APEX Hip Enhancing Clinical Expertise and Proficiency (November 2023)-Ultrasound Imaging of the Hip and Pelvis: Ultrasound Access for Portal Placement

Ultrasound Imaging of the Hip and Pelvis: Ultrasound Access for Portal Placement

Video Transcription

Video Summary

Dr. Ivan Wong from Dalhousie University discusses using ultrasound for hip arthroscopy portal placement to reduce radiation exposure and accommodate small operating rooms lacking x-ray facilities. Traditionally reliant on x-ray guidance, Wong shifted to a lateral decubitus position enabling effective ultrasound visualization and portal placement. Ultrasound guidance offers greater accuracy and less femoral head damage versus x-ray. Combined with 3D CT reconstructions and augmented reality, ultrasound facilitates precise identification and resection of cam lesions. This technique improves surgical outcomes, decreases wait times, and enhances safety by minimizing radiation for patients and staff in compact surgical settings.

Asset Caption

Ivan H. Wong, M.D., FAANA

Keywords

ultrasound guidance

hip arthroscopy

radiation reduction

3D CT reconstructions

augmented reality