Hip arthroscopy is being recognized as a valuable additional procedure
in the treatment of disorders of this joint. Although initially emplo
yed as a diagnostic tool only, better understanding of the anatomy inv
olved and advanced skills have now made surgical treatment possible. B
ecause the techniques are still evolving, a standardized approach is j
ust being established. Little is known on possible complications assoc
iated with the procedure, concentrating in most cases on the neurovasc
ular structures at risk during instrument introduction. This study rep
orts on 19 patients in whom three complications were encountered. Two
were attributable to positioning problems of the patients, and one was
caused by intraoperative extravasation of irrigation fluids. The avai
lable literature on complications in hip arthroscopy is being reviewed
, and the prevention of complications as experienced in this series is
being discussed.