AANA Hip Arthroscopy - September 2024-Debate

Video Transcription

Video Summary

The presentation challenges the notion of subspinous impingement, particularly Type II, as a pathological condition warranting treatment. While Type I is generally considered non-pathologic, Types II and III have controversy; Type III is rare and often pathologic or iatrogenic, requiring decompression. Evidence shows no correlation between Type II subspines and hip symptoms or range of motion, suggesting many Type II cases are anatomical variants. Surgical decompression risks damaging the rectus femoris origin, especially in females. The presenter argues that only Type III impingement or true pathology merits surgery, cautioning against unnecessary intervention based solely on imaging.

Keywords

subspinous impingement

Type II subspine

Type III impingement

surgical decompression risks

hip pathology controversy