APEX Managing Modern Athletic Hip Injuries-Online Didactic (September 2021)-Imaging Studies: Plain Radiographs, MRI, CT

Video Transcription

Video Summary

In the video, the speaker discusses the importance of proper indications and diagnosis for hip arthroscopy surgery. They highlight the use of imaging studies such as x-rays, MRI, MRA, and ultrasound in determining the best candidates for surgery. The speaker references a landmark paper by Professor Gans on femoral acetabular impingement (FAI) and its contribution to degenerative arthritis. They emphasize the significance of the Warwick Agreement on FAI as an evidence-based approach to managing patients with FAI. The video explains the pathomechanics of FAI, including how CAM lesions cause early cartilage damage and labral tears, and how pincer lesions lead to wear patterns in the posterior aspect of the acetabulum. The speaker emphasizes the importance of accurate diagnosis through the knowledge of anatomy, thorough history-taking, physical examination, and appropriate imaging. They discuss various radiographic measurements and imaging modalities used to assess pathologies and morphologies related to FAI. The speaker also mentions the use of serial x-rays, MR arthrograms, and ultrasound-guided intra-articular hip injections as diagnostic tools. They conclude by emphasizing the importance of proper patient selection and diagnosis in achieving successful outcomes in hip arthroscopy surgery.

Asset Caption

Sanjeev Bhatia, M.D.

Keywords

hip arthroscopy surgery

FAI

diagnosis

imaging studies

patient selection