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July 2006 - Volume 14 - Issue 7
pp: 387-446



Creator: J. W. Thomas Byrd, MD
Duration: 41:11
Journal: JAAOS - Journal of the American Academy of Orthopaedic Surgeons July 2006, Volume 14, Issue 7;
Evaluation of patients with hip pain is focused on whether the source of symptoms is intra-articular and thus potentially amenable to arthroscopy. Indications for hip arthroscopy include loose bodies, labral tears, degenerative disease, chondral injuries, femoroacetabular impingement, osteonecrosis, synovial disease, ruptured ligamentum teres, impinging osteophytes, instability, adhesive capsulitis, joint sepsis, and unresolved hip pain. Characteristic features of intra-articular hip joint pathology include relatively well-tolerated straight plane activity, difficulty with torsional/twisting activities, discomfort with prolonged hip flexion (eg, sitting), pain/catching from flexion to extension (eg, rising from a seated position), and greater difficulty on inclines or stairs than on level surfaces.