Sex-Based Differences in the Clinical Presentation of Patients With Symptomatic Hip Labral Tears

Lindner, Diana; Bitar, Youssef F. El; Jackson, Timothy J.; Sadik, Adam Y.; Stake, Christine E.; Domb, Benjamin G.

doi:10.1177/0363546514532226

Cited by 29 publications

(23 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…1,7 Dierckman et al 7 reported an inverse relationship between duration of symptoms and minimum 2-year outcomes; furthermore, Aprato et al 1 noted that patients who had symptoms for >3 years had inferior outcomes and were more likely to require a revision. In this study, we found that female and male patients had comparable outcomes, which is consistent with a study by Lindner et al 27 Those authors analyzed a cohort of 1401 patients and determined that there was no significant difference between men and women in their clinical presentation, except that women had increased range of motion and men were more likely to report an acute injury. However, this analysis showed that women were more likely to convert to THA.…”

Section: Discussionsupporting

confidence: 91%

Predictors of Clinical Outcomes After Hip Arthroscopy: 5-Year Follow-up Analysis of 1038 Patients

Domb

Chen

et al. 2020

Am J Sports Med

Self Cite

View full text Add to dashboard Cite

Background: Although hip arthroscopy has been shown to have favorable results, there is a paucity of literature describing predictive factors of 5-year clinical outcomes. Purpose: To identify predictive factors of midterm outcomes after hip arthroscopy in a cohort of 1038 patients whose outcomes at minimum 2-year follow-up were previously reported. In addition, to provide a comparison of short- and midterm predictive factors in outcome measures after hip arthroscopy. Study Design: Case-control study; Level of evidence, 3. Methods: Data were prospectively collected and retrospectively reviewed on all patients undergoing hip arthroscopy between February 2008 and June 2012. Patients were included if they had minimum 5-year follow-up on 2 patient-reported outcomes: Nonarthritic Hip Score (NAHS) and modified Harris Hip Score. Patients were excluded if they had any previous ipsilateral hip conditions. Using bivariate and multivariate analyses, we analyzed the effect of 36 pre- and intraoperative variables on the NAHS, modified Harris Hip Score, and conversion to total hip arthroplasty. Results: A total of 1038 patients met the inclusion criteria for the 2-year study, and 860 met our listed inclusion criteria for the 5-year study. The mean follow-up time was 62.0 months (range, 60.0-120.0 months). The bivariate analysis identified 10 variables (4 categorical and 6 continuous) that were predictive of 5-year postoperative NAHS. For the multivariate analysis, 7 variables were identified as being significant: preoperative NAHS, body mass index (BMI), age, lateral joint space, alpha angle, revision hip arthroscopy, and acetabular microfracture. These 7 variables were also predictive in the bivariate analysis. Age, BMI, revision hip arthroscopy, Tönnis grade, sex, trochanteric bursectomy, femoral head cartilage damage, and acetabular inclination were significant predictors of conversion to total hip arthroplasty. Conclusion: This study reports favorable midterm clinical outcomes in the largest cohort of hip arthroscopies with minimum 5-year follow-up in the literature to date. Seven variables were identified as being significant predictors of postoperative NAHS in the bivariate and multivariate analyses: preoperative NAHS, BMI, age, lateral joint space, alpha angle, revision hip arthroscopy, and acetabular microfracture. Of these, preoperative NAHS, BMI, age, and revision hip arthroscopy were predictive of 2- and 5-year postoperative NAHS. These predictive factors may prove useful to clinicians in determining indications for hip arthroscopy and counseling patients on its expected outcomes.

show abstract

Section: Discussionsupporting

confidence: 91%

Predictors of Clinical Outcomes After Hip Arthroscopy: 5-Year Follow-up Analysis of 1038 Patients

Domb

Chen

et al. 2020

Am J Sports Med

Self Cite

View full text Add to dashboard Cite

show abstract

“…Hetsroni et al 49 assessed sex differences in the clinical presentation of patients with hip labral pathology and, in a cohort of 105 male patients and 67 female patients, found that female patients had significantly smaller alpha angles, acetabular version values, and femoral anteversion values compared with male patients and stated that, in female patients, cam deformities may be more subtle. In a similar study, Lindner et al 50 speculated that female patients may, at baseline, have a greater component of soft-tissue (capsular) laxity, contributing to their overall symptoms.…”

Section: Discussionmentioning

confidence: 94%

Outcomes for Hip Arthroscopy According to Sex and Age

Frank

Lee

Bush‐Joseph

et al. 2016

The Journal of Bone and Joint Surgery

151

159

View full text Add to dashboard Cite

show abstract

“…Recent studies have reported on sex-based differences in clinical presentation of labral tears and femoroacetabular impingement. 24,31,41 In a prospective cohort of 654 patients, Lindner et al 31 noted that female patients had significantly increased range of motion, pain over the greater trochanter at presentation, and lower PRO scores compared with male patients. Nepple et al 41 prospectively analyzed 100 patients and found that female patients had more profound symptoms, as measured with multiple PRO instruments, and milder morphologic abnormalities.…”

Section: Discussionmentioning

confidence: 99%

Predictors of Clinical Outcomes After Hip Arthroscopy: A Prospective Analysis of 1038 Patients With 2-Year Follow-up

et al. 2018

Self Cite

View full text Add to dashboard Cite

This study reports favorable clinical outcomes in the largest cohort of hip arthroscopies with a minimum 2-year follow-up in the literature to date. Factors identified as predictive in both bivariate and multivariate analyses included preoperative NAHS, HOS-ADL, and mHHS; age; duration of symptoms; BMI; and revision hip arthroscopy. These predictive factors may be useful to the clinician in determining prognosis and operative indications for hip arthroscopy.

show abstract

Sex-Based Differences in the Clinical Presentation of Patients With Symptomatic Hip Labral Tears

Cited by 29 publications

References 19 publications

Predictors of Clinical Outcomes After Hip Arthroscopy: 5-Year Follow-up Analysis of 1038 Patients

Predictors of Clinical Outcomes After Hip Arthroscopy: 5-Year Follow-up Analysis of 1038 Patients

Outcomes for Hip Arthroscopy According to Sex and Age

Predictors of Clinical Outcomes After Hip Arthroscopy: A Prospective Analysis of 1038 Patients With 2-Year Follow-up

Contact Info

Product

Resources

About