IC 104-2022: Hip Arthroscopy - My Worst Day in the Operating Room in 2021: What Happened and How it Changed My Practice-Hip Arthroscopy - My Worst Day in the Operating Room in 2021: What Happened and How it Changed My Practice (2/5)

Hip Arthroscopy - My Worst Day in the Operating Room in 2021: What Happened and How it Changed My Practice (2/5)

Video Transcription

Video Summary

In this video, the speaker discusses a case of a 20-year-old male lacrosse player who presented with worsening focal groin pain and stiffness. The patient had a previous injection that provided temporary relief and underwent four months of physical therapy, but failed to see improvement. The speaker describes the physical examination findings, which included limited range of motion and anterior pain on certain tests. Imaging, including pelvis AP, frog lateral, and false profile views, revealed overcoverage and a large cam deformity. MRI showed a rim fracture, and CT scans were obtained for further evaluation. The speaker discusses the surgical approach, which involved three portals and excision of the rim fragment, as well as other procedures such as labral repair, subspine decompression, and chondroplasty. Post-operative imaging showed improved angles, and the patient had good range of motion and reduced pain. The speaker also discusses the literature on acetabular rim fractures and considerations for treatment. The overall outcome of the case was positive, but the speaker notes the potential need for a post-operative CT scan to further assess the results.

Asset Caption

Thomas H. Wuerz, MD, MSc

Keywords

lacrosse player

groin pain

stiffness

cam deformity

surgical approach