Evaluation of hip pain starts with a thorough history and physical examination.  If exam findings warrant further testing, an X ray and a special MRI scan is ordered.  Typically, a diagnosis and treatment plan can be implemented within 2 weeks of your initial office consultation.

Hip arthroscopy is a day surgery that does not require a hospital stay.  Crutches and rehabilitation equipment are prescribed for home use for 3-6 weeks.

Hip labrum repaired with suture

Probing a hip labral tear

X-ray showing placement of a bio-compatible anchor