Treatment

Hip Arthroscopy: Repairing Synovitis and Arthritis

Choose a preferred language

Synovitis of the hip causes the lining of the joint (synovium) to become inflamed, painful, and swollen. With arthritis, a large amount of the firm, smooth tissue covering the “ball” and “socket” of the hip (cartilage) is damaged. Using only small incisions and special tools, arthroscopy can help fix synovitis and arthritis.

Cross section of hip joint with femoral head moved out of socket. Cartilage lining socket is damaged. Synovium lining joint is inflamed.


In the operating room

Just before surgery, you may be asked several times which hip is to be treated. This is a standard safety measure. In the operating room, you will likely receive medicine (anesthesia) to make you sleep or numb the area.


During the procedure

After you receive anesthesia, your leg is gently pulled to widen the hip joint. Next, the surgeon makes a few small incisions called portals. Through these portals, the surgeon inserts surgical tools, including the arthroscope. The arthroscope sends images of the joint to a screen. These images allow the surgeon to look inside the joint. The joint is filled with sterile fluid to help the surgeon see more clearly.


Repairing synovitis and arthritis

For synovitis, part of the damaged synovium is removed. This may be done by shaving tissue using special tools. For arthritis, the loose or torn cartilage is removed. Or it may be smoothed with a shaver. Arthritis can lead to bone spurs. If bone spurs are present, they may be removed. Once the surgeon finishes, the portals are closed and bandaged. Then you are taken to the recovery room.

Cross section of hip joint with femoral head moved out of socket. Cartilage lining socket is damaged. Synovium lining joint is inflamed. Arthroscopic instruments are in joint near top of socket. Closeup of arthroscope tip inside joint with shaver removing damaged synovium.Cross section of hip joint with femoral head moved out of socket. Cartilage lining socket is smoothed. Damaged synovium is removed.

Online Medical Reviewer: L Renee Watson MSN RN

Online Medical Reviewer: Raymond Turley Jr PA-C

Online Medical Reviewer: Thomas N Joseph MD

Date Last Reviewed: 07/01/2023

© 2000-2026 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.

Ortho band alt

Find the Right Orthopedic & Sports Medicine Specialist for You

BLANCHARD VALLEY HEALTH SYSTEM

Ortho Link
Related Articles
Read article
Orthopedics
Treating Ankle Sprains

Learn how to treat ankle sprains.

Read article
Orthopedics
Kneecap (Patella) Surgery: Realignment

Some procedures may be done using arthroscopy, a method that uses tiny incisions and special instruments to look and work inside the knee joint. Other procedures need open surgery. The kneecap can be realigned to improve its tracking. To do this, soft tissue may be cut, tightened, or moved.

Read article
Orthopedics
Hip Arthroscopy: Repairing Femoroacetabular Impingement

When excess bone forms on the edge of the ball or the socket of the hip, it's called FAI (femoroacetabular impingement). This can cause pain and limit movement. Arthroscopy can fix FAI. It uses small incisions and special tools. Read on to learn more.

Read article
Orthopedics
Treating Ankle Fractures

Treatment depends on where and how badly your ankle has been broken. A cast may be used to hold the bone in position for healing.