AANA19 Hip Access Pass-Listen to Patient Diagnosis-Dr. John J. Christoforetti, M.D.

Listen to Patient Diagnosis-Dr. John J. Christoforetti, M.D.

Video Transcription

Video Summary

The talk emphasizes that successful hip preservation/arthroscopic surgery depends heavily on careful patient history, not just imaging or “tissue diagnoses” like impingement, dysplasia, or labral tears. Hip symptoms are often vague or migratory, so clinicians must listen for both current pain-generating tissue and the underlying structural–functional mismatch causing damage. Clues for non-arthritic hip problems include deep anterior “C-sign” pain and intermittent activity-related pain relieved by rest; red flags to look elsewhere include constant non-activity pain, radiation below the knee, systemic or referred symptoms. Better history-based patient selection may reduce complications and poor outcomes.

Keywords

hip preservation surgery

hip arthroscopy patient selection

clinical history vs imaging

non-arthritic hip pain C-sign

femoroacetabular impingement dysplasia labral tear