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