Review ArticlesCapsular Management Techniques and Hip ArthroscopyFreeman, Katie L. MD*; Nho, Shane J. MD†; Suppauksorn, Sunikom MD†; Chahla, Jorge MD, PhD†; Larson, Christopher M. MD‡Author Information *Department of Orthopaedic Surgery, Division of Sports Medicine, University of Nebraska Medical Center, Omaha, NE †Department of Orthopedic Surgery, Division of Sports Medicine, Section of Young Adult Hip Surgery, Rush University Medical Center, Chicago, IL ‡Twin Cities Orthopedics, Edina, MN Disclosure: The authors declare no conflict of interest. Reprints: Christopher M. Larson, MD, Twin Cities Orthopedics, 4010 W 65th St., Edina, MN 55435. Sports Medicine and Arthroscopy Review: March 2021 - Volume 29 - Issue 1 - p 22-27 doi: 10.1097/JSA.0000000000000272 Buy Metrics Abstract There has been an increased emphasis on capsular management during hip arthroscopy in the literature in recent years. The capsule plays a significant role in the hip joint stability and studies have demonstrated that capsular closure can restore the biomechanics of the hip back to the native state. Capsular management also affects functional outcomes with capsular repair resulting in better clinical outcomes in some studies. Management of the capsule has evolved in recent years with more surgeons performing routine capsular closure. Management techniques and degree of capsular closure, however, can be quite variable between surgeons. This review will discuss hip capsular anatomy, the importance of the capsule in hip biomechanics, management of the capsule during arthroscopy, and functional outcomes as it relates to the various capsular closure techniques versus leaving the capsulotomy unrepaired. Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.