AOSSM 2022 Annual Meeting Recordings - no 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. Borderline dysplasia refers to a specific range of angles in which the hip is neither fully normal nor clearly dysplastic. Dr. Spiker highlights controversies surrounding the importance of intraarticular pathology in borderline dysplasia and explains the variability in measuring the lateral center edge angle. She argues against performing hip arthroscopy in borderline dysplasia, stating that it does not address the underlying problem and can lead to worsened symptoms, a high failure rate, and potential complications. Instead, she recommends a periosteolar osteotomy (PAO) surgery, which has shown excellent outcomes and can reverse the natural history of dysplasia. No credits were granted.

Asset Caption

Andrea Spiker, MD

Keywords

borderline dysplasia

hip

intraarticular pathology

lateral center edge angle

periosteolar osteotomy (PAO) surgery