Purpose: To report the outcomes of endoscopic repair in a consecutive series of patients with follow-up ranging from 5 to 10 years.
Methods: Sixty-five consecutive hips in 63 patients (2 bilateral) undergoing endoscopic abductor tendon repair with minimum 5-year follow-up were assessed with the modified Harris Hip Score. The minimal clinically important difference (MCID) was determined as one-half the standard deviation of the amount of improvement.
Bull riders represent a microcosm of athletes in whom severe consequences of femoroacetabular impingement may challenge the limits of arthroscopic intervention. Observations of this cohort may provide meaningful insight into the treatment of other populations. All patients undergoing hip arthroscopy are prospectively assessed with a modified Harris Hip Score.
View Article and Find Full Text PDFPurpose: To determine the prevalence of ipsilateral sacroiliac (SI) joint disease among patients with symptomatic femoroacetabular impingement (FAI) associated with labral ossification (LO) who underwent hip arthroscopy compared with a matched control group of patients with symptomatic FAI and no LO.
Methods: Computed tomography (CT) scans of all patients undergoing arthroscopic correction of FAI were obtained. The inclusion criterion for the study group was a diagnosis of FAI with a secondary diagnosis of LO made by plain radiography, CT, or magnetic resonance imaging or made intraoperatively.
Purpose: To report the results of labral repair in a population of patients older than 60 years and compare these with a matched population of younger adults.
Methods: We compared 21 consecutive patients older than 60 years undergoing labral repair with minimum 1-year follow-up with a contemporaneous group of 21 patients aged 18 to 55 years matched for sex, degree of chondral damage, and associated femoroacetabular impingement or dysplasia.
Results: Follow-up averaged 18.
Based on a previously reported study, it is hypothesized that Tönnis 2 changes may not be a harbinger of poor results. The purpose is to report outcomes comparing Tönnis 2 changes to those with Tönnis 0&1 changes. Previously published outcomes (modified Harris Hip Score and return to sport) among 200 consecutive athletes undergoing arthroscopic correction of femoroacetabular impingement with minimum 1-year follow-up were correlated with the Tönnis grade.
View Article and Find Full Text PDFPurpose: To define the outcomes of arthroscopic correction of femoroacetabular impingement (FAI) based on Tönnis findings within a previously reported patient population, including a comparative analysis of Tönnis grade 0 and 1 versus grade 2 changes.
Methods: Outcomes (modified Harris Hip Score [mHHS]) of a previously published study of arthroscopic correction of FAI were correlated with Tönnis grade. The inclusion criteria were the first 100 consecutive patients undergoing arthroscopic FAI correction with minimum 2-year follow-up.
Purpose: To report on the incidence and features of intraoperative anchor pullout in a consecutive series of patients undergoing arthroscopic labral repair of the hip.
Methods: Over an 18-month period, 434 consecutive cases underwent labral repair by a single surgeon with a particular anchor system. The following data were recorded: (1) age and gender of all cases; (2) number of anchors used; (3) number of cases in which intraoperative anchor failure occurred; (4) number of anchors that failed; and (5) age and gender of those cases in which anchor failure occurred.
Hip problems due to dysplasia are commonly associated with female athletes in sports demanding supraphysiologic motion, such as ballet, gymnastics and figure skating. However, hip problems are rarely mentioned among wrestlers, a male sport in which flexibility is advantageous. Dysplasia may have a mostly unrecognized prevalence among wrestlers that can lead to problems and benefit from reorientation periacetabular osteotomy (PAO).
View Article and Find Full Text PDFThe purpose of this study is to report on the operative findings and the outcomes of revision hip arthroscopy. All hip arthroscopy cases are prospectively assessed with a modified Harris Hip Score (mHHS) preoperatively and postoperatively. This study consists of 190 consecutive hips (186 patients) who underwent revision arthroscopy with minimum 2-year follow-up.
View Article and Find Full Text PDFJ Hip Preserv Surg
January 2017
Abductor lesions are increasingly recognized as a source of recalcitrant laterally based hip pain and dysfunction. There is a growing body of evidence that many of these may be amenable to endoscopic repair. To report the demographic data and outcomes of endoscopic hip abductor repair.
View Article and Find Full Text PDFSuccessful hip arthroscopy depends on proper patient selection and reasonable patient expectations. The purpose of this study is to report the results of hip arthroscopy in orthopaedic surgeons who represent the most informed cohort. This report is based on a retrospective review of prospectively collected data among 24 orthopaedic surgeons (1 bilateral).
View Article and Find Full Text PDFBackground: Adolescent athletes with symptomatic femoroacetabular impingement (FAI) may respond well to arthroscopic intervention.
Purpose: This study reports the outcomes of arthroscopic treatment for symptomatic FAI in adolescents.
Study Design: Case series; Level of evidence, 4.
Purpose: To report the outcomes of hip arthroscopy for adolescent patients with symptomatic femoroacetabular impingement (FAI) in relation to a control group of adult patients treated arthroscopically for FAI.
Methods: All patients undergoing hip arthroscopy were assessed with a modified Harris Hip Score preoperatively and postoperatively at 3, 12, 24, and 60 months. Inclusion criteria were all patients less than 18 years of age who underwent arthroscopic surgery for symptomatic FAI and had achieved minimum 1-year follow-up.
Hip disorders are increasingly recognized among athletic populations. The rigors of military service expose individuals to the same risks as those participating in competitive sports, compounded by potential exposure to violent macrotrauma. This is a retrospective review of prospectively collected data among 62 active duty military personnel (64 hips) with 2-10-year follow-up.
View Article and Find Full Text PDFPurpose: To describe the clinical findings associated with labral ossification (LO), report the outcomes of arthroscopic treatment, and compare this condition to a control group with femoroacetabular impingement (FAI).
Methods: A retrospective review of hip arthroscopy patients from 2004 to 2013 was performed to identify patients with a diagnosis of pincer FAI with LO and at least 2 years of follow-up. Diagnosis was made by plain radiograph, computed tomography, magnetic resonance imaging, or intraoperatively.
Purpose: To report the results of hip arthroscopy among high-level baseball players as recorded by outcome scores and return to baseball.
Methods: All patients undergoing hip arthroscopy were prospectively assessed with the modified Harris Hip Score. On review of all procedures performed over a 12-year period, 44 hips were identified among 41 intercollegiate or professional baseball players who had achieved 2-year follow-up.
Purpose: The purpose of this study was to assess the results and outcomes of primary repair of the torn acetabular labrum.
Methods: All patients undergoing hip arthroscopy are prospectively assessed solely with the modified Harris Hip Score, which is an outcomes tool. Over a 4-year period, 37 patients (38 hips) underwent primary repair of a torn acetabular labrum and had reached 2 years' follow-up.
Purpose: The purpose was to assess ultrasound-guided injections through patient satisfaction in a comparative internally controlled study of fluoroscopic versus ultrasound technique and to quantitate the reliability of the ultrasound method. In addition, the reliability of the ultrasound method was quantitated.
Methods: This study consisted of the first 50 consecutive patients to undergo ultrasound-guided intra-articular injection of the hip (by a nurse practitioner) and who had previously undergone fluoroscopy-guided intra-articular injections by our center's fellowship-trained musculoskeletal radiologists.
Purpose: The purpose of this study was to evaluate the results of arthroscopic treatment for pigmented villonodular synovitis (PVNS) of the hip.
Methods: All patients undergoing hip arthroscopy are prospectively assessed with a modified Harris Hip Score preoperatively and postoperatively at 3, 12, 24, 60, and 120 months. Thirteen patients were identified with histologically confirmed PVNS and minimum 2-year follow-up.
Purpose: We report the results of arthroscopic management of femoroacetabular impingement with 2-year follow-up.
Methods: All patients undergoing hip arthroscopy were prospectively assessed with the modified Harris Hip Score. Arthroscopic correction of femoroacetabular impingement was first performed in 2003.
Background: Hip pathology is a significant source of pain and dysfunction among athletic individuals and femoroacetabular impingement is often a causative factor. Arthroscopic intervention has been proposed to address the joint damage and underlying impingement.
Hypothesis: Arthroscopy may be effective in the management of symptomatic femoroacetabular impingement in athletes.
Establishing the cause of lumbo-pelvic-hip complex pain is a challenge for many clinicians. This case report describes the mechanism of injury, diagnostic process, surgical management, and rehabilitation of a female high school basketball athlete who sustained an injury when falling on her right side. Diagnostics included clinical examination, radiography of the spine and hip joint, magnetic resonance imaging arthrogram, 3-dimensional computed tomography scan, and computed tomography of the hip joint.
View Article and Find Full Text PDFBackground: Arthroscopy is a well-accepted technique in the management of many athletic-related hip disorders, yet little quantitative outcomes data have been reported.
Purpose: To report the results of hip arthroscopy in a consecutive series of athletes with 10-year follow-up.
Study Design: Case series; Level of evidence, 4.
Femoroacetabular impingement is a well-recognized cause of intra-articular pathology and secondary osteoarthritis among young adults. It has been proposed that femoroacetabular impingement that does not require periacetabular osteotomy sometimes can be managed by arthroscopic methods. Clinically relevant impingement is suspected based on the patient history, examination findings, and radiographic features.
View Article and Find Full Text PDFUnlabelled: Arthroscopic surgery of the hip is a well-established technique with numerous recognized indications. Despite the well-accepted nature of this procedure, there have been no outcomes studies with extended followup. We investigated the response to hip arthroscopy in a consecutive series of patients with 10 years followup.
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