Hip Preservation (AANA25)-Hip Preservation: The Diagnosis and Management of FAI, Femoral Torsion Abnormalities and Hip Dysplasia

Video Transcription

Video Summary

The presentation focused on various aspects of hip preservation, including femoral acetabular impingement (FAI), femoral torsion, and hip dysplasia. Several experts in the field shared their insights and experience.<br /><br />Dr. Young, a leader in private practice and hip arthroscopy, emphasized the growing importance and complexity of hip arthroscopy. He highlighted a significant increase in the procedure's prevalence, leading to a higher revision rate of approximately 6%. The goal is to improve clinical outcomes in young athletes and better understand related abnormalities such as femoral torsion and acetabular retroversion.<br /><br />The discussion on hip pain evaluation stressed the distinction between intra-articular and extra-articular sources. Demographic factors—age, sex, and the patient's activity profile—are crucial in differential diagnosis. The examination encompasses gait assessment and palpation across different regions, focusing on femoral rotational issues and their impact.<br /><br />Imaging plays a vital role in understanding hip pathology, with X-rays, MRI, and CT scans guiding diagnosis and treatment. The speakers emphasized specific techniques, like the measurement of femoral anteversion and methods to address intraarticular and extraarticular pathologies. Treatment options range from conservative management to more complex surgical interventions, such as periacetabular osteotomies for addressing dysplasia and femoral torsion abnormalities.<br /><br />Finally, the talks included illustrative case studies demonstrating assessment and surgical strategy application, highlighting the intricate balance required in surgical corrections to avoid exacerbating issues and ensure improved patient outcomes. Overall, this comprehensive session aimed to equip practitioners with insights into effectively diagnosing and treating complex hip issues.

Asset Caption

Spencer M. Stein, M.D. | Thomas Youm, M.D. | Andrea M. Spiker, M.D., FAANA | Diren Arsoy, M.D., M.Sc.

Keywords

hip preservation

femoral acetabular impingement

hip dysplasia

hip arthroscopy

femoral torsion

acetabular retroversion

intra-articular

extra-articular

periacetabular osteotomies

imaging techniques

surgical interventions

case studies