Arthroscopy for hip impingement is a minimally invasive surgical procedure that aims to alleviate pain and restore function in patients suffering from this common hip condition. Hip impingement, often characterized by a pinching sensation in the hip joint during certain movements, can lead to discomfort and reduced mobility. Below, we will explore what you need to know about arthroscopy as a treatment option for hip impingement.

Understanding Hip Impingement

Hip impingement, or femoroacetabular impingement (FAI), occurs when the bones of the hip joint do not fit together perfectly. This abnormal bony structure can result in pain during activities such as walking, running, or sitting for long periods. The condition is often categorized into two types: cam impingement, where a bony growth develops on the femoral head, and pincer impingement, characterized by excessive coverage of the femoral head by the acetabulum.

Symptoms of Hip Impingement

Patients experiencing hip impingement may notice symptoms like:

• Pain in the groin or hip area
• Stiffness or limited range of motion
• Clicking or popping sounds during movement
• Difficulty with activities like climbing stairs or squatting

When is Arthroscopy Recommended?

Arthroscopy is typically recommended when non-surgical treatments, such as physical therapy, anti-inflammatory medications, and activity modifications, have failed to provide relief. Candidates for the procedure generally include those with persistent pain that interferes with daily activities and a confirmed diagnosis of hip impingement.

The Arthroscopic Procedure

During hip arthroscopy, a surgeon makes small incisions around the hip joint and inserts a tiny camera, known as an arthroscope, to visualize the joint’s interior. This allows for the identification of bony abnormalities, damaged cartilage, or labral tears. Once assessed, the surgeon can use specialized instruments to reshape the bone and repair any tears, effectively relieving the impingement.

Recovery and Rehabilitation

Recovery from hip arthroscopy typically involves a few days in a rehabilitation facility, followed by several weeks of physical therapy. Patients are usually encouraged to gradually increase their activity levels while focusing on strengthening the hip and restoring its range of motion. Full recovery may take anywhere from three to six months, depending on the severity of the impingement and the individual’s adherence to rehabilitation protocols.

Potential Risks and Complications

Like any surgical procedure, hip arthroscopy comes with potential risks, including infection, blood clots, nerve damage, and complications related to anesthesia. However, serious complications are rare. Discussing these risks with your orthopedic surgeon can help you weigh the benefits against potential downsides.

Conclusion

Arthroscopy for hip impingement can be an effective solution for those struggling with the condition after exhausting non-surgical options. By understanding the procedure, recovery, and potential risks, patients can make informed decisions about their treatment options. If you suspect you have hip impingement, consult with a healthcare professional to explore whether arthroscopy is suitable for you.