Is Intraarticular Pathology Common in Patients With Hip Dysplasia Undergoing Periacetabular Osteotomy?
Authors: Domb BG, Lareau JM, Baydoun H, Botser I, Millis MB, Yen YM
DOI: 10.1007/s11999-013-3140-2
Purpose
To evaluate the prevalence and types of intraarticular pathology detected during hip arthroscopy in patients undergoing periacetabular osteotomy (PAO) for hip dysplasia.
Methods
Retrospective review of 17 hips in 16 patients undergoing PAO with concurrent hip arthroscopy, assessing labral tears, cartilage damage, cam lesions, and ligamentum teres pathology.
Key Findings
- All patients demonstrated significant intraarticular pathology.
- Labral tears (14 hips), cam lesions (11 hips), and chondral injuries (16 hips) were common.
- Ligamentum teres and psoas pathology were frequently observed.
Conclusion
Intraarticular abnormalities are highly prevalent in hip dysplasia patients undergoing PAO, justifying the use of concomitant arthroscopy for thorough assessment and management.
What Does This Mean for Providers?
- Incorporate arthroscopic evaluation during PAO to identify and address coexisting intraarticular lesions. Prospective Assessment of the Utility of Robotic-Assisted Total Hip Arthroplasty With Virtual Range of Motion on Intraoperative Implant Positioning
- Be vigilant for labral, chondral, and ligamentum teres pathology that may impact surgical planning and postoperative outcomes.
- Arthroscopy can enhance surgical precision and potentially improve joint preservation success.