Are you seeing patients with persistent groin pain after a hip scope? The number one complication following hip arthroscopy is iliopsoas tendinosis, but why does it happen and how can it be avoided?

In this episode, Tim Tyler sits down with orthopedic surgeon Dr. Scott Levin of Somers Orthopedics to discuss the critical nuances of hip arthroscopy. They explore the most common complications following procedures for labral tears and femoroacetabular impingement (FAI), starting with the most crucial step: proper patient selection.

Dr. Levin shares his comprehensive evaluation process, discusses the art and science of FAI bone resection, and reveals the intraoperative techniques he uses to prevent nerve issues and other setbacks. Tim and Rob also weigh in on evidence-based rehab protocols, challenging traditional thinking on weight-bearing, bracing, and range of motion to accelerate a safe return to sport.

Key Topics Discussed:

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• • (0:54) The #1 mistake to avoid: Why patient selection is more critical than surgical skill.
  • (2:40) The "C Sign" and other key physical exam findings for diagnosing intra-articular hip pain.
  • (9:38) Why 69% of asymptomatic individuals have labral tears on MRI and how to use X-rays to identify the right surgical candidates.
  • (16:30) A surgeon's inside story on preventing pudendal nerve palsy using the "Pink Pad" technique.
  • (22:31) The fine art of bone resection for FAI: The risk of taking too little vs. the fear of taking too much.
  • (29:48) Are post-op hip braces and range of motion restrictions necessary? A look at the latest evidence.
  • (34:51) The "Kiss of Death" Exercise: The one movement to avoid at all costs in early hip scope rehab.
  • (42:51) Timelines for returning to complex sports like golf and physically demanding jobs.

  
  

Guest Information: Dr. Scott Levin is an orthopedic surgeon specializing in sports medicine at Somers Orthopedics. He serves patients throughout Westchester, the Hudson Valley, and Connecticut.

• Website: scottlevinmd.com

• Practice Phone: (845) 278-8400

Resources Mentioned:

• Susan Y Kwiecien, Milan P Mueller, John J Grossi, Timothy F Tyler, Malachy P McHugh, Gregory J Galano, Accelerated rehabilitation and return to sport after hip arthroscopy for femoroacetabular impingement syndrome is safe and effective, Journal of Hip Preservation Surgery, Volume 12, Issue 1, January 2025, Pages 33–39, https://doi.org/10.1093/jhps/hnae044

  
  

Disclaimer: This podcast is for educational purposes only and does not constitute medical advice. Please consult a qualified healthcare professional for any health concerns.