Hip arthroscopy offers potential advantages over traditional open arthrotomy and surgical dislocation in terms of limited invasiveness and diminished morbidity. Most of the experience in hip arthroscopy has been with hip disorders in adults. The indications and results of hip arthroscopy in children and adolescents have been less well-characterized. The pediatric hip has unique conditions, including Legg-Perthes disease, slipped capital femoral epiphysis, developmental dysplasia of the hip, septic arthritis, coxa vara, juvenile rheumatoid arthritis, and chondrolysis. Hip arthroscopy in children and adolescents may be efficacious for certain indications, including isolated labral tears, loose bodies and chondral flaps associated with Legg-Perthes diseases or spondyloepiphyseal dysplasia, labral tears associated with hip dysplasia after prior periacetabular osteotomy, and inflammatory arthritis. Further development of hip arthroscopy in children and adolescents is necessary to refine indications, evaluate longer-term results, and develop pediatric-specific instrumentation.


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