You are here

Hip Arthroscopy



Hip Arthroscopy CPT

  • 29860 Arthroscopy, hip, diagnostic with or without synovial boipsy
  • 29861 Arthroscopy, hip, with removal of loose body or foreign body
  • 29862 Arthroscopy, hip, with debridement/shaving of articular cartilage
  • 29863 Arthroscopy, hip, with synovectomy
  • 29914 Arthroscopy, hip, with femoroplasty (treatment of cam lesion)
  • 29915 Arthroscopy, hip, with acetabuloplasty (treatment of pincer lesion)
  • 29916 Arthroscopy, hip, with labral repair

Hip Arthroscopy Anatomy

  • Anterolateral portal risks injury to Superior gluteal nerve.
  • Anterior portal risk injury to the LFCN and femoral neurovascular bundle.  (Byrd JW, Pappas JN, Pedley MJ. Hip arthroscopy: an anatomic study of portal placement and relationship to the extra-articular structures. Arthroscopy. 1995 Aug;11(4):418-23. )

Hip Arthroscopy Indications

Hip Arthroscopy Contraindications

  • Systemic disease precluding anesthesia
  • Local soft-tissue defects / open wounds
  • Osteoporosis
  • Ankylosis
  • Arthrofibrosis
  • Severe obesity

Hip Arthroscopy Alternatives

  • Nonop treatment
  • Open treatment

Hip Arthroscopy Planning / Special Considerations

  • Hip flexion allows access to the peripheral compartment.
  • C-arm; fracture table or custom distraction device is required.

Hip Arthroscopy Technique

  • Sign operative site.
  • Pre-operative antibiotics, +/- regional block.
  • General endotracheal anesthesia
  • Lateral decubitus(better for obese patients) or supine position. All bony prominences well padded.
  • Examination under anesthesia.
  • Prep and drape in standard sterile fashion.
  • Anterolateral portal (small risk to superior gluteal nerve)
  • Posterolateral portal (risks sciatic nerve)
  • Anterior portal (risks lateral femoral cutaneous nerve, less risk to femoral artery and nerve)
  • Irrigate.
  • Close in layers.

Hip Arthroscopy Complications

  • Traction neuropraxia
  • Fluid extravasation: intra-abdominal
  • Iatrogenic chondral injury
  • Lateral femoral cutaneous nerve palsy
  • Other rare nerve palsies: Sciatic, pudendal, femoral.

Hip Arthroscopy Follow-up care

  • Post-op:
  • 7-10 Days:
  • 6 Weeks:
  • 3 Months:
  • 6 Months:
  • 1Yr:

Hip Arthroscopy Outcomes

Hip Arthroscopy Review References

  • Byrd JW, JAAOS 2006;14:433 (video available)
  • Byrd JW, ICL 2003;52:701-730
  • McCarthy JC, JAAOS 1995;3:115


The information on this website is intended for orthopaedic surgeons.  It is not intended for the general public. The information on this website may not be complete or accurate.  The eORIF website is not an authoritative reference for orthopaedic surgery or medicine and does not represent the "standard of care".  While the information on this site is about health care issues and sports medicine, it is not medical advice. People seeking specific medical advice or assistance should contact a board certified physician.  See Site Terms / Full Disclaimer