APEX Managing Modern Athletic Hip Injuries-Online Didactic (September 2021)-Capsular Technical Pearls in Revision Hip Arthroscopy

Video Transcription

Video Summary

In this video, Steve Aoki, a surgeon at the University of Utah, discusses the topic of capsular technical pearls in revision hip arthroscopy. He explains various reasons for hip pain after a previous arthroscopy, such as bone over or under resection, labral pathology, and chondral lesions. Aoki focuses on instability in revision settings, explaining how procedures like capsulotomy, rim trim, and labral resection can contribute to hip extrusion. He presents findings from a study that showed patients with capsular atrogenic hip instability experienced pain during daily activities and sports. A technique called axial distraction test is introduced to diagnose this condition. Aoki also discusses the success of isolated capsular repair in improving patient activity and pain levels. He provides case examples, explains the workup process using MR arthrograms, and provides technical tips for performing capsular repair. The video concludes with Aoki expressing gratitude for the opportunity to speak.

Asset Caption

Steven K. Aoki, M.D.

Keywords

capsular technical pearls

revision hip arthroscopy

hip pain

instability

capsular repair