Hip arthroscopy a report of the early work of Assiut University Hospital

ABSTRACT

Hip arthroscopy is relatively a new advancement in the field of arthroscopy in Egypt. The purpose of this work is to report our early work on diagnostic and therapeutic hip arthroscopy. Hip arthroscopy was performed in six patients. Four were males, and two females. The age ranged from 15 - 56 years. Four cases had chronic unexplained hip pain after exhausting the non-invasive investigations, one had chronic pain with a previous history ofpyogenic arthritis, and one case had a loose body. The procedure was performed on traction table under the control of fluoroscopy, using the regular 4 mm. scope, and instruments that are used in Knee arthroscopy. in the case with a loose body it was extracted, and the case with previous history of pyogenie arthritis intra-articular adhesions was found and excised. In the other four cases arthroscopic partial synovectomy was done and the histological examination of the synovial membrane biopsy revealed early tuberculous arthritis in two cases, mono-articular rheumatoid arthritis in one case, and chronic non-specific arthritis in the last case. The adverse events were a pudendal nerve injury in one case, and entrapment of the suction tube in another case. Hip arthroscopy proved to be a useful procedure for diagnosis of hip problems, and for therapeutic procedures as loose body removal, and partial synovectomy