2022 AOSSM Annual Meeting Recordings with CME-Preoperative MRI Offers Minimal Clinical Utility, Delays Access to Hip Arthroscopy, and Lacks Cost-Effectiveness in Patients Aged 40 or Under with Classic Femoroacetabular Impingement Syndrome: A Retrospective 5-Year Analysis

Preoperative MRI Offers Minimal Clinical Utility, Delays Access to Hip Arthroscopy, and Lacks Cost-Effectiveness in Patients Aged 40 or Under with Classic Femoroacetabular Impingement Syndrome: A Retrospective 5-Year Analysis

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Video Transcription

Video Summary

In this video, Prem discusses the use of preoperative MRI in hip arthroscopy for patients under the age of 40 with femoroacetabular impingement (FAI). He argues that MRI offers minimal clinical utility and lacks cost-effectiveness. Dr. Westerman's study shows that patients are spending over $2,000 on preop MRI, adding unnecessary financial burden. The time to arthroscopy from symptom onset is important for better outcomes, and unnecessary MRI delays access to surgery. The study analyzed two patient groups, those who had an MRI prior to arthroscopy and those who didn't. It was found that the MRI did not change the decision to operate or the surgical plan. The conclusion is that the surgeon's clinical assessment is sufficient for diagnosis and MRI should be left to the discretion of the surgeon.

Asset Caption

Prem Ramkumar, MD MBA

Keywords

preoperative MRI

hip arthroscopy

femoroacetabular impingement

cost-effectiveness

symptom onset