Abstract

The hip capsule is a highly complex anatomic structure, which influences normal hip motion and biomechanics. A dynamic stabilizing capsular contribution exists in the iliocapsularis and gluteus minimus, among other musculotendinous structures crossing the joint. Variable types and sizes of capsulotomy are necessary to sufficiently visualize and address the bony and soft tissue pathologic source of symptoms. Unrepaired capsulotomies may leave the hip significantly unstable to variable degrees. Capsular closure is a necessary part of a comprehensive arthroscopic hip preservation procedure. Greater titration of the degree of plication may be performed for patients with risk factors for postoperative instability.

Original languageEnglish (US)
Pages (from-to)373-389
Number of pages17
JournalClinics in Sports Medicine
Volume35
Issue number3
DOIs
StatePublished - Jul 1 2016

Keywords

  • Capsular plication
  • Capsular reconstruction
  • Capsular repair
  • Capsulotomy
  • Hip capsule
  • Iliofemoral ligament
  • Microinstability
  • Zona orbicularis

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation

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