Hip arthroscopy is a surgical procedure using a camera and light inserted via flexible tools into the hip through small incisions. Hip arthroscopy involves opening up the joint space by use of a special table to improve access to the damage within the joint. Although arthroscopic surgery has been used for years in knees and shoulders, the technology is very new with treating the hip and much more difficult.
Conditions treated through hip arthroscopy (hipscope) include FAI, Femoroacetabular Impingement where there is friction between the hip socket and femur due to bone abnormality, labral cartiledge tear repair, loose body removal, microfracture and treatment of inflammation.
Arthroscopic surgery can take anywhere from 2 to 6 hours depending on the amount of damage that must be addressed. Hipscope is also used for diagnosing tears and impingements. For more involved procedures such as microfracture, an overnight stay in the hospital and 8 or more weeks of crutches may be necessary. Most arthroscopic procedures can be done outpatient and require only a few short weeks of cruthes and physiotherapy.
Risks include infection, bleeding and complications of anethesia as with any surgery. Because of the traction placed on the hip, damage to the sciatic nerve could occur as well as damage to other nerves, blood vessels, and cartlidge. Blood clots, calcification of normal tissues, dead hip bone and fractures are also possible risks associated with hip arthroscopy.
Here's a great Q&A for Arthroscopic Patients:
http://nemsi.uchc.edu/clinical_services/orthopaedic/sportsmedicine/faqs/faqs_hiparth.html

20 comments:
The bottom line is that your surgeon really has to have done little else but impingement surgery throughout his recent career. Here in Cornwall, UK, only two surgeons will accept this work. The others will not touch it with a bargepole. The effect of this selectivity is good results. Choose your surgeon carefully with some searching questions!
Took 5 doctors to finally diag. my of my tear; They kept telling me it was "referred Pain" from back even though I told them, MY HIP hurt front to back and I had all the classic symtoms. Now after reading everyone's post surgery experiences I just don't know what to do. I am 51 with an activity life, played college sports - goal now to walk by 60. Can't sleep.
Hi there is there a button I can press to follow your blog. I am relatively new to this and I think your site is the first case like my own, most are open and dysplasic.
To LoRee, your comment re back pain if you check out my blog you'll see the battle I had as EVERYONE insisted it wasn't hip, but must be back, consequently this went on for 6 yrs before diagnosed with FAI and labral tear.
And Nicola thanks for this blog is so informative, I'm just starting my own to chart my story from diagnos1s to cure (I hope).
I have a scope with Proff Schilders on 10th July - Any advice sooo welcome.
In at:
http://myfaihippain.blogspot.com/
Many thanks and GOOD LUCK!
I have a 15 year old son who is diagnosed with a labral tear and FAI in one hip, and more than likely in the other as well. He is an ice hockey goalie.
we are planning on having Arthroscopic surgery by Dr. Phillipon in Vail. Any comments on this surgeon from anyone?
Dear Anonymous,
Did your 15 year old son have the surgery? I have a 16 year old son who was just diagnosed with FAI with a labral tear also. He is a x-xountry runner and is devastated that he can no longer run. Can you let me know how your son is doing, what was recovery like, etc...?
Thanks,
Annette
Dear Annette
My 16 yr old son underwent surgery on his right hip on 15th July this year with Proff Schilders.
He plays football at a high level and was very worried about his future career before the surgery.
Surgery went well and during the last 3 weeks re-hab has included building up running distance. He is pain free in his right operated hip, but still feels the same pain in this left. It's good to have the comparision between the two.
If you would like any more information about the procedure, please get in touch
I am having this in Reading in 3 weeks time - pincer hip impingement, cysts and tears. Not very happy as he said I'll probably still get OA anyway and need a hip replacement later on, I'm only 37 and have been having mis diagnosed pain for 10 years now including my first xray on the hip 7 years ago, 1 again a year ago, 2 MRIs to check my back, an injection to facet joint to check if that was a pain source. Seems if I was given my arthrogram 7 years ago I wouldn't be in the position I am with the damage I have now!
Hello, i am 28 and have had a hip arthroscopy for cam impingement and labral tear, it is just coming up for 3 months. Some things are improved, but it is still giving me a lot of pain, i have seen my surgeon since and he said it is expected to be sore, and it can be for 6 months... i have been really depressed with it... i just want to be better. Emma.
Emma,
I know how you feel. I get depressed to. I'm 28 and just starting this process. Keep your head up and if you need someone to talk to let me know. I'll provide my email address. Sometimes it helps to talk to someone who understands what you are going through. Its doubly frustrating for me because I'm not an athlete. It just came on gradually over the last couple years and has gotten progressively worse.
Hi people,i am just looking for advice on fai.I have recently been under the knee surgeon for cartlidge trouble which i had operated on last year.The problem didnt go and was refered again for xrays,which showed cartlidge damage,fai on both hips and also a cyst the back of my knee.I had also a mri with contrast dye (which wasnot correctly put it)and that showed no tear but also inconclusive as the dye wasnt used properly.I have since been to orthopeadic surgeon again and have been basically told that if i have surgery it wont be until im 50,which is 8yrs away.The pain is horrific at times and i walk with a stick too.He has told me basically because the hip injection didnt work then he says its not my hips (yet the xray says i have impringements) bearing in mind this consultant only deals with knees.He is going to send me for physio therapy and pain management and also deepheat therapy!! he thiks its my muscles.He wont take into account what the xray says and now i dont know where to turn.Could he be right?and the impingement isnt causing me the pain or what.im so confused and fed up after nearly 3 years of no help just painkillers that wont work.Any help would be apprecaited.thanks in advance mandi : )
MNDR - It would be great to have someone to talk to about it.
my email is lydford_lady@yahoo.co.uk
Please message me when you can.
Hi,
To Tennismom and others who may have answers for me.
I was recently diagnosed with labral tear in my right hip from playing tennis. The pain started probably 6+ months ago. I have been resting for 4 weeks and the pain has reduced to almost nothing. I tested by playing a little bit yesterday. Though I felt and played great. Sadly, I woke up in the morning with the same level of pain like I had back 3 weeks ago.
Questions will be: should I consider Hip Arthroscopic Surgery? What are its risks and benefits? What if I let it be and do nothing? Most of my friends who know me suggests that I am too young for this.
Any comments are appreciated.
RRTA5150 - i think once you have a labral tear (i had this) you cannot get rid of it, you will have it unless you have an operation. I would only consider the operation if you are in real bad pain every day, the operation (i have had both hips done) isn't easy and i am in worse pain at the mo, hoping that it will improve. I had the operation because i had labral tear and cam impingement. Try a hot water bottle on it when you are resting, i find that helps me. There are risks to the operation, to do with nerve damage but i haven't had any trouble with that, but it is worth doing some research online.
To others who may have any comments to share.
And, thanks to Emma for your story.
The thing is my pain is not bad now. I almost don't feel anything. It was really bad over the summer when I played tennis vigorously because I didn't know I had labral tear. So, I just played even with the pain.
After seeing my first Dr. in August and was told to totally rest for 8 weeks. I did and now feel good.
I could give up tennis but my question will be whether I still risk it getting worse in the future when I play tennis (or other sports) again and thus surgery then will give less chance of a full recovery. From testing it by playing a bit the other day, I can tell the pain will come back as bad as it used to be.
I did get a second opinion from anther Sport Med Doctor who told me 90%+ I will be pain free after the surgery (the first Dr. told me only 70-80% success rate). The second Dr. also said if I choose not to do the surgery, it is still ok for me to play but I just have to do it casually. I can still play upto 2-3 times/week. He said the decision was entirely upto me. This doctor is actually known for using alternative treatment to surgery. He himself a well known surgeon here (by the way I live in Singapore). All the expats go to him. He won't recommend surgery only if it is really needed.
Please let me know what are your thoughts.
Hi,
Looks like I may have to consider the surgery. After resting and not doing anything, the pain was better. But now, it has been 2 days that the pain is back. Though I haven't gone back to play my sport.
Hi everyone , anyone have hip /groin pain that radiate to the foot , pins and needle feeling from torn labrum or fai ?
jon-dee@sbcglobal.net
thanks ....
had a torn labral and fai get the surgery but still in pain me too have hip/groin and ppppins and needle in the foot
Hi im a 30 yr old woman and am waiting to have a hip arthrogram done they are suspious of a labral tear in my left hip but for the past few weeks my left swells up and feels like pinching and shock pains went to hospital and they gave me pain meds and told me to stay off my feet i have had hip pain for yrs as im a cook so im always on my feet twisting and.moving fast also im wondering.if i have hip impingment and a tear but some days i dont feel pain at all had an mri on spine they said my nerves were fine but its just recently my leg swells to the point where i feel it will rip open my pants
Really nice post but I would suggest to check a video on youtube about Femoral Acetabular Impingement or FAI for better understand.check out http://www.youtube.com/watch?v=hoEifiovQ_s
Post a Comment