AOSSM 2022 Annual Meeting Recordings - no CME-Q & A: Hip I (FAI)

Video Transcription

Video Summary

In the video, Dr. Knapp is asked if there were any attempts to correct anterior overcoverage arthroscopically in his retroversion cohort. He responds that they didn't report that, but they did look at various measurements, such as the Tonus Angle and lateral femoral Weinberg Angle, but none of them correlated with their version measurements. However, they did correct any identified issues. It is then asked if the excess anterior rim was taken down during the FAI surgeries, but Dr. Knapp is unsure about this and suggests asking Dr. Shane. Another question is directed to Prem, asking if the cost of missed stress fractures or AVN was considered in the research. Prem explains that they did not look into this, but the paper was carefully written to prevent physicians from being disempowered and to ensure that insurers would not deny necessary MRIs. Dr. Nepple is then asked about the outcomes of the osteoplasty group, and he admits that they did not expect them to do as well, but suggests that technical improvements may have played a role. Another question is asked about considering anteverting PAO for acetabular retroversion, to which Dr. Nepple responds that although none of the patients underwent a PAO, they did have discussions about it as a possibility. Regarding gender differences, Dr. Nepple states that they didn't find any in their study. Finally, Dr. Padilla is asked if there was a subgroup analysis on the type of sports for return rates, but he explains that they did not do it in this study.

Asset Caption

Jeffrey Nepple, MD, MS; Prem Ramkumar, MD MBA; Paulo Padilla, MD; Derrick Knapik, MD; Andrew Jimenez, MD

Keywords

anterior overcoverage arthroscopically

Tonus Angle

lateral femoral Weinberg Angle

excess anterior rim

missed stress fractures or AVN