When Hip Arthroscopy Is Recommended
Your doctor may recommend hip arthroscopy if you have a painful condition that does not respond to nonsurgical treatment. Nonsurgical treatment includes rest, rehabilitation/physical therapy, and oral anti-inflammatory medications or injections that can reduce inflammation. Inflammation is one of your body's normal reactions to injury or disease. In an injured or diseased hip joint, inflammation causes swelling, pain, and stiffness.
Hip arthroscopy may relieve painful symptoms of many problems that damage the labrum, articular cartilage, or other soft tissues surrounding the joint. Although this damage can result from an injury, other orthopaedic conditions can lead to these problems, such as:
- Femoroacetabular impingement (FAI) is a condition in which there is abnormal bony overgrowth (bone spurs) around the acetabulum (socket) or the femoral head due to repetitive injury or compressive loads.
- Dysplasia is a condition where the femoral head or acetabulum develops or grows abnormally. The socket may be abnormally shallow and makes the labrum more susceptible to tearing.
- Snapping hip syndromes are due to tendons which cross the joint, i.e. hip flexor [iliopsoas tendon] or hip abductor [iliotibial band], and rub across the outside of the joint causing mechanical friction and wear. This type of snapping or popping is often harmless and does not need surgical treatment. In some cases, however, the tendon is damaged from the repeated rubbing, and may require surgery to alleviate pain and improve mechanics.
- Synovitis is an inflammation or irritation of the tissues that lines the inside of the joint. There are multiple and various reasons for this condition to occur.
- Loose bodies are fragments of bone or cartilage that become loose and move around within the joint.
- Hip joint infection