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Hip Arthroscopy for the Management of Structural Problems
Hip arthroscopy was first described in cadavers in 1931, although the difficulty of arthroscopic access to the hip joint was noted. The first reported clinical applications of hip arthroscopy were for the management of Charcot arthropathy, tuberculous arthritis, and septic arthritis. For much of the 20th century, hip arthroscopy was performed rarely because of the technical challenges associated with safe access to the hip joint and the limited applications of the technique. With recent advances in the understanding of hip pathology, improvements in surgical techniques, and the development of innovative technology and instrumentation, the indications for hip arthroscopy have expanded, and the procedure is performed more regularly. Hip arthroscopy is most commonly used to manage structural diseases of the hip, such as femoroacetabular impingement (FAI), labral tears, chondral defects, loose bodies, abductor injuries, and snapping hip disorders.