AOSSM Specialty Day 2024 with ASES no CME-AOSSM Session III- Hip

Video Transcription

Video Summary

In summary, the 26-year-old active female presented with recurrent right hip pain and popping associated with a history of right hip arthroscopy for FAI and labral tear. Despite initial improvement, she developed worsening symptoms after six to eight months. Physical examination revealed limited hip flexion, weakness in the iliopsoas, and positive impingement and instability tests. Imaging showed a center-edge angle of 20 degrees and signs of microinstability, including a capsular defect and hypertrophic labrum. Surgical exploration revealed a subchondral cyst from a retained anchor, now causing a chondral defect. Treatment involved anchor removal, microfracture for the chondral defect, revision cam section, labral repair, and capsular closure. Despite only six months of follow-up, the patient reported significant improvement and was able to return to teaching Taekwondo.

Keywords

26-year-old female

hip pain

hip arthroscopy

FAI

labral tear

physical examination

imaging findings

surgical exploration

microfracture