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Advances in Minimally Invasive Techniques of Hip Preservation: Where We Are Today

Shaw, Christopher M. MD

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doi: 10.1097/BTO.0000000000000534
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The first hip scope reported in the Journal of Bone and Joint Surgery was performed by Burman1 in 1931, who stated at that time that even with traction, “It is manifestly impossible to insert a needle between the head of the femur and the acetabulum.” The first reported hip arthroscopy for a clinical application followed 8 years later and significant progress began only after a 5 decade hiatus.2,3 It was not until the 1980s that the arthroscope began to see use as a diagnostic and therapeutic instrument in the treatment of disorders of the hip.3

Over the last 90 years, from that first reported cadaver experiment, continued research and advancement in the field of minimally invasive treatment of disorders about the hip has shown that it is not only possible to insert a needle in the joint, but to perform increasingly complex techniques in the treatment of pathologies of the hip, and has evolved to be the standard of care in many cases.

Through continued study and innovation by dedicated and talented individuals, such as the authors of this symposium and those who came before, considerable effort and contributions have been made to the body of knowledge that encompasses the field of hip preservation as we know it today.

It is the goal of this symposium to describe some of those advancements, which have become standard of care, and to provide a glimpse into some treatment options currently in development for continued innovation and treatment in the future.

I would like to personally thank each of the authors and reviewers who so graciously donated of their time and talent to produce this symposium, without whom it would not have been possible. Thanks to the sharing of their knowledge and expertise, hopefully, we will all be able to better care for our patients.


1. Burman MS. Arthroscopy or the direct visualization of joints an experimental cadaver study. J Bone J Surgery Am. 1931;13:669–695.
2. Takagi K. The arthroscope: the second report. J Japanese Orthop Assoc. 1939;14:441–466.
3. Larson CM, Kelly BT, Bedi A. Innovations in orthopaedic surgery: the emerging role of hip arthroscopy. CME Webinar, Medscape Education; May 10, 2013.
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