2022 Specialty Day Access Pass-Session IV: Hip

Video Transcription

Video Summary

The session covered various aspects of hip pathology and treatment, focusing on integration of patient-reported outcomes, femoroacetabular impingement syndrome (FAIS), labral reconstruction, hip instability, and hamstring injuries.<br /><br />Karen Briggs discussed the importance of maintaining HIP databases for tracking patient outcomes, stressing challenges like data collection, patient engagement, and costs, but emphasized their value for research, quality control, and improving patient satisfaction.<br /><br />Andrea Spiker reviewed FAIS—CAM, pincer, and subspine types—their diagnosis through symptoms, clinical signs, and imaging, and emphasized the importance of conservative management before surgery. She detailed arthroscopic treatment techniques and advocated respecting soft tissues for optimal outcomes.<br /><br />Carlos Ganache highlighted labral reconstruction as mainly a salvage procedure when native labral repair is impossible, underscoring its complexity and evolving indications.<br /><br />Joshua Harris spoke on hip instability, emphasizing that diagnosis requires correlating symptoms, physical exams, and imaging. He detailed clinical features, imaging nuances, and appropriate surgical approaches, cautioning against arthroscopy in true dysplasia and promoting tailored management.<br /><br />The debate on hamstring repair featured Chad Mather advocating for endoscopic repair as superior for many injuries due to better visualization and less morbidity, while Bamfy opposed, noting open repair’s advantages in complex, retracted tears and open visualization. Both acknowledged roles for combined approaches.<br /><br />Overall, the presentations stressed evidence-based, patient-centered care integrating clinical assessment, imaging, and tailored surgical techniques to optimize hip outcomes.

Asset Caption

Moderators: Katherine J. Coyner, M.D., Jovan R. Laskovski, M.D., FAANA

Keywords

hip pathology

patient-reported outcomes

femoroacetabular impingement syndrome

labral reconstruction

hip instability

hamstring injuries

arthroscopic treatment

endoscopic hamstring repair