Abstract
Hip arthroscopy has become an increasingly utilized surgical technique for the treatment of the young, active patients with hip pain. The clinical outcomes of hip arthroscopy in this patient population have been largely successful; however, there is increasing interest in the contribution of hip capsule in postoperative clinical and functional outcomes. The structure and function of the normal hip capsule will be reviewed. Capsular contributions to hip stability will be discussed in the setting of hip arthroscopy with an emphasis on diagnosis-based considerations. Lastly, clinical outcomes following hip arthroscopy will be discussed as they relate to capsular management.
Highlights
Hip arthroscopy has become the surgical technique of choice for the treatment of a variety of symptomatic disorders of the hip, including femoroacetabular impingement (FAI)
Failure to consider each of these unique factors for any given surgical case may lead to incomplete treatment of the underlying pathology or postoperative complications related to iatrogenic hip instability
The authors found that the Hip outcome score-activities of daily living (HOS-ADL) and non-arthritic hip scores (NAHS) improved significantly in the capsular repair group compared to the non-repair group [59]
Summary
Hip arthroscopy has become an increasingly utilized surgical technique for the treatment of the young, active patients with hip pain. The clinical outcomes of hip arthroscopy in this patient population have been largely successful; there is increasing interest in the contribution of hip capsule in postoperative clinical and functional outcomes. The structure and function of the normal hip capsule will be reviewed. Capsular contributions to hip stability will be discussed in the setting of hip arthroscopy with an emphasis on diagnosis-based considerations. Clinical outcomes following hip arthroscopy will be discussed as they relate to capsular management
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