Join the upcoming on-demand teaching session, an indispensable resource for medical professionals specialising in the hip. Participate in engaging discussions conducted by Mr Kua and other nationally renowned speakers, focusing on young adult hip patients. Gain insights into a range of topics ranging from the initial assessment to understanding dysplasia. Improve your skills with a deep dive into the nuances of assessing x-rays and learn how to perform a comprehensive young adult hip examination guided by our experts. Our sessions will also address specifc aspects such as the complexities of total hip replacements in young patients. A can’t miss event for those striving to advance their knowledge and clinical practice.
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The following transcript was generated automatically from the content and has not been checked or corrected manually.
Mr Kua presents. I'll do that. I think I chose the record button. But this time, yeah, it, it's live at the moment. Yeah, perfect. And then uh yeah, we'll record when um Mr Ku is ready. So welcome everyone to the young adult hip uh term. I'm one of the uh S ta our program currently with Mr Kundu. Um It's a delight to welcome a a few panelists including national renowned speakers in this term uh to talk about um young adult hip patients and the first topic will be on assessment and the second topic will be on fa I and uh we'll, I'll talk about uh assessment of x-rays. Mr Kumar from Adam Brooks will talk about dysplasia and we'll end it with Mister B talking about total hip replacements in uh young patients. Hi, you just confirming. You can hear me and see my screen. Yes. All right. Just confirming. You can hear me and see my screen as well. Yeah, I can see your screen. I can hear you and your record. Um Unfortunately, the record button is not showing, it just shows it's live. Uh Don't, don't worry, let's crack on, I'll, I'll record it and I'll send it to you guys. That's fine. OK, thank you. Right often everybody. So two talks back to back. First one is what's so different about assessment of a young adult with hip pain. So we'll try and uh discover the nuances of that and what we do in clinic. Uh bring you greetings from a biomedical campus in Cambridge and that seems to be ever expanding. And if you're ever interested in young adult hip surgery, then this is the place to be uh some of my disclosures, none of them particularly relevant to this talk. So if you look at the hip joint, it's probably the most anatomically and biomechanically complex joint in the body. About 28 different muscles required for different ranges of uh movement in the hip joint and all three pains and therefore subject to a huge amount of force as well. Now, because of this anatomical and biomechanical complexity, it requires uh extensive physical examination for proper diagnosis. And then the second aspect is that if you look at the number of causes for hip and groin pain, they seem to be ever expanding, but you need to essentially divide them into intracapsular and then you've got your hip impingement, condral lesions, label pathology. So, extracapillary causes which are the extraarticular hip impingement syndromes like the GDPS, the tendinopathies and finding the extra articular ones which are not musculoskeletal. So, urogenital spine, sacroiliac joint coming from there. And as we just get on top of these causes. There are more diagnosis actually in this arena being uh discovered on a weekly basis. So feri establish impingement was all right. And we do have a good understanding of that now. But then all these extra articular hip impingement syndromes have been described. So, if the patient is complaining of pain anteriorly, then you also need to think of subspinous impingement, iliopsoas, impingement, pectineal phobia impingement. And if the patient is complaining of pain posteriorly, then you need to think of ischial femoral impingement, the deep gluteal syndrome or ischial tunnel or hamstring syndrome. But all these things you can put together, as I said, initially into extraarticular causes for hip pain, musculoskeletal extraarticular causes and then articular causes. So, nonmusculoskeletal musculoskeletal and then articular causes and that's how you divide them into the boxes for hip and groin pain. Now, clinical examination, as we know it as as was look, feel move. So obviously inspect first, then we palpate and then we move the joint. But there is a lot more actually going on in the young adult hip. But essentially we follow the same thing but a bit more and you essentially need standardization of this examination because there are too many things happening. Now, if you look at it, Brian Kelly and Hal Martin initially popularized the layers concept. So there are four layers to the hip joint and therefore, you need to examine that in five positions hip examine the hip in five positions and 21 steps uh to the six hip examination. Can everyone else else hear Mr Candu or if? No, I don't think he even lost um, his um, audio and video.
