Best Practice Case Studies-Anterior Hip Exam

Video Transcription

Video Summary

In a virtual session, Dr. Pierre Demacor presented a case on hip labrum tears and borderline hip dysplasia at Boston Children's Hospital. Dr. Demacor, originally trained in emergency medicine, is now the sports ultrasound director and a sports medicine physician in Boston. His presentation focused on an efficient approach to diagnosing and understanding hip pain, particularly in relation to dysplasia and labral tears. Starting with a thorough understanding of anatomy, Pierre highlighted the importance of imaging, specifically the utility of ultrasound in identifying anterior hip pain issues like labral tears and hip instability.<br /><br />Dynamic exams, as discussed, are crucial in capturing subtleties that static images might miss, providing valuable insights into real-time joint movement. Pierre emphasized dynamic assessments in various positions, like the supine and standing, to simulate daily stresses on the joint and better capture instability symptoms. Though the data is preliminary, the standing position seems to offer a more realistic picture of the challenges patients face. Feedback from peers underscored ultrasound's role in identifying micro-instability, where conventional MRIs may fall short. The session concluded with appreciation for Pierre's insights and a reminder of the upcoming discussion on ulnar nerve instability.

Meta Tag

Edition 3rd Edition

Related Case 3rd Edition, CASE 25

Topic Hip

Keywords

3rd Edition, CASE 25

3rd Edition

Hip

hip labrum tears

borderline hip dysplasia

sports ultrasound

dynamic exams

anterior hip pain

micro-instability

ultrasound imaging