This video presents a multifaceted care team that works to improve hip function at Mayo Clinic Orthopedics and Sports Medicine, located in Rochester and Minneapolis, Minnesota. From CT scans, the team constructs three-dimensional recreations of a patient's hip damage to look at the case individually and plan for surgery. They employ the latest operative and nonoperative hip treatments — repairing hip dysplasia, femoroacetabular impingement and labral damage — and perform labral reconstruction.
The video includes the story of a patient who played Division I basketball and suffered pain in both hips, which Mayo Clinic orthopedic surgeons diagnosed as impingement. The patient is now pain-free and can dunk basketballs again.
a patient that comes to Mayo clinic for hip pain is going to find a lot of advances that it might not find in other places. We actually have a young adult hip clinic really a multifaceted care team that's all passionate about improving hip function for young patients and all patients of any age. So we start with non operative management. Physical therapy injections will always try non operative treatments that have documented success before jumping into the operating room. We have hip impingement, which is abnormal collision between the ball and the socket. And then we remove the ephemeral acid tabular impingement extra bone from either side and repair the labor on the suction cup at the same time and thereby hopefully delay that arthritis and hip replacement to a later day. At times we will combine the surgeries, will do the hip arthroscopy portion of the case and then in the same anesthetic. The open hip surgeons that will come in and do the corrective bony work. We can have something called hip dysplasia where that's under coverage of the socket or a shallow socket. If we can recognize and treat that structural issue. The goal then is to prevent further secondary damage of the hip. So damage to the lab room. The people that have tears in the suction cup, the labrum that are deemed irreparable. We can now take tissue and replace the labrum called the labor reconstruction. We've developed specific low radiation cT scans allows us to actually reconstruct a three dimensional recreation To look individually at this patient's area of impingement and that helps us plan in this case for this patient's surgery. When I met Michael, he was a former high level Division one college basketball player. The shift from high school basketball. The college over all my joints took a good beating, but I don't think he really understood that he had underlying hip impingement patches of my hip joint was bone on bone. It all makes sense why I was having hip pain. Fortunately we were able to treat the impingement in both of his hips. So that involves making three little ports sites around each hip. It required a general anesthetic. A same day procedure removed the impending bone repair the labrum. So he quite literally shaved this bony crest off of my femur and with our therapists and motivated patient, he was able to optimize and achieve his outcome. Since that recovery time, I am pain free. And he said, I reached my goal, I was able to dunk a basketball again. That was a big moment for me back on the court. 100% pain free lifestyle. I just can't emphasize enough how grateful I am to dr chris and the team