2023 Specialty Day All-Access Pass-Case Discussion

Video Transcription

Video Summary

In the video, a group of doctors discuss three cases related to hip pain and previous hip arthroscopy procedures. In the first case, a 37-year-old female experiences ongoing pain after a previous surgery. X-rays reveal a chevron sore seal and residual impingement. The doctors suggest getting a CT scan and an MRI confirms cam deformity and some issues with the labrum and capsule. The panel agrees that a diagnostic injection might be helpful and discuss potential surgical options, including labral repair or augmentation. In the second case, a 24-year-old female also experiences recurring pain after a previous surgery. X-rays suggest a well-covered hip and an MRI shows chondromalacia and capsule labral adhesions. The doctors agree that releasing the adhesions and augmenting the labrum may be necessary. In the third case, a 36-year-old female has recently dislocated her hip after a previous hip arthroscopy. They recommend stabilizing the hip with a soft tissue procedure, using sutures and possibly a capsular graft for reconstruction. The panel discusses different approaches to capsular grafts and emphasizes the importance of avoiding excessive tension and abrasions. The video concludes with closing remarks from Dr. O'Brien.

Asset Caption

Moderators: Shane J. Nho, M.D., M.S., Sharon L. Hame, M.D.
Panel: Michael J. Salata, M.D., Benedict U. Nwachukwu, M.D., Stephen K. Aoki, M.D., Marc J. Philippon, M.D.

Keywords

hip pain

hip arthroscopy

chevron sore seal

labral repair

capsular graft