Hip Arthroscopy Indications

Hip arthroscopy is often indicated if the patient has a painful hip condition that does has not responded to nonsurgical treatment. 

The procedure is used to relieve painful symptoms that result from damage to the labrum, articular cartilage or other soft tissues surrounding the joint. 

Common reasons for hip arthroscopy surgery to be indicated include the following:

  • Debridement of loose bodies: Bone chips or torn cartilage debris causing hip pain and decreased range of motion. These can be removed with hip arthroscopy
  • Debridement of joint surfaces: Conditions such as arthritis can cause the breakdown of tissue or bone in the joint
  • Removal of adhesions: Adhesions are areas of built of scar tissue which can limit movement and cause pain
  • Removal of bone spurs: Bone spurs are extra bone growth caused by injury or arthritis that damage the ends of the bones and cause pain and limit joint mobility
  • Repair of torn labrum: The labrum lines the outer edge of the acetabulum, the 'socket' (the hip joint is known as a ball and socket joint), to ensure a good fit with the femoral head (the 'ball'). Tears can occur in the labrum causing hip pain
  • Repair after trauma: Hip arthroscopy can be used to repair fractures or torn ligaments caused by trauma
  • Partial Synovectomy: Removal of portions of the inflamed synovium (joint lining) in patients with inflammatory arthritis can help decrease the patient's pain. However, if the damage is more severe and requires a complete synovectomy this will need to be done with an open, larger hip incision
  • Evaluation and diagnosis: Patients with unexplained pain, swelling, stiffness and instability in the hip which is unresponsive to nonsurgical or conservative treatment may undergo hip arthroscopy for further evaluation and diagnosis of the condition