Persistent or recurrent symptoms after arthroscopic surgery for femoroacetabular impingement: A review of imaging findings

2018 ◽  
Vol 63 (1) ◽  
pp. 15-24 ◽  
Author(s):  
Rebecca M Woodward ◽  
Marc J Philippon
Keyword(s):  
Femoroacetabular Impingement ◽  
Arthroscopic Surgery ◽  
Imaging Findings

scholarly journals Influence of Femoral Version on the Outcomes of Hip Arthroscopic Surgery for Femoroacetabular Impingement or Labral Tears: A Systematic Review and Meta-analysis

2021 ◽  
Vol 9 (6) ◽  
pp. 232596712110091
Author(s):  
Chenghui Wang ◽  
Yaying Sun ◽  
Zheci Ding ◽  
Jinrong Lin ◽  
Zhiwen Luo ◽  
...  
Keyword(s):  
Systematic Review ◽  
Patient Satisfaction ◽  
Femoroacetabular Impingement ◽  
Arthroscopic Surgery ◽  
Harris Hip Score ◽  
Cochrane Library ◽  
Femoral Version ◽  
Labral Tears ◽  
Significant Difference ◽  
Secondary Outcomes

Background: It remains controversial whether abnormal femoral version (FV) affects the outcomes of hip arthroscopic surgery for femoroacetabular impingement (FAI) or labral tears. Purpose: To review the outcomes of hip arthroscopic surgery for FAI or labral tears in patients with normal versus abnormal FV. Study Design: Systematic review; Level of evidence, 4. Methods: Embase, PubMed, and the Cochrane Library were searched in July 2020 for studies reporting the outcomes after primary hip arthroscopic surgery for FAI or labral tears in patients with femoral retroversion (<5°), femoral anteversion (>20°), or normal FV (5°-20°). The primary outcome was the modified Harris Hip Score (mHHS), and secondary outcomes were the visual analog scale (VAS) for pain, Hip Outcome Score–Sport-Specific Subscale (HOS-SSS), Non-Arthritic Hip Score (NAHS), failure rate, and patient satisfaction. The difference in preoperative and postoperative scores (Δ) was also calculated when applicable. Results: Included in this review were 5 studies with 822 patients who underwent hip arthroscopic surgery for FAI or labral tears; there were 166 patients with retroversion, 512 patients with normal version, and 144 patients with anteversion. Patients with retroversion and normal version had similar postoperative mHHS scores (mean difference [MD], 2.42 [95% confidence interval (CI), –3.42 to 8.26]; P = .42) and ΔmHHS scores (MD, –0.70 [96% CI, –8.56 to 7.15]; P = .86). Likewise, the patients with anteversion and normal version had similar postoperative mHHS scores (MD, –3.09 [95% CI, –7.66 to 1.48]; P = .18) and ΔmHHS scores (MD, –1.92 [95% CI, –6.18 to 2.34]; P = .38). Regarding secondary outcomes, patients with retroversion and anteversion had similar ΔNAHS scores, ΔHOS-SSS scores, ΔVAS scores, patient satisfaction, and failure rates to those with normal version, although a significant difference was found between the patients with retroversion and normal version regarding postoperative NAHS scores (MD, 5.96 [95% CI, 1.66-10.26]; P = .007) and postoperative HOS-SSS scores (MD, 7.32 [95% CI, 0.19-14.44]; P = .04). Conclusion: The results of this review indicated that abnormal FV did not significantly influence outcomes after hip arthroscopic surgery for FAI or labral tears.

scholarly journals Efficacy of Osseous Abnormalities Correction with Arthroscopic Surgery in Femoroacetabular Impingement

Cartilage ◽  
2010 ◽  
Vol 1 (3) ◽  
pp. 233-237 ◽  
Author(s):  
Daniel R. Camacho Alvarez ◽  
Rodrigo M. Mardones
Keyword(s):  
Femoroacetabular Impingement ◽  
Arthroscopic Surgery

Return to sport after arthroscopic surgery for femoroacetabular impingement

The Surgeon ◽  
2021 ◽  
Author(s):  
Filippo Migliorini ◽  
Alice Baroncini ◽  
Jörg Eschweiler ◽  
Matthias Knobe ◽  
Markus Tingart ◽  
...  
Keyword(s):  
Femoroacetabular Impingement ◽  
Arthroscopic Surgery ◽  
Return To Sport

The prevalence of athletic pubalgia imaging findings on MRI in patients with femoroacetabular impingement

2020 ◽  
Vol 49 (8) ◽  
pp. 1249-1258
Author(s):  
Sowmya Varada ◽  
Matthew P. Moy ◽  
Fangbai Wu ◽  
Michael J. Rasiej ◽  
Diego Jaramillo ◽  
...  
Keyword(s):  
Femoroacetabular Impingement ◽  
Imaging Findings ◽  
Athletic Pubalgia

Imaging findings of femoroacetabular impingement syndrome: focusing on mixed-type impingement

2010 ◽  
Vol 34 (2) ◽  
pp. 116-120 ◽  
Author(s):  
Suk-Joo Hong ◽  
Won Yong Shon ◽  
Chang Yoon Lee ◽  
Jae Sung Myung ◽  
Chang Ho Kang ◽  
...  
Keyword(s):  
Femoroacetabular Impingement ◽  
Mixed Type ◽  
Impingement Syndrome ◽  
Imaging Findings ◽  
Femoroacetabular Impingement Syndrome

Prevalence of Femoroacetabular Impingement Imaging Findings in Asymptomatic Volunteers: A Systematic Review

2015 ◽  
Vol 31 (6) ◽  
pp. 1199-1204 ◽  
Author(s):  
Jonathan M. Frank ◽  
Joshua D. Harris ◽  
Brandon J. Erickson ◽  
William Slikker ◽  
Charles A. Bush-Joseph ◽  
...  
Keyword(s):  
Systematic Review ◽  
Femoroacetabular Impingement ◽  
Imaging Findings ◽  
Asymptomatic Volunteers

scholarly journals High prevalence of hip lesions secondary to arthroscopic over- or undercorrection of femoroacetabular impingement in patients with postoperative pain

2021 ◽  
Author(s):  
Malin K. Meier ◽  
Till D. Lerch ◽  
Simon D. Steppacher ◽  
Klaus A. Siebenrock ◽  
Moritz Tannast ◽  
...  
Keyword(s):  
Femoroacetabular Impingement ◽  
Hip Dysplasia ◽  
Cartilage Damage ◽  
Imaging Findings ◽  
Femoral Torsion ◽  
Postoperative Imaging ◽  
Dichotomous Data ◽  
Cam Deformity ◽  
High Prevalence ◽  
Incremental Increase

Abstract Objectives To compare the prevalence of pre- and postoperative osseous deformities and intra-articular lesions in patients with persistent pain following arthroscopic femoroacetabular impingement (FAI) correction and to identify imaging findings associated with progressive cartilage damage. Methods Retrospective study evaluating patients with hip pain following arthroscopic FAI correction between 2010 and 2018. Pre- and postoperative imaging studies were analyzed independently by two blinded readers for osseous deformities (cam-deformity, hip dysplasia, acetabular overcoverage, femoral torsion) and intra-articular lesions (chondro-labral damage, capsular lesions). Prevalence of osseous deformities and intra-articular lesions was compared with paired t-tests/McNemar tests for continuous/dichotomous data. Association between imaging findings and progressive cartilage damage was assessed with logistic regression. Results Forty-six patients (mean age 29 ± 10 years; 30 female) were included. Postoperatively, 74% (34/46) of patients had any osseous deformity including 48% (22/46) acetabular and femoral deformities. Ninety-six percent (44/46) had an intra-articular lesion ranging from 20% (9/46) for femoral to 65% (30/46) for acetabular cartilage lesions. Prevalence of hip dysplasia increased (2 to 20%, p = 0.01) from pre- to postoperatively while prevalence of cam-deformity decreased (83 to 28%, p < 0.001). Progressive cartilage damage was detected in 37% (17/46) of patients and was associated with extensive preoperative cartilage damage > 2 h, i.e., > 60° (OR 7.72; p = 0.02) and an incremental increase in postoperative alpha angles (OR 1.18; p = 0.04). Conclusion Prevalence of osseous deformities secondary to over- or undercorrrection was high. Extensive preoperative cartilage damage and higher postoperative alpha angles increase the risk for progressive degeneration. Key Points • The majority of patients presented with osseous deformities of the acetabulum or femur (74%) and with intra-articular lesions (96%) on postoperative imaging. • Prevalence of hip dysplasia increased (2 to 20%, p = 0.01) from pre- to postoperatively while prevalence of a cam deformity decreased (83 to 28%, p < 0.001). • Progressive cartilage damage was present in 37% of patients and was associated with extensive preoperative cartilage damage > 2 h (OR 7.72; p = 0.02) and with an incremental increase in postoperative alpha angles (OR 1.18; p = 0.04).

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