What it is
The hip is a deep ball-and-socket joint. During arthroscopy, gentle traction creates space in the joint so a small camera and instruments can be introduced through small incisions. Procedures commonly performed include:
- Labral repair, or reconstruction when the labrum cannot be repaired
- Reshaping bone that causes femoroacetabular impingement (FAI) on the ball (cam) or the socket rim (pincer)
- Removal of loose bodies
- Treatment of some cartilage damage
Who it may help
- Deep groin or hip pain with activity, pivoting or prolonged sitting
- Catching, clicking or locking in the hip
- A labral tear or impingement on imaging that matches your symptoms
- Symptoms that persist despite physical therapy and activity changes
Hip arthroscopy is generally best suited to patients without significant arthritis.
Before surgery
Evaluation includes a history and an examination with specific impingement tests. X-rays measure the shape of the hip and check for arthritis, and MRI (sometimes with contrast) shows the labrum and cartilage. A diagnostic injection can help confirm that pain comes from inside the joint.
Treatment options
Non-surgical
- Activity modification
- A guided physical therapy program for hip and core strength
- Anti-inflammatory medication when appropriate
- An injection in selected cases
Surgical
- Labral repair or reconstruction to restore the seal of the hip joint.
- Bone reshaping to correct impingement.
- Hip arthroscopy is generally not recommended when significant arthritis is present.
Recovery
- Day of surgery
Most patients go home the same day.
- First weeks
Crutches with limited weight-bearing are common for a few weeks, sometimes with a brace.
- Rehab
A structured physical therapy program restores motion, then strength and control.
- Return to sport
Commonly several months, guided by strength and function goals.
Timelines are typical ranges, not guarantees. Recovery depends on the specific injury, the procedure, your health and your rehabilitation, and your plan is individualized.
Questions patients ask
Is hip arthroscopy right for me if I have arthritis?
Generally not. Hip arthroscopy works best in hips without significant arthritis, and other treatments are usually more appropriate when arthritis is advanced.
How long will I be on crutches?
Commonly a few weeks, depending on what is repaired.
When can I return to sport?
Often several months after surgery. Return is guided by meeting strength and movement goals in therapy.
This page is general patient education and is not a substitute for an in-person evaluation.