AOSSM 2022 Annual Meeting Recordings - no 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 summary, a retrospective five-year analysis on preoperative MRIs for hip arthroscopy was discussed. The analysis found that preoperative MRI had minimal clinical utility and lacked cost-effectiveness for patients aged 40 and under with femoroacetabular impingement (FAI). The study included surgeons from different centers and compared patients who had an MRI before surgery to those who did not. The results showed that the preoperative MRI did not change the decision to operate or the surgical plan for patients without an MRI. In fact, it added unnecessary time and cost to the process. The video suggests that the decision to use preoperative MRI should be at the discretion of the surgeon and that patient history, physical examination, and radiographs are sufficient for diagnosing FAI.

Asset Caption

Prem Ramkumar, MD MBA

Keywords

retrospective analysis

preoperative MRI

hip arthroscopy

femoroacetabular impingement

cost-effectiveness