Arthroscopy: The Journal of Arthroscopic & Related Surgery
Original ArticleHip Arthroscopy for Femoroacetabular Impingement in Patients Aged 50 Years or Older
Section snippets
Methods
Between 2006 and 2008, prospectively collected data from a referral center for hip arthroscopy were retrieved from our database on patients aged 50 years or older. Patients presented for treatment of disabling hip pain. All patients were prospectively enrolled in an institutional review board–approved follow-up study.
Patients underwent physical examination maneuvers that were specific to the hip with suspected FAI. These included range of motion (flexion, adduction, abduction, internal
Results
Of the patients, 7 had surgery less than 90 days after the onset of their symptoms, 45 had surgery between 90 days and 1 year after symptom onset, and 101 had surgery greater than 1 year after symptom onset. Of the patients, 15% (n = 23) reported a sudden traumatic event 21% (n = 32) reported sudden onset with no minimal or no perturbations, and 63% (98) of the patients reported gradual onset of symptoms.
On radiographic examination, the mean α angle of the injured hip was 69° (range, 20° to
Discussion
Numerous studies have shown that patients see improvement in pain and function after arthroscopic treatment of FAI.1, 2, 3, 4, 5, 6 Most of these studies focus on the young active population. With many individuals remaining highly active past the age of 50 years, we wanted to determine whether hip arthroscopy is indicated for FAI in the patient aged 50 years or older. Hip arthroscopy allowed for improvement in function, activities of daily living, and sports; however, patients were more likely
Conclusions
On the basis of early results, patients with greater than 2 mm of joint space can expect improvement in pain and function after hip arthroscopy for FAI. In patients aged 50 years or older with 2 mm of joint space or less and low preoperative MHHSs, early conversion to THR was seen.
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2023, Arthroscopy - Journal of Arthroscopic and Related SurgeryLateral to Medial Joint Space Ratio is Predictive of Survivorship After Primary Hip Arthroscopy
2023, Arthroscopy - Journal of Arthroscopic and Related SurgeryCitation Excerpt :These include morphological features such as acetabular coverage and cam morphology, as well as narrowing of the joint space. Several studies have suggested a cut-off point of 2-millimeter (mm) joint space as indicating preexisting arthritis.7,8 However, in a large study comparing radiographic joint space to intraoperative cartilage damage in patients undergoing hip arthroscopy, joint space width did not strongly associate with increased intraarticular damage.9
A scholarship was provided by grants from the Instituto Brasil de Tecnologias da Saude to Bruno G. Schroder e Souza (2009/2010 Visiting Scholar in Hip Arthroscopy and Biomechanics at Steadman Philippon Research Institute). M.J.P. is a board member of Steadman Philippon Research Institute, owner of HIPCO, MIS, and committee member of ISHA, and AOSSM; receives royalties from Smith & Nephew, Bledsoe, DonJoy, Slack, Elsevier, and Arthrosurface; is a paid consultant of Smith & Nephew, MIS; and has stock or stock options in Arthrosurface, HIPCO, and MIS. All authors receive research or institutional support from Smith & Nephew, Siemens, Ossur, and Arthrex.