APEX Hip Enhancing Clinical Expertise and Proficiency (November 2023)-Borderline Hip Dysplasia

Video Transcription

Video Summary

Dr. Joshua Harris discusses borderline hip dysplasia, a complex condition with transitional acetabular coverage measured mainly by lateral center edge angles of 20-25 degrees. He emphasizes that diagnosis shouldn't rely on a single metric but multiple radiographic views and femoral version assessment. Instability signs include elevated tonus angles, upsloping lateral sourcil, and specific cartilage lesions. Treatment depends on symptoms and imaging: arthroscopy suits impingement cases with stability, while periacetabular osteotomy (PAO) is preferred for true instability. Proper patient selection and technique yield outcomes comparable to normal hips, clarifying this controversial topic with precise definitions and tailored interventions.

Asset Caption

Joshua D. Harris, M.D.

Keywords

borderline hip dysplasia

lateral center edge angle

radiographic diagnosis

hip instability signs

periacetabular osteotomy