Skip to main content
Log in

Hip arthroscopy: from the beginning to the future—an innovator’s perspective

  • Hip
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Hip arthroscopy is one of the fastest-growing areas of orthopaedic surgery. There are many reasons for this, including a better understanding of the pathophysiology of damage to the hip joint, improvements in imaging and technology advancements in arthroscopic instrumentation. This manuscript documents the historical development of hip arthroscopy, in general, as well as advances and ideas that have led to common techniques with regard to portal placement, traction and instrumentation. These advances have led to expanding indications for hip arthroscopy. This manuscript ends with some thoughts about the future of hip arthroscopy from the perspective of one of the leaders who helped shape hip arthroscopy, as it is performed today.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Pässler HH, Yang Y (2012) The past and future of Arthroscopy. In: Doral MN (ed) Sport. Sport. Inj. Springer Berlin Heidelberg, Heidelberg, Berlin, pp 5–14

    Google Scholar 

  2. Kieser CW, Jackson RW (2001) Severin nordentoft: the first arthroscopist. Arthroscopy 17:532–535

    Article  CAS  PubMed  Google Scholar 

  3. Burman MS (1931) Arthroscopy or the direct visualization of joints: an experimental cadaver study. J Bone Jt Surg 13:669–695

    Google Scholar 

  4. Takagi K (1939) The arthroscope: the second report. J Jpn Orthop Assoc 14:441–466

    Google Scholar 

  5. Glick JM, Sampson TG, Gordon RB, Behr JT, Schmidt E (1987) Hip arthroscopy by the lateral approach. Arthroscopy 3:4–12

    Article  CAS  PubMed  Google Scholar 

  6. Johnson LL (1981) Diagnostic and surgical arthroscopy, 2nd ed.. Mosby, St. Louis, Chapter 26: pp. 405–411

  7. Eriksson E, Arvidsson I, Arvidsson H (1986) Diagnostic and operative arthroscopy of the hip. Orthopedics 9:169–176

    CAS  PubMed  Google Scholar 

  8. Byrd JW (1994) Hip arthroscopy utilizing the supine position. Arthroscopy 10:275–280

    Article  CAS  PubMed  Google Scholar 

  9. Byrd JW (2000) Avoiding the labrum in hip arthroscopy. Arthroscopy 16:770–773

    Article  CAS  PubMed  Google Scholar 

  10. McCarthy J (1995) Hip arthroscopy: applications and technique. J Am Acad Orthop Surg 3:115–122

    PubMed  Google Scholar 

  11. Villar RN (1992) The technique of hip arthroscopy. Hip Arthrosc. Butterworth-Heinmann Ltd, Oxford, pp 39–53

    Google Scholar 

  12. Glick JM (2006) Hip arthroscopy by the lateral approach. Instr Course Lect 55:317–323

    PubMed  Google Scholar 

  13. Dorfmann H, Boyer T (1988) Arthroscopie de hanche. Rev du Rhum 55:33–36

    CAS  Google Scholar 

  14. Dorfmann H, Boyer T (1999) Arthroscopy of the hip: 12 years of experience. Arthroscopy 15:67–72

    Article  CAS  PubMed  Google Scholar 

  15. Dienst M, Gödde S, Seil R, Hammer D, Kohn D (2001) Hip arthroscopy without traction: in vivo anatomy of the peripheral hip joint cavity. Arthroscopy 17:924–931

    Article  CAS  PubMed  Google Scholar 

  16. Byrd JW, Pappas JN, Pedley MJ (1995) Hip arthroscopy: an anatomic study of portal placement and relationship to the extra-articular structures. Arthroscopy 11:418–423

    Article  CAS  PubMed  Google Scholar 

  17. Sweeney HJ (2001) Arthroscopy of the hip. Anatomy and portals. Clin Sports Med 20:697–702

    Article  CAS  PubMed  Google Scholar 

  18. Robertson WJ, Kelly BT (2008) The safe zone for hip arthroscopy: a cadaveric assessment of central, peripheral, and lateral compartment portal placement. Arthroscopy 24:1019–1026

    Article  PubMed  Google Scholar 

  19. Foster DE, Hunter JR (1987) The direct lateral approach to the hip for arthroplasty. Advantages and complications. Orthopaedics 10:274–280

    CAS  Google Scholar 

  20. Dvorak M, Duncan CP, Day B (1990) Arthroscopic anatomy of the Hip. Arthroscopy 6:264–273

    Article  CAS  PubMed  Google Scholar 

  21. Glick JM (1984) The Use of Laser Beam in Arthroscopic Surgery. Arthrosc Diagnostic Surg Pract 22:181–183

  22. Sampson TG, Glick JM (1996) Indications and surgical treatment of hip pathology. In: McGinty J (ed) Operative arthroscopy, 2nd edn. Lippincott-Raven, Philadelphia, pp 1067–1078

    Google Scholar 

  23. Farjo LA, Glick JM, Sampson TG (1999) Hip arthroscopy for acetabular labral tears. Arthroscopy 15:132–137

    Article  CAS  PubMed  Google Scholar 

  24. Khapchik V, O’Donnell RJ, Glick JM (2001) Arthroscopically assisted excision of osteoid osteoma involving the hip. Arthroscopy 17:56–61

    Article  CAS  PubMed  Google Scholar 

  25. Ganz R, Gill TJ, Gautier E, Ganz K, Krügel N, Berlemann U (2001) Surgical dislocation of the adult hip a technique with full access to the femoral head and acetabulum without the risk of avascular necrosis. J Bone Joint Surg Br 83B:1119–1124

    Article  Google Scholar 

  26. Sampson TG (2005) Arthroscopic Treatment of Femoroacetabular Impingement. Tech Orthop 20:56–62

    Article  Google Scholar 

  27. Mardones R, Lara J, Donndorff A, Barnes S, Stuart MJ, Glick J, Trousdale R (2009) Surgical correction of “cam-type” femoroacetabular impingement: a cadaveric comparison of open versus arthroscopic debridement. Arthroscopy 25:175–182

    Article  PubMed  Google Scholar 

  28. Ilizaliturri VM, Villalobos FE, Chaidez PA, Valero FS, Aguilera JM (2005) Internal snapping hip syndrome: treatment by endoscopic release of the iliopsoas tendon. Arthroscopy 21:1375–1380

    Article  PubMed  Google Scholar 

  29. Flanum ME, Keene JS, Blankenbaker DG, Desmet AA (2007) Arthroscopic treatment of the painful “internal” snapping hip: results of a new endoscopic technique and imaging protocol. Am J Sports Med 35:770–779

    Article  PubMed  Google Scholar 

  30. Bradley DM, Dillingham MF (1998) Bursoscopy of the trochanteric bursa. Arthroscopy 14:884–887

    Article  CAS  PubMed  Google Scholar 

  31. Farr D, Selesnick H, Janecki C, Cordas D (2007) Arthroscopic bursectomy with concomitant iliotibial band release for the treatment of recalcitrant trochanteric bursitis. Arthroscopy 23(905):e1–e5

    PubMed  Google Scholar 

  32. Voos JE, Shindle MK, Pruett A, Asnis PD, Kelly BT (2009) Endoscopic repair of gluteus medius tendon tears of the hip. Am J Sports Med 37:743–747

    Article  PubMed  Google Scholar 

  33. Sampson TG (2001) Complications of hip arthroscopy. Clin Sports Med 20:831–835

    Article  CAS  PubMed  Google Scholar 

  34. Smart LR, Oetgen M, Noonan B, Medvecky M (2007) Beginning hip arthroscopy: indications, positioning, portals, basic techniques, and complications. Arthroscopy 23:1348–1353

    Article  PubMed  Google Scholar 

  35. Telleria JJM, Safran MR, Harris AHS, Gardi JN, Glick JM (2012) Risk of sciatic nerve traction injury during hip arthroscopy—is it the amount or duration? An intraoperative nerve monitoring study. J Bone Jt Surg Am 94A:2025–2032

    Article  Google Scholar 

  36. Flierl MA, Stahel PF, Hak DJ, Morgan SJ, Smith WR (2010) Traction table-related complications in orthopaedic surgery. J Am Acad Orthop Surg 18:668–675

    PubMed  Google Scholar 

  37. Fowler J, Owens BD (2010) Abdominal Compartment Syndrome after Hip Arthroscopy. Arthroscopy 26(1):128–130

    Article  PubMed  Google Scholar 

  38. Bartlett CS, DiFelice GS, Buly RL, Quinn TJ, Green DS, Helfet DL (1998) Cardiac arrest as a result of intraabdominal extravasation of fluid during arthroscopic removal of a loose body from the hip joint of a patient with an acetabular fracture. J Orthop Trauma 12(4):294–299

    Article  CAS  PubMed  Google Scholar 

  39. Sampson TG (2005) Complications of hip arthroscopy. Tech Orthop 20(1):63–65

    Article  Google Scholar 

  40. Kocher M, Frank J, Nasreddine A, Safran M, Philippon M, Sekiya J, Kelly B, Byrd J, Guanche C, Martin H, Clohisy J, NG M, Griffin D, Sampson T, Leunig M, Larson C, Ilizaliturri VJ, McCarthy J, Gambacorta P (2012) Intra-abdominal fluid extravasation during hip arthroscopy: a survey of the MAHORN group. Arthroscopy 28:1654–1660

    Article  PubMed  Google Scholar 

  41. Ilizaliturri VM Jr (2009) Complications of arthroscopic femoroacetabular impingement treatment: a review. Clin Orthop Relat Res 467(3):760–768

    Article  PubMed Central  PubMed  Google Scholar 

  42. Souza BG, Dani WS, Honda EK, Ricioli W Jr, Guimarães RP, Ono NK, Polesello GC (2010) Do complications in hip arthroscopy change with experience? Arthroscopy 26(8):1053–1057

    Article  PubMed  Google Scholar 

  43. Mardones RM, Gonzalez C, Chen Q, Zobitz M, Kaufman KR, Trousdale RT (2005) Surgical treatment of femoroacetabular impingement: evaluation of the effect of the size of the resection. J Bone Joint Surg Am 87A(2):273–279

    Article  Google Scholar 

  44. Matsuda DK (2009) Acute iatrogenic dislocation following hip impingement arthroscopic surgery. Arthroscopy 25:400–404

    Article  PubMed  Google Scholar 

  45. Clarke MT, Arora A, Villar RN (2003) Hip arthroscopy: complications in 1054 cases. Clin Orthop Relat Res 406:84–88

    Article  PubMed  Google Scholar 

  46. Matsuda D, Mei-Dan O, Parvizi J, Peters C, Soballe K, Villar R (2013) Panel discusses the emerging techniques and current controversies in hip dysplasia. http://www.healio.com/orthopedics/arthroscopy/news/print/orthopedics-today/%7Bdc1d7f16-8163-4a7c-99f5-ce08fab8818d%7D/panel-discusses-the-emerging-techniques-and-current-controversies-in-hip-dysplasia

  47. Sansone M, Ahldén M, Jónasson P, Swärd L, Eriksson T, Karlsson J (2013) Total dislocation of the hip joint after arthroscopy and iliopsoas tenotomy. Knee Surg Sports Traumatol Arthrosc 21(2):420–423

    Article  PubMed  Google Scholar 

  48. Domb BG, Philippon MJ, Giordano BD (2013) Arthroscopic capsulotomy, capsular repair, and capsular plication of the hip: relation to atraumatic instability. Arthroscopy 29(1):162–173

    Article  PubMed  Google Scholar 

  49. Harris JD, Slikker W III, Gupta AK, McCormick FM, Nho SJ (2013) Routine complete capsular closure during hip arthroscopy. Arthrosc Tech 17(2(2)):e89–e94

    Article  Google Scholar 

  50. Philippon MJ, Pennock A, Gaskill TR (2012) Arthroscopic reconstruction of the ligamentum teres: technique and early outcomes. J Bone Joint Surg Br 94(B):1494–1498

    Article  Google Scholar 

  51. Philippon MJ, Schroder e Souza BG, Briggs KK (2010) Labrum: resection, repair and reconstruction sports medicine and arthroscopy review. Sports Med Arthrosc 18:76–82

    Article  PubMed  Google Scholar 

  52. Simpson JM, Field RE, Villar RN (2011) Arthroscopic reconstruction of the ligamentum teres. Arthroscopy 27:486–492

    Article  Google Scholar 

  53. Hartig-Andreasen C, Soballe K, Troelsen A (2013) The role of the acetabular labrum in hip dysplasia. A literature overview. Acta Orthop 84:60–64

    Article  PubMed Central  PubMed  Google Scholar 

  54. Matsuda DK, Mei-Dan O, Parvizi J, Peters CL, Soballe K, Villar RN (2013) Panel discusses the emerging techniques and current controversies in hip dysplasia. Orthop Today 33:36–40

    Google Scholar 

  55. Wall EJ, Kolata R, Roy DR, Mehlman CT, Crawford AH (2001) Endoscopic pelvic osteotomy for the treatment of hip dysplasia. J Am Acad Orthop Surg 9:150–156

    CAS  PubMed  Google Scholar 

  56. Matsuda DK (2009) A rare fracture, an even rarer treatment: the arthroscopic reduction and internal fixation of an isolated femoral head fracture. Arthroscopy 25:408–412

    Article  PubMed  Google Scholar 

  57. Yang J-H, Chouhan DK, Oh K-J (2010) Percutaneous screw fixation of acetabular fractures: applicability of hip arthroscopy. Arthroscopy 26:1556–1561

    Article  PubMed  Google Scholar 

  58. Epstein N, Safran MR (2009) Stress fracture of the acetabular rim: arthroscopic reduction and internal fixation: a case report. J Bone Jt Surg 91A:1480–1486

    Article  Google Scholar 

  59. Matsuda DK, Safran MR (2013) Arthroscopic internal fixation of osteochondritis dissecans of the femoral head. Orthopaedics 36:e683–e686

    Article  Google Scholar 

  60. Matsuda DK (2010) Endoscopic pubic symphysectomy for reclacitrant osteitis pubis associated with bilateral femoroacetabular impingement. Orthopedics 10:199–203

    Google Scholar 

  61. Mohtadi NGH, Safran MR, Griffin D, Chan D, Pedersen E, Sekiya J, Kelly B, Werle J, Leunig M, McCarthy J, Martin HD, Byrd JWT, Philippon MJ, Martin RR, Guanche C, Clohisy J, Sampson T, Kocher M, MAHORN (2012) The development and validation of a self-administered quality of life outcome measure for young, active patients with hip pathology: the international hip outcome tool (IHOT-33). Arthroscopy 28(5):595–610

    Article  PubMed  Google Scholar 

  62. Griffin DR, Parsons N, Mohtadi NGH, Safran MR, MAHORN (2012) A short version of the international hip outcome too (ihot-12) for use in routine clinical practice. Arthroscopy 28(5):611–618

    Article  PubMed  Google Scholar 

  63. Ilizaliturri VM Jr, Chaidez C, Villegas P, Briseño A, Camacho-Galindo J (2009) Prospective randomized study of 2 different techniques for endoscopic iliopsoas tendon release in the treatment of internal snapping hip syndrome. Arthroscopy 25(2):159–163

    Article  PubMed  Google Scholar 

  64. Sansone M, Ahlden M, Jonasson P, Baranto A, Thomee C, Karlsson J (2014): A Swedish Hip Arthroscopy Registry—Demographics and Development. Accepted for Publication in Knee Surg Sports Trauma Arthrosc

  65. Bedi A, Lynch ED, Sibilsky-Enselman ER, Davis ME, DeWolf PD, Makki TA, Kelly BT, Larson CM, Henning PT, Mendias CL (2013) Elevation in circulating biomarkers of cartilage damage and inflammation in athletes with femoroacetabular impingement. Am J Sports Med 41(11):2585–2590

    Article  PubMed  Google Scholar 

  66. Abrams GD, Safran MR, Shapiro LM, Maloney WJ, Goodman SB, Huddleston JI, Bellino MJ, Scuderi GJ (2014) Fibronectin-Aggrecan Complex as a Marker for Cartilage Degradation in Non-Arthritic Hips. Accepted for publication Knee Surg Sports Trauma Arthrosc

  67. Dunn AR (2002) Morphoangiogenesis: a unique action of growth hormone. Microvasc Res 63:295–303

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

James M. Glick received royalties from Stryker Endoscopy and Frank Valone III none. Marc R. Safran received fellowship support from Smith & Nephew and ConMed Linvatec, Ossur, and he is a consultant for Biomimedica and Conmed Linvatec.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Marc R. Safran.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Glick, J.M., Valone, F. & Safran, M.R. Hip arthroscopy: from the beginning to the future—an innovator’s perspective. Knee Surg Sports Traumatol Arthrosc 22, 714–721 (2014). https://doi.org/10.1007/s00167-014-2859-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00167-014-2859-y

Keywords

Navigation