Hip · Sports Medicine

Move without the pinch.

Impingement, labral tears, and arthritis — arthroscopic and robotic hip care to keep active hips moving.

Request an Appointment(509) 460-5588
What we treat

Common hip conditions.

From sports injuries in young athletes to arthritis in active adults.

Hip Impingement (FAI)

Reshaping bone that pinches and damages the joint.

Labral Tears

Arthroscopic repair of the hip’s cartilage ring.

Hip Arthritis

From biologics to Mako robotic hip replacement.

Bursitis & Tendon Pain

Calming stubborn pain on the side of the hip.

Sports Hip Injuries

Groin, flexor, and overuse injuries from training.

Cartilage Damage

Restoration to preserve the joint longer.

How Dr. Kelly treats the hip
  • Hip arthroscopy for FAI & labral tears
  • Joint-preserving cartilage care
  • Biologics — PRP & viscosupplementation
  • Mako robotic hip replacement
  • Return-to-activity planning
The approach

Preserve the joint — or replace it precisely.

For younger, active hips, Dr. Kelly uses arthroscopy to fix impingement and labral tears before arthritis sets in. When a hip is worn out, Mako robotic-assisted replacement places the implant with exceptional accuracy.

Learn more about Mako robotic replacement →

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Questions

Hip FAQs.

What is hip impingement (FAI)?
FAI is extra bone on the ball or socket of the hip that pinches with movement, which can tear the labrum and wear cartilage over time. It often causes groin pain with deep bending, squatting, or prolonged sitting.
Can a hip labral tear heal without surgery?
Labral tears do not usually heal on their own, but symptoms can often be managed with therapy, activity changes, and injections. Arthroscopic repair is considered when pain limits activity or imaging shows impingement driving the tear.
What is recovery from hip arthroscopy like?
Most patients use crutches for a few weeks, begin physical therapy right away, and progress over about 3 to 6 months. Return to sport depends on the procedure and is guided by milestones rather than the calendar alone.
Am I a candidate for hip arthroscopy or hip replacement?
Younger, active hips with impingement or labral tears and little arthritis often do well with arthroscopy. When arthritis is advanced, Mako robotic-assisted hip replacement is usually the better option. Dr. Kelly helps you decide based on your imaging and goals.
Do you offer same-day or same-week appointments for hip pain?
Yes — Dr. Kelly keeps same-day and same-week visit opportunities at Tri-City Orthopedics in Kennewick. Call (509) 460-5588 or request an appointment online, and the goal is an answer within days, not weeks.
What is Mako robotic hip replacement?
Mako is a robotic-arm assisted system for total hip replacement. A CT scan of your hip builds a 3D surgical plan, and during surgery the robotic arm helps Dr. Kelly prepare the socket and position the implant to that plan. The robot does not operate on its own — it is a precision tool guided by your surgeon.
How long is recovery after Mako hip replacement?
Many patients are up and walking with support the same day of surgery, and everyday activities typically return over the following weeks. Your pace depends on your health, your hip, and your therapy progress — the week-by-week recovery guide walks through what that arc typically looks like, and your own care team's directions always come first.

Let’s get you back in the game.

Request an appointment with Dr. Kelly at Tri-City Orthopedics — Kennewick, Richland & Pasco.

Explore Hip Care

Hip surgery in the Tri-Cities — start with your problem.

Hip trouble shows up in two very different ways. In athletes and active adults, it is usually a mechanical problem — extra bone that pinches, a torn labrum, early wear starting on the joint surface — and the goal is to fix the mechanics and keep your own joint. In an arthritic hip, the joint surface itself has worn out, and the conversation shifts to replacement. Dr. Kelly treats both, and he will tell you plainly which conversation your hip actually needs.

The Sports Hip  — impingement, labral tears, arthroscopy

The sports-hip pattern is easy to recognize once you know it: a pinching pain in the front of the hip or groin with deep squats, long sits, or getting out of the car, and an ache that lingers after practices and games. It is common in soccer and hockey players, dancers, lifters, and runners — and it is often mislabeled as a chronic groin strain for months before the hip itself gets a look.

Which hip problems does Dr. Kelly treat?

Dr. Kelly's hip practice is built around the sports hip: femoroacetabular impingement (FAI), labral tears, and the cartilage injuries that travel with them — treated arthroscopically, through small incisions — plus Mako robotic-assisted total hip replacement when arthritis has worn out the joint. He also evaluates groin, hip flexor, and overuse injuries in athletes, along with bursitis and tendon pain on the side of the hip.

Every hip visit starts the same way: an exam, X-rays, and when needed an MRI — reviewed together, side by side, until the picture makes sense to you. Many of the hip patients who see Dr. Kelly never need an operating room; therapy, activity changes, and injections resolve plenty of hip pain. When surgery is the right answer, you will know exactly why.

Am I too young for hip surgery?

The question usually means two different things. If you are a young, active adult with groin pain from impingement or a labral tear, hip arthroscopy exists precisely for that problem — it is joint-preserving surgery, aimed at correcting the mechanics before they wear down the cartilage. If your hip is already arthritic, age alone rarely decides the plan; what matters is how much the hip is costing you and what the imaging shows. Dr. Kelly walks through both paths with you and matches the plan to your hip, not your birth year.

When the Joint Wears Out  — Mako robotic total hip replacement

An arthritic hip tells a different story: deep groin ache, morning stiffness, losing rotation, and pain that turns walks and stairs into negotiations. When injections and activity changes stop holding the line, replacing the worn surfaces is typically the conversation that addresses the problem at its source.

Mako is a robotic-arm assisted surgery platform developed by Stryker. Learn more at Stryker's Mako page.

Hip pain that will not wait? Dr. Kelly has same-day and same-week visit opportunities at Tri-City Orthopedics in Kennewick — call (509) 460-5588 or request an appointment online.
Dr. Shayne Kelly, DO
Fellowship-Trained Orthopedic Sports Medicine

Dr. Kelly completed his Orthopedic Sports Medicine Fellowship at the University of Missouri, where he served as team physician for Mizzou football, basketball, baseball, and volleyball. He is a member of the AOSSM, AAOS, and AANA — bringing D1-level sports medicine care to hip injuries across the Tri-Cities, Yakima Valley, Walla Walla, and Eastern Oregon.

Recovering from an operation? Every procedure has a week-by-week plan in the recovery guide library, plus printable rehab protocols for hip arthroscopy and total hip replacement. Dr. Kelly sees hip patients at Tri-City Orthopedics in Kennewick, serving Richland, Pasco, and the greater Tri-Cities.

Procedure Deep Dive

Hip Arthroscopy — The Complete Guide

Hip Arthroscopy & FAI Correction

Femoroacetabular impingement, hip labral tears, and cartilage damage explained — candidacy criteria, what the procedure involves, crutch timeline, and return to sport at 5–6 months.

Hip Arthroscopy Guide