• Arthroscopy is an examination of hip joint using arthroscope.
• Arthroscope is a tubular telescope which captures live image
• Arthroscope is a Pencil sized optical device
• Images are displayed on television screen
• Arthroscope images are large in size
• Details are magnified and easy to observe.

• Diagnostic and therapeutic hip joint arthroscopy
• Diagnostic hip joint arthroscopy assist in evaluation of cause of pain
• Therapeutic Hip joint arthroscopy is performed to treat the cause of pain

• General Anesthesia
• Regional anesthesia
• Regional epidural anesthesia
• Regional spinal anesthesia
• Sedation with local anesthesia

• Patient is completely asleep
• Anesthesia is provided through mask placed on face or
• Tube is placed in trachea

• Epidural catheter is placed in epidural space
• Local anesthetics is injected through catheter into epidural space
• Local anesthetics used are: lidocaine (short acting) and bupivacaine (long acting).
• Epidural block is also used after surgery for post op pain relief.

• Local anesthesia injected in cerebrospinal fluid (CSF)
• Local anesthetics used are lidocaine (short acting) and bupivacaine (long acting).
• Spinal anesthesia is used only for surgery.

• Patients receives intravenous sedation
• Local nerve block is performed while patient is sedated.
• Skin and deeper soft tissue are injected with local anesthesia
• 1% lidocaine or 0.5% bupivacaine between 5 to 15 ccs are injected
• Needle used for injection is tiny and thin of 25 gauge
• After anesthesia, skin is Prepped and covered with sterile drape
• Marking pen is used to mark the entry point of scope

• Following sedation skin and soft tissue under the marking point is anesthetized
• Local anesthesia Lidocaine or Marcaine is used
• Skin incision is made with sharp knife over marking area
• Arthroscope is passed through skin into hip joint.
• Joint is irrigated with normal saline for clear view of the joint

Following Diseases Are Diagnosed Using Arthroscope

• Acetabular Impingement
• Loose bodies in hip joint
• Synovitis
• Labrum Tear
• Intra-capsular fracture
• Hip Joint Dislocation