AANA Hip Arthroscopy - September 2024-Debate_ Subspine Decompression For All My Cases

Debate_ Subspine Decompression For All My Cases

Video Transcription

Video Summary

Joshua Harris presents subspine decompression in hip arthroscopy, emphasizing its anatomical basis and clinical relevance. The subspine, part of the anterior inferior iliac spine (AIS), can impinge on the femur, causing pain, especially in athletes, dancers, or post-operative patients with prominent subspines (type 2 or 3). Symptoms include deep anterior hip pain and limited flexion. Imaging, including CT and false profile views, aids diagnosis, with 3D printing as a tool. Surgical management aims to decompress the subspine safely, converting type 2 or 3 to type 1 without damaging the capsule. Careful technique and visualization improve outcomes and prevent complications.

Keywords

subspine decompression

hip arthroscopy

anterior inferior iliac spine

femoral impingement

3D imaging