APEX Managing Modern Athletic Hip Injuries-Online Didactic (September 2021)-Hip Microinstability: Identification and Technique Tips

Hip Microinstability: Identification and Technique Tips

Video Transcription

Video Summary

In the video, the speaker discusses hip microinstability, focusing on technique tips and patient identification. Factors contributing to hip stability include bony anatomy, global coverage, capsule deficiency, labrum abnormalities, ligamentum teres tears, and muscle/tendon stability. Traumatic and iatrogenic causes of hip instability are rare. Microinstability, characterized by extra-physiologic hip motion, can be difficult to diagnose and quantify. It is often secondary to connective tissue disorders and repetitive microtrauma. Physical exams involve various tests to assess instability. X-rays and MRI can be used for assessment, but the latter is limited for partial tearing. Capsular management, such as capsulotomies and plication, is crucial for stability. The speaker emphasizes preserving capsular tissue and repairing or plicating capsulotomies greater than 2cm.

Asset Caption

Dominic S. Carreira, M.D., FAANA

Keywords

hip microinstability

capsular management

connective tissue disorders

physical exams

partial tearing