2023 Specialty Day All-Access Pass-Borderline Dysplasia: Scope or PAO?

Video Transcription

Video Summary

The video transcript summarizes a panel discussion on two cases of borderline hip dysplasia. The panel includes Dr. Stephanie Bouza, Dr. Michael Salata, Dr. Jeff Kneppel, and Al Stubbs, along with Dr. Ngo. The first case involves a 39-year-old female with bilateral hip pain. The panel examines x-rays and conclude that she has dysplasia. They discuss potential treatment options, including arthroscopy, PAO (periacetabular osteotomy), or a combination of both. The panel also considers her age as a factor in decision-making. The patient undergoes arthroscopy but later experiences worsening pain and cartilage wear, leading to revision arthroscopy and PAO. The second case involves a 17-year-old patient with bilateral hip pain. The panel discusses the potential for borderline dysplasia and determining instability. They mention the use of additional measurements and imaging techniques such as low-dose CT scans and dynamic ultrasound. The panel suggests that if the arthroscopy fails, a PAO may be considered as a treatment option.

Asset Caption

Moderators: Shane J. Nho, M.D., M.S., Sharon L. Hame, M.D.
Panel: Stephanie J. Swensen Buza, M.D., Michael J. Salata, M.D., Bryan T. Kelly, M.D., Jeffrrey J. Nepple, M.D., Allston J. Stubbs IV, M.D., M.B.A.

Keywords

borderline hip dysplasia

panel discussion

treatment options

arthroscopy

PAO