AANA19 Hip Access Pass-Lucha Libre Borderline Dysplasia - Scope Rocks-Dr. Christopher M. Larson, M.D.

Lucha Libre Borderline Dysplasia - Scope Rocks-Dr. Christopher M. Larson, M.D.

Video Transcription

Video Summary

The speaker discusses treatment options for mild or borderline hip dysplasia, comparing arthroscopy and periacetabular osteotomy (PAO). Key factors include lateral center edge angles, anterior/posterior coverage, femoral morphology, and clinical presentation—whether instability or impingement predominates. Arthroscopy suits larger femoral heads, cam deformities, and impingement, while PAO is preferred for more severe instability or global retroversion. Arthroscopic strategies emphasize labral preservation, capsular repair, and minimal traction. Outcomes show similar improvement in hip scores for both methods but higher complication rates with PAO. The speaker advocates a cautious, individualized approach and favors arthroscopy for many mild dysplasia cases.

Keywords

hip dysplasia

arthroscopy

periacetabular osteotomy

femoral morphology

treatment outcomes