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Review
. 2021 Mar 1;29(1):22-27.
doi: 10.1097/JSA.0000000000000272.

Capsular Management Techniques and Hip Arthroscopy

Katie L Freeman  1 , Shane J Nho  2 , Sunikom Suppauksorn  2 , Jorge Chahla  2 , Christopher M Larson  3
Affiliations
Review

Capsular Management Techniques and Hip Arthroscopy

Katie L Freeman et al. Sports Med Arthrosc Rev. .

Abstract

There has been an increased emphasis on capsular management during hip arthroscopy in the literature in recent years. The capsule plays a significant role in the hip joint stability and studies have demonstrated that capsular closure can restore the biomechanics of the hip back to the native state. Capsular management also affects functional outcomes with capsular repair resulting in better clinical outcomes in some studies. Management of the capsule has evolved in recent years with more surgeons performing routine capsular closure. Management techniques and degree of capsular closure, however, can be quite variable between surgeons. This review will discuss hip capsular anatomy, the importance of the capsule in hip biomechanics, management of the capsule during arthroscopy, and functional outcomes as it relates to the various capsular closure techniques versus leaving the capsulotomy unrepaired.

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Conflict of interest statement

Disclosure: The authors declare no conflict of interest.

References

    1. Erickson BJ, Cvetanovich GL, Frank RM, et al. International trends in arthroscopic hip preservation surgery: are we treating the same patient? J Hip Preserv Surg. 2015;2:28–41.
    1. Bozic KJ, Chan V, Valone FH, et al. Trends in hip arthroscopy utilization in the United States. J Arthroplasty. 2013;28(suppl):140–143.
    1. Ortiz-Declet V, Mu B, Chen AW, et al. Should the capsule be repaired or plicated after hip arthroscopy for labral tears associate with femoroacetabular impingement or instability? A systematic review. Arthroscopy. 2018;34:303–318.
    1. Ekhtiari S, D de SA, Haldane CE, et al. Hip arthroscopic capsulotomy techniques and capsular management strategies: a systematic review. Knee Surg Sports Traumatol Arthrosc. 2017;25:9–23.
    1. Clohisy JC, Baca G, Beaule PE, et al. Descriptive epidemiology of femoroacetabular impingement: a North American cohort of patients undergoing surgery. Am J Sports Med. 2013;41:1348–1356.

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