Hip arthroscopy is far less invasive than standard open arthrotomy and
offers unparalleled visualization of the acetabulum and femoral head.
Diagnostic arthroscopy is becoming increasingly accepted as therapeut
ic options are still evolving. We report the case of the arthroscopic
removal of a .44 caliber bullet from the femoral head of a 45-year-old
man. The procedure afforded the opportunity to thoroughly irrigate th
e joint, debride the articular surface, and remove several loose bodie
s.