Micro-InvasiveHip Arthroscopy

Hip arthroscopy is a micro-invasive same-day surgical procedure. Dr. Shah uses a small handheld camera called an arthroscope to visualize, diagnose, and repair injuries inside your hip joint.

Ritesh Shah, MD, FAAOS

Ritesh Shah, MD, FAAOSFellowship Trained Orthopedic Surgeon

Frequently
Asked Question:
Is Hip Arthroscopy Right For Me?

Do you enjoy exercise or athletic activities like walking, jogging, running, racquet sports, golf, martial arts, yoga, pilates, dance, ice skating, hockey, soccer, and other sports?

Does hip pain limit your activity?

Has pain in the hip (groin, buttock, outside of hip, or thigh) limited your ability to enjoy activities or even perform activities of daily living (ADLs) such as sitting, standing, walking, climbing stairs, and pivoting?

Have you exhausted conservative treatments?

Have you tried limiting activities, possibly some over-the-counter medications, physical therapy, a home exercise program, or even an injection? Then a hip arthroscopy may be a viable treatment option.

 

Hip Arthroscopyis performed to treat a variety of problems that cause hip pain such as:

Femoroacetabular Impingement, or FAI, is a disorder in which extra bone develops along the acetabulum (pincer impingement) or on the femoral head (cam impingement). This bone overgrowth can damage the hip during movement.

Hip impingement Dr. Ritesh Shah, Chicago Hip arthroscopy

Labrum Tears & Impingement result in pain, locking, catching, popping, and/or feelings of instability. The labrum is a cartilage gasket for the hip joint and provides stability. Problematic labrum tears should be treated.

Hip Labrum Tears Dr. Ritesh Shah, Chicago Hip arthroscopy

Avascular Necrosis or Osteonecrosis is the loss of blood supply to the ball part of the hip joint.

Bursitis involves an inflamed bursal sac that causes pain.

Chondral Flaps or Chondral Defects are focal defects in the cartilage of the ball or the socket.

Chondral Flaps or Chondral Defects are focal defects in the cartilage of the ball or the socket.

Schedule A Consultation

Are you experiencing groin or hip pain? Let's go over your treatment options today.

How Does It Work?

the r3 process

01.

Consultation &
Exam + Imaging

Dr. Shah is dedicated to providing you with a personalized experience. At your appointment, Dr. Shah will meet with you personally and:

  • Perform your evaluation
  • Review your imaging
  • Share insight into his findings
  • Discuss your options ranging from conservative care to joint reconstructive surgery.
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02.

Pre-Surgical
Team Meeting

Before undergoing surgery, you’ll meet with Dr. Shahs’ team to:

  • Clearly establish expectations
  • Review necessary paperwork
  • Discuss medical clearance with primary care
  • Review pre & post-operative medication lists
  • Obtain all prescriptions ahead of your surgery
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03.

Nutrition &
Physical Therapy

Our preoperative & post-surgical care plan is tailored to you for optimal success – enhanced nutrition helps ensure that your body is well prepared before the surgery, and a personalized physical therapy plan grants strength, balance, and confidence leading to surgery. We’re dedicated to ensuring you experience Rapid Recovery.

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Arthroscopic KnotlessHip Labrum Repair

Here is an example of a Knotless Approach to Hip Arthroscopy: Acetabular Labrum Repair using the Smith & Nephew ACCU-PASS* DIRECT Suture Passer and SPEEDLOCK* HIP Knotless Suture Anchor.

Video for informational and educational purposes only.

Hip ArthroscopySurgical Procedure

Estimated Surgical Time: 60-90 Minutes

  1. Dr. Shah will make 2 (occasionally 3) small 5mm (length) incisions around the hip joint.
  2. A saline solution is used to inflate your joint. This provides better visualization during your arthroscopy.
  3. The camera (scope) is inserted into the hip, allowing him to examine the structures inside your joint space.
  4. Dr. Shah uses cutting-edge low-profile instruments to repair the labrum, correct bony impingement, and remove painful bursitis and/or synovitis. Any additional pathology found during the hip arthroscopy will be addressed.
  5. Once your procedure is complete, the incisions will be closed with stitches or skin adhesive strips and covered with a dressing.
  6. With advanced pain control processes, less invasive surgery, and current anesthesia practices, patients sleep comfortably during the procedure but walk within minutes of waking up from surgery.
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Recovering FromHip Arthroscopy Surgery

  • Most people who undergo hip arthroscopy experience minor pain. You’ll be able to go home the same day as your surgery and have just 2 to 3 months of physical therapy.
  • Most patients use crutches for 2-3 weeks, then no assistive device.
  • Dr. Shah will give you specific instructions on caring for your incisions and when you can resume normal activity.
  • After healing, patients can usually resume all athletic activities.

Expected Outcomes

Most of our patient experience similar outcomes, but results may vary.

Frequently Asked Questions:About Hip Arthroscopy

Patients traveling from other states or countries will usually be able to travel home the same, or the next day depending on distance and assistance.  

A ring of fibrocartilage that lines the outside rim of your hip socket, aka the acetabulum. It cushions the hip joint and serves as a seal to stabilize the hip.

Labral tear pain is often called “C sign” pain and can be located anteriorly, laterally, andposteriorly to your hip joint. It occurs with activity and can also occur with deep flexion such as prolonged sitting, driving, or sitting to standing. You can also experience decreased range of motion and/or a locking or clicking sensation.

Labral tears are most commonly caused from hip impingement syndrome, called CAM FAI. The femur bone often has an area of convexity that impinges on the labrum when you are being active and the leg bone is rotating in your hip socket.

Physical therapy for gluteus, quadriceps and hip flexor strengthening is a good conservative step to help with hip pain. Other options include activity modification, injections, and surgery to repair the labrum.

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Schedule A Consultation

Are you experiencing groin or hip pain? Let's go over your treatment options today.

How to schedule yourpre-surgery mri or CT

Once you have chosen your surgery date, you can schedule your PRE-Surgery MRI with any of these three facilities:

When scheduling your image study, please confirm the type of image study designated on your prescription, as they both have different lead time requirements:

  • Microport MRI or CT Scan
    Images must be completed 16 days before surgery
  • Zimmer MRI or CT Scan
    Images must be completed 20 days before surgery

Once your image study has been scheduled, please contact our office to update the staff on your appointment date. 

If you cannot secure an appointment by the required date or your appointment has been rescheduled, please let us know as soon as possible.