The current situation in hip arthroscopy

Marin-Peña, Óliver; Tey, Marc; Pérez-Carro, Luís; Said, Hatem G.; Sierra, Pablo; Dantas, Pedro; Villar, Richard N.

doi:10.1302/2058-5241.2.150041

Cited by 18 publications

(12 citation statements)

References 76 publications

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“…Some studies point to an increase of 250 to 365% in the last 10 years. [19][20][21] This massive increase should raise some concern about indications, patient selection, and proper understanding of the impingement mechanism before deciding on surgical treatment of a painful hip. We believe hip arthroscopy is becoming very popular due to the fast recovery and return to sports activities but also because it is very attractive to opt for surgery in the presence of an "image-based" diagnosis of an isolated labral tear.…”

Section: Introductionmentioning

confidence: 99%

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: Introductionmentioning

confidence: 99%

Femoroacetabular Impingement: What the Surgeon Wants to Know

Rego

Beaulé

Ayeni

et al. 2019

Semin Musculoskelet Radiol

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“…In recent years, hip arthroscopy has become a common surgical procedure in both the diagnosis and treatment of painful hip disorders. Arthroscopic hip treatments typically result in good clinical outcomes, with low rates of complications and relatively rapid rehabilitation [ 1 , 2 ]. However, pain around the hip joint may originate from different locations, including extra-articular origins and the lumbar spine [ 3 – 5 ].…”

Section: Introductionmentioning

confidence: 99%

Assessment of the duration and effectiveness of intra-articular lidocaine injections for groin pain in patients with labral tears involving early osteoarthritis

Fukushima

Inoue

Kawakubo

et al. 2021

SICOT-J

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Introduction: Intra-articular lidocaine injections have been used to confirm the hip pathology and may predict the efficacy of arthroscopic surgery. We have routinely performed the injections as a surgical indicator. The aim of this study was to assess the duration and effectiveness of these diagnostic intra-articular lidocaine injections on groin pain in patients with labral tears involving early osteoarthritis. Methods: A total of 113 patients were included in this study. All patients received one injection of 10 ml of 1% lidocaine into the hip joint under fluoroscopy. The duration and effectiveness of the injection were assessed 2 weeks after the injection and at a minimum of 1 year of follow-up. The effect of the injection was graded as 0: unchanged or worse; 1: an effect only on the day of injection; 2: the effect lasted a few days; 3: the effect lasted about a week; and 4: symptom remission. In addition, we recorded whether hip arthroscopic surgery was eventually performed. Results: The effect was rated as 0 in 19 patients (16.8%), as 1 in 30 patients (26.5%), as 2 in 38 patients (33.6%), as 3 in 13 patients (11.5%), and as 4 in 13 patients (11.5%). Seventy-two patients (63.7%) underwent hip arthroscopic surgery. No relationship with patients’ characteristics was found. Conclusion: In total, 83% of patients experienced some effect of the lidocaine injection. Furthermore, 11.5% of patients experienced complete remission of their symptoms.

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“…As well, with the advent of more advanced imaging 15 and the increased utilization of hip arthroscopy, diagnosis of intra- and extra-articular hip and groin conditions has become more precise. 14 In addition, prior studies have found retired professional athletes to be at an increased risk of both knee 1,17 and hip osteoarthritis, 17 though these studies did not include basketball players.…”

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confidence: 99%

Hip and Groin Injuries in Professional Basketball Players: Impact on Playing Career and Quality of Life After Retirement

Ekhtiari

Khan

Burrus

et al. 2019

Sports Health: A Multidisciplinary Approach

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Ekhtiari et al L ower extremity injuries are the most common type of injuries sustained by professional basketball players, accounting for nearly two-thirds (62%) of all injuries. 6 This is likely related to the significant volume and intensity of activity, including jumping, running, and pivoting movements, professional basketball players perform throughout their careers. In a 17-year study by Drakos et al, 6 the overall incidence of injury was 19.1 per 1000 athlete-exposures in the National Basketball Association (NBA), with the majority involving the lower extremities. In addition to acute injuries, professional basketball players are also 838274S PHXXX10.

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The current situation in hip arthroscopy

Cited by 18 publications

References 76 publications

Femoroacetabular Impingement: What the Surgeon Wants to Know

Femoroacetabular Impingement: What the Surgeon Wants to Know

Assessment of the duration and effectiveness of intra-articular lidocaine injections for groin pain in patients with labral tears involving early osteoarthritis

Hip and Groin Injuries in Professional Basketball Players: Impact on Playing Career and Quality of Life After Retirement

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