Criteria for the Operating Room Confirmation of The Diagnosis of Hip Instability: The Results of An International Expert Consensus Conference

Criteria for the Operating Room Confirmation of The Diagnosis of Hip Instability: The Results of An International Expert Consensus Conference

Authors

Safran MR, Murray IR, Andrade AJ, Aoki SK, Ayeni OR, Balakumar J, Bonin N, Brick MJ, Cakic JN, Domb BG, et al.

Journal

Arthroscopy, October 2022

Background

Hip instability diagnosis can be challenging, and criteria to confirm it in the operating room have not been universally agreed upon.

Methods

• An expert panel reviewed existing literature and convened for a consensus meeting on intraoperative findings used to diagnose hip instability.
• The group discussed published evidence and proposed additional criteria to finalize a consensus list.

Key Findings

• The expert panel reached consensus on 8 criteria: ease of hip distraction, patterns of chondral and labral damage, and the presence of capsular defects.
• The group did not reach consensus on other criteria, including ligamentum teres tears and certain arthroscopic stability tests.

Conclusions

Eight intraoperative criteria for confirming hip instability were agreed upon by an international expert panel, which could help guide surgeons during hip arthroscopy.

What Does This Mean For Patients

For patients undergoing hip surgery, these criteria can help ensure that hip instability is correctly diagnosed and treated during the procedure, leading to better outcomes.