Hip Arthroscopy: Extra-Articular Procedures
Authors
Perets I, Rybalko D, Mu BH, Friedman A, Morgenstern DR, Domb BG
DOI: 10.1177/1120700019840729
Background
Hip preservation surgery, especially hip arthroscopy, has become increasingly popular. While there is plenty of evidence supporting intra-articular procedures, extra-articular procedures (outside the joint) are gaining attention. These surgeries are typically considered after conservative treatments fail.
Methods
This review examined five key conditions that may be treated with extra-articular procedures: greater trochanteric pain syndrome, internal hip snapping, anterior impingement, sciatic nerve entrapment, and proximal hamstring injuries.
Key Findings
Extra-articular procedures in hip arthroscopy show promise, but there is limited data comparing them to open surgical alternatives. Most studies are case reports, lacking large-scale randomized control trials.
Conclusions
While extra-articular procedures are becoming more common, more research is needed to determine their superiority over traditional open surgeries.
What Does This Mean for Patients
If you're dealing with conditions like hip snapping or chronic hip pain that hasn’t responded to conservative treatment, arthroscopic surgery could be an option. However, your doctor will likely consider your individual condition and discuss the risks and benefits with you.