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- Talk
- 14/07/2021
- UK
Hip Instability - Considerations and Surgical Challenges
Description
The video presentation by Jonathan Hutt offers a comprehensive overview of hip instability, focusing primarily on its components and surgical management. Hutt begins by defining hip instability as extraphysiological movement within the hip joint leading to pain and symptoms, and discusses the factors contributing to this condition, including both structural aspects of the hip joint and physical activity, particularly in sports involving repetitive motion.
He outlines the underlying anatomical structures that contribute to hip stability, which include bony congruence and soft tissue structures such as the capsule and labrum. The presentation emphasizes the importance of accurate assessment through physical examination and imaging techniques, such as radiographs, CT scans, and MRIs, to evaluate both bony morphology and soft tissue integrity.
As he transitions into surgical interventions, Hutt highlights the necessity for a period of non-operative management, while also elucidating various surgical targets aimed at restoring hip stability. He discusses the significance of preserving the labrum during surgery and examines different approaches, such as labral repair versus reconstruction, alongside considerations for the hip capsule.
The discussion also touches on the controversial role of the ligamentum teres in hip stability, noting the lack of substantial evidence for its reconstruction in the current literature. In conclusion, Hutt stresses the importance of a tailored surgical approach based on individual assessments, patient history, and robust monitoring of outcomes through large data sets to ensure optimal patient care.