APEX Managing Modern Athletic Hip Injuries-Online Didactic (September 2021)-Rotational Malalignment and Hip Pain

Video Transcription

Video Summary

In this video, Tony Andrad, President of the Hip Preservation Society, discusses rotational malalignment and hip pain. He explains that hip impingement, specifically femoral acetabular impingement (FAI), is a common cause of hip pain. FAI can be easily recognized through radiographs, which show a CAM or pincer lesion. However, Andrad emphasizes that FAI can also exist even if radiographs appear normal, as rotational abnormalities of the lower limbs can affect hip range of motion. He discusses the importance of assessing rotational profile using CT scans and mentions the association between femoral retroversion, tibial rotation, and hip pain. Andrad also presents research supporting the effectiveness of derotation osteotomies to improve hip and knee pain caused by malrotation-induced hip impingement. Overall, he advises clinicians to assess rotational profile and consider correcting malrotation before addressing other hip pathologies.

Asset Caption

Tony Andrade, M.D.

Keywords

rotational malalignment

hip pain

femoral acetabular impingement (FAI)

radiographs

rotational abnormalities