Current Controversies in Hip Arthroscopy (AANA19)-Hip Preservation-Dr. Omer Y. Mei-Dan, M.D.

Video Transcription

Video Summary

The speaker discusses the evolution and current state of hip arthroscopy and preservation, emphasizing the importance of fellowship training and comprehensive patient evaluation. Starting from the history of hip arthroscopy and its pioneers, the talk highlights the recognition of hip instability and how it now rivals femoroacetabular impingement (FAI) in clinical focus. Diagnosis requires a thorough physical exam, imaging—especially precise X-ray evaluation—and understanding intraoperative findings beyond just seeing labral tears or cartilage damage. The speaker advocates for nuanced labral repair techniques, minimal invasive approaches, and highlights the role of combined arthroscopy with periacetabular osteotomy (PAO) in complex cases. Posterior hip pain diagnosis is complex and demands detailed physical examination and sometimes diagnostic injections due to overlapping conditions like spine issues, sacroiliac joint pain, and soft tissue injuries. Overall, successful hip preservation depends on tailored treatment strategies integrating clinical, imaging, and surgical insights to address multifactorial hip pathologies.

Asset Caption

Instructional Course Lecture: Current Controversies in Hip Arthroscopy

Keywords

hip arthroscopy

hip preservation

fellowship training

hip instability

femoroacetabular impingement

periacetabular osteotomy