APEX Hip Enhancing Clinical Expertise and Proficiency (November 2023)-Residual Pediatric Deformities

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Video Summary

Steve Aoki from the University of Utah discusses residual pediatric hip deformities focusing on slipped capital femoral epiphysis (SCFE) and Perthes hips. SCFE deformities vary in severity and can be treated arthroscopically or openly, with mild to moderate slips responding well to arthroscopic procedures like osteochondroplasty and labral repair. Perthes hips are more complex due to varied deformities, dysplasia, and osteonecrosis; arthroscopic treatment may help select cases, especially with isolated lesions or loose bodies. Overall, SCFE hips show better clinical outcomes after arthroscopy, while Perthes hips have mixed results. Treatment aims to improve pain and function, not restore normal morphology.

Asset Caption

Steven K. Aoki, M.D.

Keywords

pediatric hip deformities

slipped capital femoral epiphysis

Perthes disease

arthroscopic treatment

osteochondroplasty