Specialized Toolkit Series: Arthroscopic Hip Treatments-Natural History of Hip Dysplasis

Video Transcription

Video Summary

The overview discusses the natural history of hip dysplasia, highlighting that it involves abnormal development of the acetabulum or femoral head. Inadequate coverage can lead to chondral overload and arthritis. Studies show a 2.3% prevalence of asymptomatic radiographic hip dysplasia and its association with 20-40% of hip osteoarthritis cases. Evaluating mildly dysplastic hips is challenging, with studies showing increased osteoarthritis risk. A case example illustrates non-operative management of mild dysplasia progressing to arthritis. Periacetabular osteotomy (PAO) alters the progression of arthritis in dysplastic hips but is less effective in advanced cases. References for further reading are provided.

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Alfred A. Mansour, III, MD

Keywords

hip dysplasia

acetabulum

osteoarthritis

periacetabular osteotomy

chondral overload