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In Vivo Quantification of Hip Arthrokinematics during Dynamic Weight-bearing Activities using Dual Fluoroscopy
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Editorial Commentary: Hip Arthroscopy-Bimodal Bump and Volume Matters
1Marina del Rey, California.
Summary
High-volume hip arthroscopy surgeons often see patients of two distinct age groups. This highlights the need for experienced surgeons to train others as the field expands.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
Background:
- Hip arthroscopy is increasingly utilized for various hip pathologies.
- A referral practice may lead to a bimodal age distribution in patient populations.
Discussion:
- Younger patients with hip issues unresponsive to conservative treatment often seek specialized care.
- Older patients without severe osteoarthritis can be suitable candidates for hip arthroscopy.
- Surgeon experience and volume may correlate with patient outcomes and complication rates.
Key Insights:
- High-volume hip arthroscopic surgeons commonly encounter a bimodal age distribution.
- Patient selection for hip arthroscopy includes younger individuals with refractory symptoms and older individuals without significant osteoarthritis.
- Lower surgical volume may be associated with increased complication rates.
Outlook:
- Continued growth in hip arthroscopy necessitates training for upcoming surgeons.
- Emphasis on surgeon experience is crucial for optimizing patient outcomes in hip arthroscopy.

