Radiographic Measures Predicting Failure of Arthroscopy in Borderline Hip Dysplasia: Response
Authors: McQuivey KS, Neville M, Domb BG, Krych AJ, Levy BA, Hartigan DE
Background
Hip arthroscopy is frequently employed for borderline hip dysplasia; however, outcomes can be variable. Radiographic parameters have been proposed to help identify patients at risk for surgical failure.
Methods
This commentary emphasizes the integration of radiographic measurements with comprehensive clinical evaluation to improve patient selection and prognostication.
Key Findings
- Radiographic metrics alone are insufficient predictors of arthroscopic failure in borderline dysplasia.
- A nuanced approach that incorporates clinical symptoms, physical exam findings, and imaging improves risk stratification.
Conclusions
Optimal prediction of arthroscopy outcomes in borderline dysplasia requires combining radiographic data with thorough clinical assessment to guide treatment strategies.
What Does This Mean for Providers
Providers should avoid relying solely on imaging parameters to predict arthroscopy failure. A multifactorial assessment including patient symptoms and functional status is essential for appropriate surgical decision-making and patient counseling.