Role of Hip Arthroscopy in the Diagnosis and Treatment of Hip Joint Pathology

Awan, Nasir; Murray, P

doi:10.1016/j.arthro.2005.12.005

Cited by 28 publications

(9 citation statements)

References 10 publications

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“…In one study, at an average followup of 5 years after hip arthroscopy, chondromalacia and osteoarthritis did not predict eventual THA or poor post-operative mHHS [15], whereas another study at 2 years followup, and the previously discussed study at 10 years followup [4], showed a clear influence of preoperative arthritis on postoperative surveys or the mHHS [4,10]. Improved mHHS, patient satisfaction, and no subsequent reoperation or THA at 1.5 years are associated with a diagnosis of labral pathology [1], left-sided surgery, higher preoperative activity level, and longer preoperative duration of symptoms [15], whereas lower improvements in mHHS and other questionnaires examining pain and function are associated with older age at surgery [1,2,15]. The 10-year followup study [4] showed an increase in mHHS after arthroscopy treatment for labral tears, loose bodies, synovitis, and chondral injury as long as those indications were not also associated with arthritis or avascular necrosis.…”

Section: Introductionmentioning

confidence: 96%

What Factors Influence Long-term Survivorship After Hip Arthroscopy?

McCarthy

Jarrett

Ojeifo

et al. 2011

Clinical Orthopaedics &Amp; Related Research

204

188

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Section: Introductionmentioning

confidence: 96%

What Factors Influence Long-term Survivorship After Hip Arthroscopy?

McCarthy

Jarrett

Ojeifo

et al. 2011

Clinical Orthopaedics &Amp; Related Research

204

188

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“…5,6,22,29 Although the success of hip arthroscopy for early OA is not fully determined, arthroscopy of the hip is useful for diagnosis and treatment. 1,11,21,22,24,25 This study was a retrospective look at a series of patients who previously had hip arthroscopy for early OA. Some patients had inferior results regardless of the stage of their disease (Tonnis Grade 0 or 1).…”

mentioning

confidence: 99%

Influence of Femoroacetabular Impingement on Results of Hip Arthroscopy in Patients with Early Osteoarthritis

Kim¹,

Hwang²,

Lee³

et al. 2007

Clinical Orthopaedics &Amp; Related Research

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To ascertain whether better results could be obtained using hip arthroscopy, we retrospectively reviewed the radiographic and clinical aspects of anterior femoroacetabular impingement in 43 patients diagnosed with early osteoarthritis with acetabular labral tears who previously had arthroscopic treatment. The average followup was 50 months. The patients were divided into two groups: patients who had no osteoarthritis seen on simple radiographs, but had degenerative changes of the labrum and cartilage seen on magnetic resonance arthrograms and arthroscopy, and patients who had osteoarthritic findings seen on simple radiographs. Both groups were examined retrospectively for signs of anterior femoroacetabular impingement at the acetabulum and proximal femur. Postoperative improvement was evaluated using the Japanese Orthopaedic Association pain score. Six of 21 patients in Group I and 12 of 22 of patients in Group II showed radiographic evidence of femoroacetabular impingement. The score improved from 0.76 preoperatively to 2.38 postoperatively in Group I and from 0.75 preoperatively to 1.90 postoperatively in Group II. Arthroscopic débridement produced improved results seen during short-term and midterm followups. However, in patients with femoroacetabular impingement the results were considered inadequate. We found that arthroscopic treatment of osteoarthritis of the hip fails if there is detectable femoroacetabular impingement.

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“…Over time indications for hip arthroscopy have been increasing, 5 already suggesting in some series indication for more advanced stages of osteoarthritis (Tönnis II) 2 6 compared to open surgery in which the results are not as satisfactory as expected due to the established chondral lesions. 7 8 It is mostly young patients, with greater functional demand, that could benefit from treatment with arthroscopy which may well alter the natural course of the joint and slow down the move toward open surgery, osteotomy, or total hip arthroplasty.…”

Section: Discussionmentioning

confidence: 99%

Iliotibial band syndrome following hip arthroscopy: An unreported complication

Seijas

Sallent

Galán

et al. 2016

IJOO

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Background:Hip arthroscopy is considered a safe procedure, considering the relatively low rate of complications. Despite several complications have been described following this surgical procedure, the present event has not yet been described. The purpose of the present study is to report an unpublished complication following hip arthroscopy, after reviewing 162 hip arthroscopies and finding iliotibial band syndrome (ITBS) in the knee during followup.Materials and Methods:A retrospective review of 162 hip arthroscopies performed between September 2007 and June 2011 was carried out, evaluating patients who presented ITBS during followup. Indication for hip arthroscopy was failure of conservative treatment in patients with symptomatic femoroacetabular impingement.Results:During a minimum followup of 2 years, nine patients (5.5%) developed ITBS. All patients were diagnosed with ITBS within the first 45 postoperative days. Conservative treatment was successful in 6 patients while 3 had to undergo surgery. The increased internal rotation, synovitis and increased adduction of the hip can be attributed as predisposing factors to the development of ITBS.Conclusions:This is a newly described observation within followup of hip arthroscopy. These findings may help orthopedic surgeons when planning rehabilitation after hip arthroscopy, including stretching exercises to prevent this syndrome.

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Role of Hip Arthroscopy in the Diagnosis and Treatment of Hip Joint Pathology

Cited by 28 publications

References 10 publications

What Factors Influence Long-term Survivorship After Hip Arthroscopy?

What Factors Influence Long-term Survivorship After Hip Arthroscopy?

Influence of Femoroacetabular Impingement on Results of Hip Arthroscopy in Patients with Early Osteoarthritis

Iliotibial band syndrome following hip arthroscopy: An unreported complication

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