Prevalence and Consistency in Surgical Outcome Reporting for Femoroacetabular Impingement Syndrome: A Scoping Review

Reiman, Michael P.; Peters, Scott; Sylvain, Jonathan; Hagymasi, Seth; Ayeni, Olufemi R.

doi:10.1016/j.arthro.2017.11.037

Cited by 32 publications

(27 citation statements)

References 187 publications

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“…23,63 The overall results seem promising, but reports of more consistent outcome measures are lacking. In fact, a recent meta-analysis review on FAI surgery results 64 showed that the present literature is primarily focused on PROMs and diagnostic imaging, both reported in 93% of the included studies. Objective parameters like hip strength and ROM were only reported in 2.5% and 24.5% of the studies, respectively.…”

Section: Long-term Resultsmentioning

confidence: 97%

Femoroacetabular Impingement: What the Surgeon Wants to Know

Rego

Beaulé

Ayeni

et al. 2019

Semin Musculoskelet Radiol

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Femoroacetabular impingement (FAI) is increasingly recognized as a risk factor for early hip degeneration in young active patients. The diagnosis depends on clinical examination and proper imaging that should be able to identify abnormal and sometimes subtle morphological changes. Labral tears and cartilage lesions rarely occur without underlying bone abnormalities. Surgical approaches to treat FAI are increasing significantly worldwide, even without a clearly defined consensus of what should be accepted as the standard imaging diagnosis for FAI morphology.Hip abnormalities encompass many variations related to the shape, size, and spatial orientation of both sides of the joint and can be difficult to characterize if adequate imaging is not available.This article presents a comprehensive review about the information orthopaedic surgeons need to know from radiologists to plan the most rational approach to a painful hip resulting from a mechanical abnormality.

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Section: Long-term Resultsmentioning

confidence: 97%

Femoroacetabular Impingement: What the Surgeon Wants to Know

Rego

Beaulé

Ayeni

et al. 2019

Semin Musculoskelet Radiol

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“…We also report the clinical utility of diagnostic findings for each of these conditions. It is important to acknowledge that these conditions often coexist 11 38 39. We also acknowledge (but did not include here) other hip conditions with hip-related pain as the main symptom including osteoarthritis, infections, transient osteoporosis, stress fractures and tumours.…”

Section: Discussionmentioning

confidence: 99%

Consensus recommendations on the classification, definition and diagnostic criteria of hip-related pain in young and middle-aged active adults from the International Hip-related Pain Research Network, Zurich 2018

et al. 2020

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There is no agreement on how to classify, define or diagnose hip-related pain—a common cause of hip and groin pain in young and middle-aged active adults. This complicates the work of clinicians and researchers. The International Hip-related Pain Research Network consensus group met in November 2018 in Zurich aiming to make recommendations on how to classify, define and diagnose hip disease in young and middle-aged active adults with hip-related pain as the main symptom. Prior to the meeting we performed a scoping review of electronic databases in June 2018 to determine the definition, epidemiology and diagnosis of hip conditions in young and middle-aged active adults presenting with hip-related pain. We developed and presented evidence-based statements for these to a panel of 37 experts for discussion and consensus agreement. Both non-musculoskeletal and serious hip pathological conditions (eg, tumours, infections, stress fractures, slipped capital femoral epiphysis), as well as competing musculoskeletal conditions (eg, lumbar spine) should be excluded when diagnosing hip-related pain in young and middle-aged active adults. The most common hip conditions in young and middle-aged active adults presenting with hip-related pain are: (1) femoroacetabular impingement (FAI) syndrome, (2) acetabular dysplasia and/or hip instability and (3) other conditions without a distinct osseous morphology (labral, chondral and/or ligamentum teres conditions), and that these terms are used in research and clinical practice. Clinical examination and diagnostic imaging have limited diagnostic utility; a comprehensive approach is therefore essential. A negative flexion–adduction–internal rotation test helps rule out hip-related pain although its clinical utility is limited. Anteroposterior pelvis and lateral femoral head–neck radiographs are the initial diagnostic imaging of choice—advanced imaging should be performed only when requiring additional detail of bony or soft-tissue morphology (eg, for definitive diagnosis, research setting or when planning surgery). We recommend clear, detailed and consistent methodology of bony morphology outcome measures (definition, measurement and statistical reporting) in research. Future research on conditions with hip-related pain as the main symptom should include high-quality prospective studies on aetiology and prognosis. The most common hip conditions in active adults presenting with hip-related pain are: (1) FAI syndrome, (2) acetabular dysplasia and/or hip instability and (3) other conditions without distinct osseous morphology including labral, chondral and/or ligamentum teres conditions. The last category should not be confused with the incidental imaging findings of labral, chondral and/or ligamentum teres pathology in asymptomatic people. Future research should refine our current recommendations by determining the clinical utility of clinical examination and diagnostic imaging in prospective studies.

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“…Without the collection of more robust data to identify the type and quantity of activity undertaken, we are unable to determine if patients are participating in sufficient physical activity to meet guidelines of minimal activity requirements for health. The limited range of frequently used PROMs identified in the current review reflects the findings of Reiman et al [8] and Renouf et al [158]. Both these reviews identified that PROMs with appropriate clinimetric evidence to support their use in the population of young to middle-aged adults with hip-related pain and dysfunction, such as the iHOT-33 and the HAGOS, were utilised in less than 5% of studies assessing outcomes following hip arthroscopy and surgery for FAIS.…”

Section: Discussionmentioning

confidence: 59%

“…Young and middle-aged adults undergoing hip arthroscopy have high expectations for returning to physical activity to support their social and cultural roles [7]. Despite this expectation, physical activity-related outcomes are only reported in approximately a quarter of studies investigating surgical intervention for FAIS [8], returning to sport or play being the predominant outcome assessed. A high level of return to sport/ return to play following hip arthroscopy (88-91%) has been reported in a number of systematic reviews [9][10][11][12][13][14][15][16] ; however, recent study findings suggest the need for a more expansive analysis, beyond these simplified nominal criteria, to assess the wider impact of hip arthroscopy on physical activity.…”

Section: Introductionmentioning

confidence: 99%

Physical Activity Following Hip Arthroscopy in Young and Middle-Aged Adults: A Systematic Review

et al. 2020

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Background: Hip arthroscopy is a common surgical intervention for young and middle-aged adults with hiprelated pain and dysfunction, who have high expectations for returning to physical activity following surgery. The purpose of this review was to evaluate the impact of hip arthroscopy on physical activity post-arthroscopy. Methods: A systematic search of electronic databases was undertaken in identifying studies from January 1st 1990 to December 5th 2019. The search included English language articles reporting physical activity as an outcome following hip arthroscopy in adults aged 18-50 years. Quality assessment, data extraction and synthesis of included studies were undertaken. Results: Full text articles (n = 234) were assessed for eligibility following screening of titles and abstracts (n = 2086), yielding 120 studies for inclusion. The majority (86%) of the studies were level 4 evidence. One study reported objective activity data. The most frequently occurring patient-reported outcome measure was the Hip Outcome Score-sport-specific subscale (HOS-SS, 84% of studies). Post--arthroscopy improvement was indicated by large effect sizes for patient-reported outcome measures (standard paired difference [95% confidence interval] −1.35[−1.61 to −1.09] at more than 2 years post-arthroscopy); however, the majority of outcome scores for the HOS-SS did not meet the defined level for a patient-acceptable symptom state. Conclusion: The current level of available information regarding physical activity for post arthroscopy patients is limited in scope. Outcomes have focused on patients' perceived difficulties with sport-related activities with a paucity of information on the type, quality and quantity of activity undertaken. Level of Evidence: Level IV, systematic review of Level 2 through to Level 4 studies

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Prevalence and Consistency in Surgical Outcome Reporting for Femoroacetabular Impingement Syndrome: A Scoping Review

Cited by 32 publications

References 187 publications

Femoroacetabular Impingement: What the Surgeon Wants to Know

Femoroacetabular Impingement: What the Surgeon Wants to Know

Consensus recommendations on the classification, definition and diagnostic criteria of hip-related pain in young and middle-aged active adults from the International Hip-related Pain Research Network, Zurich 2018

Physical Activity Following Hip Arthroscopy in Young and Middle-Aged Adults: A Systematic Review

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