APEX Managing Modern Athletic Hip Injuries-Online Didactic (September 2021)-Approach to Failed Hip Arthroscopy

Video Transcription

Video Summary

In this video, Dr. Al Stubbs from Wake Forest University discusses the approach to dealing with failed hip arthroscopy procedures. He identifies various factors that could lead to a failed procedure, such as incorrect diagnosis, procedure, rehabilitation, or underlying patient biology. Dr. Stubbs also mentions different diagnoses that have emerged over the years, including instability, chondrolateral dysfunction, muscle and tendon tears, impingement, and atypical findings. He emphasizes the importance of understanding the concept of the hip at risk, particularly in contact and extreme physiology athletes. The video also covers post-operative complications and the decision-making process for determining procedure failure. Diagnostic injections and patient and surgeon expectations are key factors to consider. The speaker emphasizes the value of a thorough clinical evaluation, including a comprehensive history, physical exam, and imaging. Various imaging tools such as plain films, MRI, dynamic fluoroscopy, ultrasound, and CT are discussed. Dr. Stubbs presents several intra-articular and extra-articular failures, highlighting the importance of correct anchor placement, resection, and identifying associated complications. The video concludes by emphasizing the need for patient risk assessments and advanced imaging and analysis to avoid failed hip arthroscopy surgeries. <br /><br />Credits: <br />Speaker: Dr. Al Stubbs from Wake Forest University.

Asset Caption

Allston J. Stubbs, IV, M.D., M.B.A.

Keywords

failed hip arthroscopy procedures

diagnoses

post-operative complications

thorough clinical evaluation

patient risk assessments