الفهرس 
Overview and history of hip arthroscopyOnly 14 pages are availabe for public view
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Abstract
SUMMARY
The hip is a site of pathology ranging from degenerative disorders to work and sports-related injuries. The hip is also one of the final frontiers for arthroscopic intervention.
Unique anatomic considerations challenge the hip arthroscopist and have slowed the advancement of HA. The dense soft tissue encasing the joint, the relatively noncompliant capsule, and the ball-and-socket architecture constrain both access and maneuverability of instrumentation.
The evolution of HA has followed a different course from other joints. In the knee, for example, standard practice for recognized pathology evolved from open technique to less invasive arthroscopic procedures. Conversely, in the hip, standard practice evolved from no treatment at all because of the failure to recognize the existence of these lesions. Arthroscopic assessment defined the presence of symptomatic hip pathology amenable to something other than a THA, which is the major surgical procedure for patients with hip disease. Rarely has arthrotomy been an accepted practice for elusive sources of hip pathology. However, arthroscopy for certain causes of hip pain offers an alternative where previously the only option was living within the constraints of the symptoms.
There are several merits to HA. First, arthroscopic assessment has identified previously unrecognized disorders. Second, arthroscopy is a less invasive alternative to arthrotomy for certain pathologies. Third, for such elusive causes of hip pain as labral or chondral injuries, arthroscopy offers a definitive treatment where none existed before. Fourth, it has a role as a staging procedure for osteotomy candidates and patients with avascular necrosis. Finally, arthroscopy may have a role as a palliative and temporizing procedure for select patients with degenerative hip disease.
Our study included patients with hip pain including: Loose bodies, labral lesions, degenerative disease, articular injuries, osteonecrosis, synovial abnormalities, FAI, Perthes` disease, and intractable hip pain after failure of conservative treatment for more than six months.
30 patients were included in this study with hip joint pain of various causes assessed with modified HHS after a follow up period of 6 weeks and 6 months postoperatively the preoperative score mean value of 67.1. The mean value of postoperative score at 6 weeks elevated to 78 and elevated to 79.4 at 6 months postoperatively.