Arthroscopy

Dr. Martin performs arthroscopic surgery on the hip, shoulder, and knee.

Non-Arthritic Hip Disorders can be treated arthroscopically.

  • Labral Tears
  • Femoroacetabular Impingement (FAI)
  • Chondral Defects
  • Synovitis
  • Loose Bodies
  • Internal Snapping Hip Syndrome
  • External Snapping Hip Syndrome (Iliotibial Band Syndrome)
  • Gluteus Medius Tears
  • Tumors
  • Instability: Shoulder Stabalization
  • Tendinitis, Bursitis & Impingement: Removal of Inflammed Tissue/ Bursa, Subacromial Decompression
  • Rotator Cuff Repair
  • Labral Repair
  • Arthritis: Acromioclavicular Resection
  • Suprascapular Nerve Entrapment: Decompression
  • Ligament Tears: Reconstruction
    • Anterior Cruciate Ligament (ACL)
    • Posterior Cruciate Ligament (PCL)
    • Medial Collateral Ligament (MCL)
    • Lateral Collateral Ligament (LCL)
  • Repair of Traumatic Dislocation
  • Meniscal Tears: Repair/ Debridement
  • Chondral Injury: Repair
    • MACI
    • Osteochondral Autografts and Allografts
    • Microfracture
Hip Labral Repair
Repaired Hip Labrum Restoring the Joint Seal (arrows)

Arthroscopic Technique Videos


Use of Stem Cells with Arthroscopic Hip Labral Repair

By using BMAC to augment labral repairs and coat chondrolabral junction breakdown, we are able to introduce mesenchymal stem cells to peripheral acetabular tissue with little to no drawbacks, while avoiding donor-site morbidity, open procedures, and multiple surgeries.

Stelzer JW, Martin SD. Use of Bone Marrow Aspirate Concentrate with Acetabular Labral Repair for the Management of Chondrolabral Junction Breakdown. Arthrosc Tech. 2018 Oct; 7(10): e981–e987. Published online 2018 Sep 1. doi:10.1016/j.eats.2018.06.003. PMID:30377577

Puncture Capsulotomy During Hip Arthroscopy for Femoroacetabular Impingement: Preserving Anatomy and Biomechanics

We describe an arthroscopic technique for the treatment of labral pathology and femoroacetabular impingement that provides excellent access to the central and peripheral compartments while preserving the biomechanically crucial components of hip joint stability.

Conaway WK, Martin SD. Puncture Capsulotomy during Hip Arthroscopy for FAI: Preserving Anatomy and Biomechanics. Arthrosc Tech. 2017 Dec; 6(6): e2265–e2269. Published online 2017 Nov 27. doi:10.1016/j.eats.2017.08.036.

“In-Round” Labral Repair After Acetabular Recession Using Intermittent Traction

The prevalence of hip arthroscopy has increased exponentially with the advent of arthroscopic labral repair techniques for femoroacetabular impingement. The goal of arthroscopic labral repair is to re-create the anatomic suction seal of the labrum against the femoral head. This technique re-creates the native anatomy and biomechanics of the hip after acetabular recession and labral repair while decreasing traction time.

Skelley NW, Conaway WK, Martin SD. “In-Round” Labral Repair After Acetabular Recession Utilizing Intermittent Traction. Arthrosc Tech. 2017 Oct; 6(5): e1807–e1813. Published online 2017 Oct 9. doi:10.1016/j.eats.2017.08.036.

Arthroscopic Treatment of Pigmented Villonodular Synovitis of the Hip Using Puncture Capsulotomy

Pigmented villonodular synovitis (PVNS) is a monoarticular, benign tumor arising from the synovium. Although classically treated with open synovectomy, arthroscopic treatment has demonstrated good clinical outcomes. 

Nazal MR, Parsa A, Martin SD. Arthroscopic Treatment of Pigmented Villonodular Synovitis (PVNS) of the Hip utilizing Puncture Capsulotomy Arthroscopy Techniques. Arthrosc Tech. 2019 Jun;8(6): e641–e646. Epub 2019 Jun 2. doi: 10.1016/j.eats.2019.02.007