title: Capsular Management in Hip Arthroscopy.
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.
authors.affiliation: Department of Orthopedics & Sports Medicine, Houston Methodist Hospital Institute for Academic Medicine, 6550 Fannin Street, Smith Tower, Suite 2500, Houston, TX 77030, USA; Weill Cornell Medical College, New York, NY 10065, USA. Electronic address: joshuaharrismd@gmail.com.
authors.forename: Joshua D
authors.initials: JD
authors.lastname: Harris
mesh_terms: D001182:Arthroscopy; D001696:Biomechanical Phenomena; D025981:Hip Injuries / Q000601:surgery*; D006621:Hip Joint / Q000033:anatomy & histology / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D016059:Range of Motion, Articular
keywords: Capsular plication; Capsular reconstruction; Capsular repair; Capsulotomy; Hip capsule; Iliofemoral ligament; Microinstability; Zona orbicularis