2022 AOSSM Annual Meeting Recordings with CME-Borderline Dysplasia: What Is It and What Factors Guide Treatment?

Borderline Dysplasia: What Is It and What Factors Guide Treatment?

Video Transcription

Video Summary

The video discusses the controversy surrounding borderline dysplasia in hip preservation. Borderline dysplasia refers to hips that have variable anterior, lateral, and posterior coverage, which can lead to hip instability. It is a common condition, with a prevalence of 20% in males and females, and even higher in female athletes. Diagnosis and treatment decisions for borderline dysplasia are challenging due to the variability in hip morphology. Factors such as the anterior and posterior wall index, femoral version, and range of motion can help guide treatment decisions. Currently, there is limited comparative literature to support these treatment decisions. Hip arthroscopy and periacetabular osteotomy (PAO) are two treatment options, with PAO showing promising outcomes. The video emphasizes the importance of comprehensive evaluation and further research to improve treatment decisions for borderline dysplasia.

Asset Caption

Jeffrey Nepple, MD, MS

Keywords

borderline dysplasia

hip preservation

hip instability

diagnosis and treatment

periacetabular osteotomy