AANA Fellowship Education - Hip Arthroscopy: Central Compartment-Hip Arthroscopy: Central Compartment

Video Transcription

Video Summary

The Anna Fellowship webinar series featured expert discussions on hip arthroscopy fundamentals, normal anatomical variants, and labral tear management. Dr. Brian Busconi emphasized the critical importance of patient positioning, portal placement, and capsular management for safe and effective hip arthroscopy. He highlighted the need for a clear preoperative plan and adherence to surgical principles to ensure reproducibility and avoid complications. Dr. Thomas Byrd focused on recognizing normal variants in the hip joint, such as labral clefts and foveal scars, to avoid confusing them with pathology. He stressed that understanding the spectrum of disease is essential due to overlapping clinical presentations. Dr. Yovan Laskoski detailed a comprehensive approach to labral tear repair, beginning with patient assessment, radiographic evaluation, and MRI interpretation to identify contraindications like osteoarthritis. He described surgical techniques for safe portal establishment, precise anchor placement, and suture management, cautioning against labral perforation and emphasizing capsule protection and careful acetabuloplasty. The panelists also discussed challenges such as managing broken instruments and assessing adequate bone resection in pincer lesions, recommending the use of 3D CT scans and intraoperative evaluation. Throughout, the experts underscored the multiplicative risks of errors in hip arthroscopy and advocated for meticulous planning, teamwork, and an understanding of the dynamic interplay of hip anatomy and pathology to optimize patient outcomes.

Asset Caption

Carlos A. Guanche, M.D. | J.W. Thomas Byrd, M.D. | Brian D. Busconi, M.D. | Jovan R. Laskovski, M.D.

Keywords

hip arthroscopy

patient positioning

portal placement

capsular management

labral tear repair

normal anatomical variants

surgical techniques

3D CT scans

acetabuloplasty