1/7 here's the link for Sporting Hip and Groin webinar Part 2 from last night: https://bit.ly/2Z0vF9u  Thank you to the team of @one_welbeck experts. I've summarised the top take-home tips from the night
2/7 our expert rads: Groin pain is complex: you can't just get MR scan pelvis. Hybrid MRI gold standard but US better at Dx hernia. Solution: MRI with dynamic imaging + double reporting from MSK/body MRI. US might be better for small hernias but may over call. And I love the 3D.
3/7 Mr Achan @pramodachan discussed the how who and when for hip arthroscopy: Male athletes do better. Female hypermobile not so well. Early surgery seems to be better. Data suggests that surgery at < 6mths does better than surgery > 12mths. also hip Arth is not for novices.
4/7 @medjmw discussed hernia surgery. Choose your surgeon as up to 10% of hernia surgery complicated by chronic pain -laparoscopic is definitely better(only 1/3 do lap surgery in UK but almost all at @one_welbeck ) + @OneWelbeckDige1 developing non-mesh tech - way forward for me
5/7 Mr Tom Setchell discussed imaging in gynaecology disorders. beware 'benign' cysts greater than 3 cm. if larger than 5 cm then risk of more complex pathology or complications ie torsion. If benign cyst < 3cm - then US at 6 wk to check resolution
6/7I discussed injections for pubic overload - generally v low utility. Exercise therapy is the way forward. PRP does not cure everything and cortisone inj can cause serious harm. Nerve blocks may be useful for 1) Diagnostic utility 2) dampen pain response but less harm than PRP
7/7 if you missed Sporting hip and groin Part 1 How to differentiate different pathologies - then here is the link @one_welbeck
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