2022 AOSSM Annual Meeting Recordings with CME-PAO is the Answer

Video Transcription

Video Summary

In this video, Dr. Andrea Spiker discusses the challenges of treating borderline dysplasia in the hip. She highlights the controversy surrounding whether interarticular pathology matters in this condition, and the high prevalence of labral pathology in symptomatic borderline hips. Dr. Spiker suggests that reorientation of the acetabulum with open surgery may resolve symptoms rather than arthroscopy. She emphasizes the variability in measuring the lateral center-edge angle and the need to clinically define unstable versus stable hips. Dr. Spiker also discusses the differences in outcomes between hip arthroscopy and peri-acetabular osteotomy (PAO), noting that PAO can reverse the natural history of dysplasia and has excellent long-term outcomes.

Asset Caption

Andrea Spiker, MD

Keywords

borderline dysplasia

hip

labral pathology

acetabulum reorientation

peri-acetabular osteotomy