The Journal of Bone and Joint Surgery (American). 2005;87:1137-1145.
© 2005 The Journal of Bone and Joint Surgery, Inc.
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Adult Hip Reconstruction Test 14: Summer 2005
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Instructional Course Lecture

Hip Arthroscopy: Indications, Outcomes, and Complications

Joseph C. McCarthy, MD1 and Joann Lee, MS1

1 125 Parker Hill Avenue, Boston, MA 02120. E-mail address for J.C. McCarthy: jlee1@caregroup.harvard.edu

An Instructional Course Lecture, American Academy of Orthopaedic Surgeons

The first 150 words of the full text of this article appear below.


   Introduction
 
Hip arthroscopy allows thorough visualization of the acetabular labrum, femoral head, and acetabular chondral surfaces as well as of the fovea, ligamentum teres, and adjacent synovium. Microsurgical tools developed specifically for arthroscopic hip surgery can be used to provide the least intrusive means of diagnosis and treatment of conditions involving the above-mentioned structures (Table I). No radiographic study, including high-contrast gadolinium-enhanced arthrography-magnetic resonance imaging, is entirely sensitive or specific for the diagnosis of labral tears or chondral lesions. Thus, a high level of clinical suspicion based on the patient's symptoms and positive physical findings is paramount for the clinician to recognize subtle abnormalities in the hip joint.


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  		TABLE I Hip Conditions That May Benefit from Arthroscopy

 

Hip arthroscopy is technically demanding, with a steep learning curve, and requires special distraction tools and operating equipment. Access to the hip joint is difficult because of the resistance to distraction . . . [Full Text of this Article]


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