AANA Hip Arthroscopy - September 2024-Imaging Studies

Video Transcription

Video Summary

The presentation emphasizes the critical role of precise diagnosis and imaging in selecting patients for hip arthroscopy, particularly those with femoroacetabular impingement (FAI). It highlights key imaging modalities, including X-rays (AP pelvis and lateral views), MRI, MRA, CT scans, and ultrasound-guided intra-articular injections, for assessing joint morphology, labral tears, cartilage damage, and bone deformities. The importance of differentiating intra-articular from extra-articular hip pain and evaluating joint space—ideally greater than 3mm without cysts—is stressed to avoid poor outcomes associated with advanced arthritis. Serial radiographs are recommended for older patients to detect early degenerative changes. Ultrasound-guided injections are lauded for their diagnostic utility and cost-effectiveness. Overall, comprehensive clinical evaluation, 3D imaging visualization, and careful patient selection are essential for optimizing surgical outcomes in hip preservation, ensuring intervention before significant cartilage degeneration occurs.

Keywords

hip arthroscopy

femoroacetabular impingement

imaging modalities

ultrasound-guided injections

joint space evaluation