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Hip arthroscopy can be fraught with complications if preoperative planning and indications are taken lightly. The accurate diagnosis of pathology around the hip can be both challenging and crucial to the success of arthroscopic hip procedures. Because abdominal, neurological, urological, extraarticular, and intraarticular pathology can all present with referred pain to the hip, the clinician must carefully correlate the patient’s history, physical examination, and diagnostic findings to correctly identify hip pathology treatable by arthroscopic means. A deliberate and algorithmic approach to the individual patient’s pathology is required to optimize outcomes and minimize complications. Using hip arthroscopy to treat global hip pain without focusing on identifiable patient- specific pathology will inevitably lead to postoperative complications.
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