Pediatric Hip Arthroscopy: a Review of Indications and Treatment Outcomes

Crofts, Helen; McConkey, Mark O.; Lodhia, Parth

doi:10.1007/s12178-023-09842-2

Cited by 1 publication

(1 citation statement)

References 92 publications

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“…Hip pain in children and adolescents is a common cause for pediatric and orthopedic consultations with an overall incidence of 148 cases per 100 000 persons per year [ 1 , 2 ] and a broad range of infectious, inflammatory, traumatic, developmental, or neoplastic differential diagnosis [ 3 ]. The use of hip arthroscopy in pediatric patients has also grown considerably in the recent years [ 4 ]. Conventional radiography of the affected side followed by ultrasound is typically recommended as primary imaging tool for diagnostic workup of hip pain in younger children (0–10 years) [ 1 – 3 ].…”

Section: Introductionmentioning

confidence: 99%

Value of MR arthrography for evaluation of children and adolescents with clinically suspected intraarticular cause of hip pain

Schmitt,

Pfirrmann,

Buck

et al. 2024

Skeletal Radiol

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Purpose To evaluate the distribution of intra- and extraarticular MRI findings in children and adolescents with clinically suspected intraarticular cause of hip pain in order to assess the need for additional intraarticular contrast administration. Material and methods Database was searched over a period of 34 months retrospectively for consecutive hip MR arthrography in young patients (8–17 years) with suspected intraarticular cause of hip or groin pain. Exclusion criteria were prior hip surgery, follow-up examination due to known intraarticular pathology, incomplete examination, qualitatively non-diagnostic examinations, and missing informed consent. Reports of fellowship-trained MSK radiologists were searched for intraarticular versus extraarticular findings explaining hip or groin pain. Results Seventy patients (68% female; median age: 14.5 years; range:10.8–16.9 years) were analyzed. No reason for pain was found in 30 (42.9%) hips, extraarticular reasons in 20 (28.6%) cases, intraarticular in 14 (20.0%), and both (intra- and extraarticular) in 6 (8.6%) hips. Most common extraarticular reasons were apophysitis (14.3%), other bony stress reactions (12.9%), intramuscular edema (7%), tendinitis (5.7%), and trochanteric bursitis (4.3%). Labral pathology was the most common intraarticular finding (overall:34.3%; partial tear:15.7%, complete tear:15.7%), most frequent at the anterosuperior position (81.8%). Cartilage defects (1.4%), intraarticular neoplasia (1.4%), and tear of the femoral head ligament (2.8%) were rarely found. Synovitis and loose bodies were not observed. Cam-(37.1%) and pincer-configurations (47.1%) were common while hip dysplasia was rare (5.7%). Conclusion MRI in children and adolescents with hip pain should be done primarily without intraarticular contrast administration since most cases show an extraarticular pain reason or no diagnosis detectable with MRI.

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