RAPID Score for Acetabular Chondrolabral Disruption
Predicts probability of finding high-grade hip cartilage damage intraoperatively.
Do not use in patients with high-grade degenerative changes and obliteration of the joint space (Tönnis grade 3).
Should not replace clinical examination and surgical decision-making in determining operative candidates for hip arthroscopy.
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In patients with higher RAPID Scores (4-5), surgeons should have their preferred tools for managing ALAD grade 3-4 lesions (e.g. microfracture awls, cell-based therapies) listed and available at the time of surgery.
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Additionally, patients should be preoperatively counseled on preferred high-grade lesion treatment and its potential influence on rehabilitation components, e.g. continuous passive motion (CPM) machines and time course.