Hip Arthropscopy

Hip arthroscopy is utilized to address various pathologies, such as, Femoral-Acetabular Impingement (FAI), labral tears and internal snapping hip inside the hip joint.

Arthroscopy, in general, involves the use of small incisions to allow the entrance of a camera and tools into a joint. For hip arthroscopy, the hip is first distracted to allow space for the arthroscopic instruments to enter. Secondly, two to three incisions are made at the lateral aspect of the hip to perform the surgery. Through this technique, the entirety of the hip joint can be visualized to confirm and address various pathologies.

Example of Labral Repair

Example of Labral Repair

The labrum is a rim of cartilage that extends off the edge of the socket of the hip. Due to acute trauma, genetic makeup or the type of sports or activities you partake in, the labrum can be damaged. This can range from fraying of the tissue to an actual complete tear. While in the joint, the tissue can be “cleaned up.” This entails shaving the frayed labral tissue down to stable, healthy tissue. In the case of an actual tear in the labrum, this can be repaired with the use of anchors and sutures to secure the labral tissue back to bone.

In cases where FAI or “extra bone” is an issue, the problem areas are sculpted to resemble a more anatomically normal hip, thus eliminating the bony impingement on the labrum.

Examples of Femoral-Acetabular Impingement

Examples of Femoral-Acetabular Impingement

George Sutherland MD