Hip arthroscopy is one of the cutting-edge areas of orthopedic surgery. The development of highly specialized procedures in hip arthroscopy over the last few years created new options for patients with hip pain, hip injuries, and early arthritis of the hip. These procedures bring athletes back to their sport, allow workers to return to work, and often prevent or delay the need for joint replacement. Hip injuries, once thought to be a problem only in the elderly, are extremely common in people of all ages. Young patients with hip injuries may go undiagnosed or misdiagnosed with problems such as groin strains, sciatica, bursitis, or sports hernias. Fortunately, upon correct diagnosis, many people with hip problems are candidates for hip arthroscopy.
ATHLETES & CELEBRITIES WHO HAVE UNDERGONE HIP ARTHROSCOPY:
FOOTBALL:
- Corey Wooton, NFL Defensive Tackle, Chicago Bears
- Brandon Marshall, NFL Wide Receiver, Chicago Bears
- Kurt Warner, NFL quarterback, Arizona Cardinals
- Priest Holmes, NFL running back, Kansas City Chiefs
BASEBALL:
- Brian Roberts, MLB second baseman, Baltimore Orioles
- Alex Rodriguez, MLB third baseman, New York Yankees
- Mike Lowell, MLB third baseman, Boston Red Sox
- Carlos Delgado, MLB first baseman, Boston Red Sox
- Chase Utley, MLB second baseman, Philadelphia Phillies
- Darren O'day, MLB pitcher, Baltimore Orioles
BASKETBALL:
- Troy Hudson, NBA point guard, most recently played with Golden State Warriors
- Theo Raliffe, fromer NBA center forward for Atlanta Hawks and Los Angeles Lakers
GOLF:
- Greg Norman, PGA
FIGURE SKATING:
- Tara Lapinski, Olympic figure skater
HOCKEY:
- Mario Lemieux, Former NHL player, Canada
TENNIS:
- Magnus Norman, ATP World Tour
SINGER AND PERFORMER
- Lady GaGa
The Procedure
Arthroscopic surgery of the hip is performed through tiny poke-hole (portal) incisions using a camera to view inside the hip joint. A variety of instruments are used to repair, debride or reconstruct a torn labrum, repair or debride injured cartilage and soft tissues, remove bone spurs, and remove excess bone to re-shape non-spherical femoral heads or acetabular over-coverage. The surgery is performed as an outpatient procedure and lasts for approximately 90 minutes. Patients go home on the same day using crutches and a brace to assure proper recovery of the hip.
Recovery from Surgery
Hip arthroscopy is generally an outpatient procedure, with fairly minimal pain. The average postoperative course involves 2 weeks in a hip brace and 2 weeks on crutches to protect the work done on the hip. A brace may be required for 6 weeks, and crutches may be required for up to 8 weeks if the hip's condition requires a more extensive surgery. Most patients begin riding a stationary bicycle and begin physical therapy the day after surgery. Patients can return to work as soon as a 2-3 days after their procedure, depending on their work type. Athletes can expect to return to sports between 3-6 months after surgery. High-level athletes participate in an intense physical therapy course after surgery, gradually increasing their workout intensity.
Quote from Dr. Domb
"We have been successfully repairing knees and shoulders arthroscopically, yet for decades the hip has been ignored," said Dr. Domb. "Hip arthroscopy is perhaps the final frontier of arthroscopic sports medicine. Just as shoulder and knee injuries can be repaired, we can now offer similar solutions for the hip."
- Sex Based Differences in Presentations of Hip Pain 2014
- Open Surgical Dislocation versus Arthroscopic Treatment of FAI
- Open Surgical Dislocation versus Arthroscopic Treatment of FAI
- Hip-Spine Syndrome and Arthroscopy
- Workers Compensation
- Borderline Hip Dysplasia
- NBA Study of Hip Injuries
- Endoscopic Repairs of Full Thickness Gluteus Medius Tears
- Endoscopic Iliopsoas Tenotomy for Iliopsoas Impingement in a Collard Femoral Prosthesis
- Textbook chapter: Hip Physical Examination
- Clinical Examination of the hip joint in Athletes 2009
- Femoral Anteversion in the Hip Comparison of measurements by Computed Tomography Magnetic Resonance Imaging and Physical Examination 2012
- Hip and Pelvic Problems in Athletes 2007
- Labral Base Refixation in the Hip Rational and Technique for an Anatomical Approach to Labral Repair 2010
- Acetabular Labral Tear and Post Partum Hip Pain 2012
- Iatrogenic Labral Puncture of the Hip is Avoidable 2012
- Textbook chapter: loose bodies tips and pearls
- Endoscopic Repair of Proximal Hamstring Avulsion 2012
- Partial Thickness Tears of the Gluteus Medius Rationale and Technique for Transtendinous Endoscopic Repair 2010
- Hip Impingement identifying and treating a common cause of Hip Pain 2009
- Open Surgical Dislocation versus Arthroscopy for FemoroacetabularImpingement, Comparison of Clinical Outcomes 2011
- iliopsoas impingement a newly identified cause of labral pathology in the hip 2011
- Arthroscopic capsulotomy capsular repair and capsular plication of the hip
- Risk factors for ligamentum teres tears 2013
- Arthroscopic ligementum teres reconstruction 2012
- Labral Penetration Rate in a Consecutive Series of 300 Hip arthroscopies 2012.
SURGICAL VIDEOS OF HIP ARTHROSCOPY:
Click here To see more videos specific to Hip Conditions
Surgeries performed by Dr. Domb: Hip arthroscopy
- Clinical Examination of the hip joint in athletes 2009
- Hip and Pelvic problems in Athletes 2007
- Femoral Anteversion in the Hip comparison of measurements by Computed Tomography Magnetic Resonance Imaging and Physical Examination 2012
- Labral Base Refixation in the Hip Rational and Technique for an Anatomical Approach to Labral Repair 2010
- Acetabular Labral Tear and Post Partum Hip Pain 2012
- Iatrogenic Labral Puncture of the Hip is Avoidable 2012
- Endoscopic Repair of Proximal Hamstring Avulsion 2012
- Hip Impingement identifying and treating a common cause of Hip Pain 2009
- Open Surgical Dislocation versus Arthroscopy for FemoroacetabularImpingement, Comparison of Clinical Outcomes 2011
- iliopsoas impingement newly identified cause of labral pathology in the hip 2011
- Arthroscopic capsulotomy capsular repair and capsular plication of the hip
- Risk factors for ligamentum teres tears 2013
- Arthroscopic ligementum teres reconstruction 2012
- Labral Penetration Rate in a Consecutive Series of 300 Hip arthroscopies 2012