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When performing arthroscopic procedures, the hip joint is divided into central and peripheral compartments. Currently, both compartments are evaluated in most of the procedures, but the procedures are usually started by accessing the central compartment. When a direct approach to the central compartment is significantly impeded, it is necessary to perform the initial arthroscopic approach to the hip from the peripheral compartment using either an intracapsular technique or an extracapsular technique. The technical pearls that might be required in these patients are discussed, and typical clinical cases are presented.

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