Editorial Commentary: Successful Hip Arthroscopy for Patients With Hypermobility Requires a Patient-centric Approach, Meticulous Capsular Management, and Preservation of the Fibrous Capsular Ligaments.

Abstract

Successful arthroscopic hip surgery for patients with generalized ligamentous laxity requires dedicated attention to preoperative patient counseling, including consideration of each patient's functional status and goals, careful evaluation of patient symptomatology, and meticulous capsular management. Maximal preservation of the fibrous capsular ligaments that stabilize the hip is of particular importance. It is incorrect to assume all hip patients with an elevated Beighton score should be categorically treated a certain way. There is a complex interplay of morphologic features, such as acetabular version, femoral orientation, capsular volume, and subspine morphology, that play a role in the symptomatology for every hip patient, hypermobility notwithstanding. Moreover, consideration must be given to the variable degree of phenotypic expression of the hypermobility syndromes.