Hip Arthroscopy in Sacramento
A ball and socket joint formed where the upper end of the thighbone (femoral head) fits snugly into a socket in the pelvis (acetabulum), the hip is pivotal to mobility. Within the hip, a friction less surface (articular cartilage) covers the surfaces of the joint and allows the two bones to glide easily during movement, while a thin fluid-producing membrane called the synovium supplies further lubrication. Another layer of cartilage, called the labrum, surrounds and deepens the acetabulum to further support the joint.
While hip pain can result from a traumatic injury, such as a fall, it is most often due to the degeneration of the joint over time. As the body ages, the soft tissues, including the labrum and articular cartilage, that once supported the joint and allowed pain free movement, can become worn down. This condition is known as osteoarthritis, which can affect and inflame the tissues of the hip.
Other causes of hip pain include:
Femoroacetabular impingement (FAI) – bone overgrowth (spur) within the joint cause damage and inflammation
Dysplasia – an abnormally shallow acetabulum causes the labrum to be more vulnerable to tearing
Synovitis – the synovium tissues become inflamed
Hip Bursitis (trochanteric bursitis) – the bursa, a fluid-filled sac that helps reduce friction between the bony point of the hip and the surrounding muscles, becomes inflamed
If hip pain is chronic and debilitating, it may be necessary to visit an orthopedic surgeon. Along with a discussion of symptoms, Dr. Gotham will perform a physical examination of the hip. Depending on the individual case, additional tests, such as x-rays or MRI, may be recommended to better pinpoint the root cause of the joint pain.
Dr. Gotham will initially recommend conservative, non-surgical treatment methods, such as activity modification, medications (including injections), or a physical therapy regimen, to reduce inflammation in the hip. If the debilitating pain persists, Dr. Gotham may recommend hip arthroscopy as a surgical solution to alleviate the joint pain.
From the Greek “arthro” (joint) and “skopein” (to look), arthroscopy is a minimally invasive surgical technique that affords the surgeon a view from the inside of the affected joint, allowing for accurate diagnosis and treatment of joint problems. A fiber-optic camera (arthroscope) is inserted through a small incision over the hip, which feeds images to an in-room monitor. With a clear view of the joint, Dr. Gotham can then treat the joint using miniature surgical instruments that are inserted through secondary incisions.
As a minimally invasive procedure, hip arthroscopy potentially benefits patients by reducing tissue damage, scarring, and blood loss. Furthermore, arthroscopic procedures are often performed on an outpatient basis, with patients recovering more rapidly than from a traditional hip procedure.