AOSSM Specialty Day 2023 with ISAKOS - no CME-4. AOSSM-ISAKOS

Video Transcription

Video Summary

In a video discussion, a panel of doctors analyze and discuss two cases of hip injuries in athletes. The first case involves a baseball player who had two prior hip surgeries but still experiences persistent pain. X-rays show good joint space and an MRI reveals a medial capsular defect and fluid buildup. The panel concludes that the player likely has micro instability or capsular problems since his first surgery. They discuss the potential need for labral repair or reconstruction and emphasize the importance of addressing the residual femoroacetabular impingement (FAI) and capsule issues. In the second case, a water polo player presents with acute left hip pain and has cam FAI, labral tear, and borderline dysplasia. The panel suggests a non-surgical approach initially, including intraarticular injection and physical therapy. If surgery is required, they recommend addressing the cam lesion, capsule, and potentially the dysplasia. The importance of capsular thickness and other factors in decision-making is discussed. The panel highlights the growing understanding of the role of soft tissue contributions in hip injuries. The water polo player eventually undergoes surgery, involving resection, closure of the capsule, and addressing a cartilage lesion, and successfully returns to play.

Keywords

hip injuries

capsular problems

FAI

labral tear

surgery