Outside-In Inverted L-Shaped Capsulotomy in Hip Arthroscopy.
- 1Department of Sports Medicine and Pediatric Orthopaedics, The Second Affiliated Hospital of Xi'an Jiaotong University Xi'an Shaanxi China.
Abstract
Hip arthroscopy has become the mainstream surgical treatment for femoroacetabular impingement syndrome, with approximately 88.75% of patients returning to sports postoperatively. Capsulotomy is a critical step in arthroscopic labral repair; however, various reported techniques possess inherent limitations. This technique employs an outside-in longitudinal capsulotomy along the femoral neck, followed by a transverse capsular release from its acetabular attachment along the path of the labral tear, creating an inverted "L"-shaped opening. On completion of the repair, the hip capsule is closed and retensioned using the remaining sutures from the labral repair anchors. This article summarizes the advantages, disadvantages, pearls, and pitfalls of this technique.
Related
- Outside‐In Medial Collateral Ligament Release Shows Superior Evidence for Safe Medial Joint Space Widening and Functional Recovery in Knee Arthroscopy: A Systematic Review
- Diabetes Mellitus Is Associated With Increased Risk for Subsequent Hip Arthroscopy After Index Hip Arthroscopy
- Minocycline-induced black bone disease in shoulder arthroscopy: a case report
- Safe Ultrasonography‐Assisted Elbow Arthroscopy Technique
- Analysis of factors affecting acute pain after shoulder arthroscopy: a retrospective clinical study
BibTeX
@article{feng2026outsidein,
title = {{Outside-In Inverted L-Shaped Capsulotomy in Hip Arthroscopy.}},
author = {YiSen Feng and JianLong Ni and ZeNan Tian and ZhiHao Chen and Wang Wei and DaZhi Wang and ZhiBin Shi},
journal = {Arthroscopy techniques},
year = {2026},
month = nov,
doi = {10.1002/atn2.70378},
url = {https://europepmc.org/article/MED/42999810},
note = {CC BY},
}
RIS
TY - JOUR
TI - Outside-In Inverted L-Shaped Capsulotomy in Hip Arthroscopy.
AU - YiSen Feng
AU - JianLong Ni
AU - ZeNan Tian
AU - ZhiHao Chen
AU - Wang Wei
AU - DaZhi Wang
AU - ZhiBin Shi
PY - 2026
DA - 2026/11/07
JO - Arthroscopy techniques
DO - 10.1002/atn2.70378
UR - https://europepmc.org/article/MED/42999810
AB - Hip arthroscopy has become the mainstream surgical treatment for femoroacetabular impingement syndrome, with approximately 88.75% of patients returning to sports postoperatively. Capsulotomy is a critical step in arthroscopic labral repair; however, various reported techniques possess inherent limitations. This technique employs an outside-in longitudinal capsulotomy along the femoral neck, followed by a transverse capsular release from its acetabular attachment along the path of the labral tear, creating an inverted "L"-shaped opening. On completion of the repair, the hip capsule is closed and retensioned using the remaining sutures from the labral repair anchors. This article summarizes the advantages, disadvantages, pearls, and pitfalls of this technique.
SN - 2212-6287
ER -