Dr Parminder J Singh’s current indications for hip arthroscopy include the presence of symptomatic femero-acetabular impingement with cam lesions and or labral tears, chondral(cartilage) lesions, osteochondritis dissecans (cracks in the underlying cartilage and or bone), ligamentum teres injuries (tears) , snapping hip syndrome ( painful clicking iliopsoas tendon or ilio-tibial band), iliopsoas bursitis, unexplained symptomatic total hip replacement (occasionally indicated) and removal of loose bodies.
Less common indications include management of osteonecrosis (loss of blood supply) of the femoral head, synovial (inner surface of hip lining) abnormalities, crystalline hip arthropathy (gout and pseudogout), infection and post-traumatic haematomas (blood clots) and intra-articular (in the hip joint) debris.
Some hip arthroscopists have noted that the symptoms of mild-to-moderate hip osteoarthritis (> 2mm of joint space) can be temporised; particularly when peripheral osteophytes (bone spurs) are causing mechanical symptoms. The benefit and duration of improvement are variable and need to be selected on a case by case basis. In the presence of <2mm joint space, hip arthroscopy is more likely not to provide a significant benefits.