Hip Surgery

Labral tears and/or hip impingement (FAI) can cause significant pain. These pathologies most commonly present with pain in the groin but may also cause pain on the outside of the hip or in the buttock region. Patients may also experience mechanical symptoms such as clicking, giving way or instability in the hip. Dr. Horner will frequently recommend a trial of non-operative management which may include things such as physical therapy, image guided injections and/or medications. In cases where patients have persistent pain even after non-operative management, hip arthroscopy may be necessary to repair the labrum and/or correct the hip impingement.

Patients who have experienced a rupture of a tendon in or around the hip also may benefit from surgical management. Examples of these tendon injuries include hamstring tendon tears and/or gluteus medius or gluteus minimus tendon tears. The decision to operate on these tears depends on the severity of the tear as well as the pain that the patient is experiencing.

Please see below a list of some common hip surgeries Dr. Horner performs.

Hip arthroscopy

• Labral repair
• Femoral acetabular impingement (FAI) management
• Greater trochanteric bursectomy

Proximal hamstring repair
Gluteus medius/minimus tendon repair

Dr. Horner has also published extensive research on hip surgery. Below is a list of peer reviewed journal articles and book chapters by Dr. Horner on this topic.

Published Book Chapters

1. Gohal C, Horner NS, Safran MR. Labral Tears. In: Bhandari M, Chief ed. Evidence-Based Orthopedics. 2020.
2. Marin-Pena O, Bajwa A, Papavasiliou AV, Gebhart C, Lund B, Khanduja V, Ayeni OR, L Perez-Carro, Horner NS, Kurz A, Sunil Kumar K, Rai A. Advanced Hip Arthroscopy: What’s New? In: Kon E, Samuelsson K, Denti M, Dejour D. ESSKA Instructional Course Lecture Book. 2020.
3. Horner NS, Ekthari S, Chan AA, Choudur HN, Ayeni OR. Joint specific return to play recommendations: Return to play in non-operative hip/groin pain. In: Musahl V, Karlsson J, Krutsch W, Mandelbaum BR, Espregueira-Mendes J, d’Hooghe P, eds. Return to Play in Football: An Evidence-Based Approach. 2018.
4. Horner NS, Jorgensen U, de SA D, Ayeni OR. Management of Extra-articular Hip Conditions in Patients with Concurrent FAI. In: Ayeni OR, Karlsson J, Philippon MJ, Safran MR, eds. Diagnosis and Management of Femoroacetabular Impingement: An Evidence-Based Approach. 2017;189-199.
5. Horner NS, Macdonald AE, Catapano M, de SA D, Ayeni OR, Williams R. Evidence-Based Approach to the Nonoperative Management of FAI. In: Ayeni OR, Karlsson J, Philippon MJ, Safran MR, eds. Diagnosis and Management of Femoroacetabular Impingement: An Evidence-Based Approach. 2017;69-78.

Published Journal Articles

6. Horner NS, Rice MW, Sivasundaram L, Nho SJ. Does Sacroiliac Joint Pain Worsen Outcomes in Patients Undergoing Hip Arthroscopy for the Treatment of Femoroacetabular Impingement: A Matched Comparative Cohort Analysis at Minimum 2-Year Follow-Up. AJSM. In Press.
7. Sivasundaram L, Rice MW, Horner NS, Efron C, Nho SJ. Hip Arthroscopy for the Treatment of Femoroacetabular Impingement Syndrome in Hips with Mild Osteoarthritis (Tönnis Grade 1): A Matched Comparative Cohort Analysis at Minimum 5-Year Follow-Up. AJSM. In Press.
8. Tejpal T, Shanmugaraj A, Gupta A, Horner NS, Simunovic N, Kishta W, Ayeni OR. Outcomes and Complications of Patients undergoing Salter’s Innominate Osteotomies for Hip Dysplasia: A Systematic Review of Comparative Studies. J Hip Pres. 2021. In Press.
9. Horner NS, Grønhaug Larsen KM, Svantesson E, Samuelsson K, Ayeni OR, Gjertsen JE, Östman B. Timing of Hip Hemiarthroplasty and the Influence on Prosthetic Joint Infection. PLOS ONE. 2020. In Press.
10. Shanmugaraj A, Shell JR, Horner NS, Duong A, Simunovic N, Uchida S, Ayeni OR. How Useful Is the Flexion–Adduction–Internal Rotation Test for Diagnosing Femoroacetabular Impingement: A Systematic Review. Clin J Sport Med. 2018. In press.
11. Horner NS, Samuelsson K, Soloym J, Bjorgul K, Ayeni OR, Östman B. Implant-Related Complications and Mortality After Use of Short or Long Gamma Nail for Intertrochanteric and Subtrochanteric Fractures: A Prospective Study with Minimum 13-Year Follow-up. JBJS OA. 2017;2(3):e0026.
12. Horner NS, Khanduja V, MacDonald AE, Naendrup J-H, Ayeni OR. Femoral neck fractures as a complication of hip arthroscopy: a systematic review. J Hip Preserv Surg. 2017;4(1):9-17.
13. Horner NS, Ekhtiari S, Simunovic N, Safran MR, Philippon MJ, Ayeni OR. Hip Arthroscopy in Patients Age 40 or Older: A Systematic Review. Arthroscopy. 2017;33(2):464-475.
14. Khan M, Oduwole KO, Razdan P, Phillips M, Ekhtiari S, Horner NS, Samuelsson K, Ayeni OR. Sources and quality of literature addressing femoroacetabular impingement: a scoping review 2011–2015. Curr Rev Musculoskelet Med. 2016;9(4):396-401.
15. Horner NS, Ekhtiari S, Simunovic N, Bedi A, Glyn-Jones S, Ayeni OR. Early evidence reports positive outcomes after osteochondral grafts and chondrocyte transplantation in the hip: a systematic review. JISAKOS. 2016. DOI: 10.1136/jisakos-2016-000059.
16. Yeung M, Jamshidi, Horner NS, Simunovic N, Ayeni OR. Efficacy of Nonsteroidal Anti-Inflammatory Drug Prophylaxis for Heterotopic Ossification in Hip Arthroscopy: A Systematic Review. Arthroscopy. 2015;32(3):519-525.
17. MacDonald A, Horner NS, de SA D, Simunovic N, Ayeni OR. Indications & Outcomes of Hip Arthroscopy for Microfracture of Delaminated Acetabular Cartilage Flaps: A Systematic Review. Arthroscopy. 2015;32(1):190-200.
18. de SA D, Horner NS, MacDonald A, Simunovic N, Slobogean G, Philippon MJ, Belzile EL, Karlsson J, Ayeni OR. Evaluating Healthcare Resource Utilization and Outcomes for Surgical Hip Dislocation and Hip Arthroscopy for Femoroacetabular Impingement. Knee Surg Sports Traumatol Arthrosc. 2015;24(12):3943-3954.
19. Sim Y, Horner NS, de SA D, Simunovic N, Karlsson J, Ayeni OR. Reporting of Non-Hip Score Outcomes Following Femoroacetabular Impingement Surgery: A Systematic Review. J Hip Preserv Surg. 2015;2(3):224-241.
20. de SA D, Horner NS, MacDonald A, Simunovic N, Ghert MA, Philippon MJ, Ayeni OR. Arthroscopic Surgery for Synovial Chondromatosis of the Hip: A Systematic Review of Rates and Predisposing Factors for Recurrence. Arthroscopy. 2014;30(11):1499-1504.