143: Dr. Travis Matheney – Management of Borderline Hip Dysplasia (Part 1)

On today’s episode we’re focusing on the management of borderline hip dysplasia with Dr. Travis Matheney, a pediatric orthopedic surgeon at Boston Children's Hospital. We have some great articles for you that contribute well to our conversation on the treatment options for borderline hip dysplasia. We’ll start off our discussion today with an article titled “Periacetabular Osteotomy Improves Pain and Function in Patients With Lateral Center-edge Angle Between 18° and 25°, but Are These Hips Really Borderline Dysplastic?” Dr. Michael McClincy and team at Boston Children’s Hospital concluded that patients with a lateral center edge angles of 18-25 frequently have other radiographic features of dysplasia suggestive of abnormal femoral head coverage by the acetabulum and that these hips may be inappropriately labeled as “borderline” or “mild” dysplasia.  The authors recommended a more thorough radiographic evaluation of the patient with suspected dysplasia, including measurement of the Tonnis angle, FEAR index, anterior and posterior wall index, and anterior center edge angle.We are joined today by Dr. Travis Matheney, an Assistant Professor of orthopedic surgery at Harvard Medical School and pediatric orthopedic surgeon at Boston Children’s Hospital.  He has a particular interest in pediatric hip pathology and is part of the Child & Young Adult Hip Preservation program at Boston Children’s. Dr. Matheney trained Ashley and I during our residency at Harvard, so we’re very excited to have him join us today and share his wisdom on this controversial topic.