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
https://doi.org/10.1007/s11999-013-3140-2
Purpose
To assess the frequency and types of intraarticular pathology identified during hip arthroscopy in patients undergoing periacetabular osteotomy (PAO) for hip dysplasia.
Methods
Retrospective review of 17 hips in 16 patients who underwent PAO with concurrent hip arthroscopy. Data on labral tears, cartilage damage, cam lesions, and ligamentum teres pathology were collected.
Key Findings
- All patients had significant intraarticular pathology.
- 14 hips had labral tears; 11 had cam lesions; 16 had chondral injuries.
- Ligamentum teres injuries and psoas pathology were also common.
Conclusion
Intraarticular pathology is highly prevalent in patients with hip dysplasia undergoing PAO. These findings support the consideration of arthroscopy during PAO.
What This Means for Patients
Patients with hip dysplasia may have additional joint damage that can be addressed during surgery. Including arthroscopy with PAO may improve surgical precision and treatment of coexisting issues.