Hip Pelvis.  2017 Mar;29(1):15-23. 10.5371/hp.2017.29.1.15.

Comprehensive Review of Advancements in Hip Arthroscopy

• Hwang DS
• Noh CK

• KMID: 2371763
• DOI: http://doi.org/10.5371/hp.2017.29.1.15

Abstract

Hip arthroscopy is currently being leveraged in the diagnosis and treatment of a wide range of hip joint problems. In fact, great advancements in hip arthroscopy have resulted in an ever-expanding number of indications to which it is being applied. Minimally invasive hip arthroscopy allows for quicker initiation of rehabilitation and has attracted much attention as the field becomes increasingly focused on surgeries designed to preserve joints. This review aims to summarize the recent advances, applications, and impact of hip arthroscopy.

Keyword

Hip arthroscopy; Endoscopy; Advancement; Hip joint; Review

MeSH Terms

Arthroscopy*
Diagnosis
Endoscopy
Hip Joint
Hip*
Joints
Rehabilitation

Figure

• 

  Fig. 1 A 23-year-old man complained pain on flexion and limited range of motion in the right hip joint. (A) Preoperative axial computed tomography (CT) scan shows anterior inferior iliac spine (AIIS) extends distally to the acetabular rim. (B) Postoperative CT scan shows resected AIIS prominence.

• 

  Fig. 2 A 33-year-old man who had anterior groin pain and limitation of flexion after total hip arthroplasty with a diagnosis of avascular necrosis of femoral head. After arthroscopic iliopsoas release (asterisk), his symptom was improved.

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  Fig. 3 Endoscopic iliotibial band releases in external snapping hip. (A) Triangulation under the fluoroscopy; Radiofrequency device in superior portal and 30° arthroscope in inferior portal. (B) Arthroscopic iliotibial band (ITB) release.

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  Fig. 4 Entrapment neuropathy of the sciatic nerve caused by perineural cyst. (A) Magnetic resonance imaging of perineural cyst. (B) Two portals are utilized; the posterolateral portal and the distal accessary portal (arrows). (C) Intraoperative arthroscopic images; the perineural cyst (asterisk). (D) Decompression with cystostomy of the perineural cyst.

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  Fig. 5 A 35-year-old man with traumatic hip fracture and islocation caused by pedestrian traffic accident. The dislocated hip was reducted in other hospital. (A) Preoperative axial computed tomography scan shows loose body in joint and posterior acetabular fracture (red circles). (B) Loose body removal (inset) and percutaneous screw fixation under arthroscopic guide.

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  Fig. 6 A 47-year-old female had large size of anterior capsular defect and acetabular labral tear. Despite of conservative treatement and arthroscopic labral repair, she had hip instability by recurrent anterior dislocation. After reconstruction of ligamentum teres (asterisk), she had no experience of hip dislocation.

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  Fig. 7 Arthroscopic reconstruction of acetabular labrum using autogenous iliotibial band. The patient had a persistent groin pain with a history of previous arthroscopic debridement surgery.

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