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Good functional outcomes after endoscopic treatment for greater trochanteric pain syndrome

PURPOSE: Greater trochanteric pain syndrome (GTPS) is a term covering different conditions generating lateral hip pain. Recalcitrant cases may require surgery but there are only a few studies evaluating endoscopic treatment. This study aimed to evaluate the outcome of endoscopically treated GTPS at...

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Autores principales: Karlsson, Louise, Quist, Philip, Helander, Katarina Nilsson, Snaebjörnsson, Thorkell, Stålman, Anders, Lindman, Ida, Öhlin, Axel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10014635/
https://www.ncbi.nlm.nih.gov/pubmed/36918447
http://dx.doi.org/10.1186/s40634-023-00574-3
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author Karlsson, Louise
Quist, Philip
Helander, Katarina Nilsson
Snaebjörnsson, Thorkell
Stålman, Anders
Lindman, Ida
Öhlin, Axel
author_facet Karlsson, Louise
Quist, Philip
Helander, Katarina Nilsson
Snaebjörnsson, Thorkell
Stålman, Anders
Lindman, Ida
Öhlin, Axel
author_sort Karlsson, Louise
collection PubMed
description PURPOSE: Greater trochanteric pain syndrome (GTPS) is a term covering different conditions generating lateral hip pain. Recalcitrant cases may require surgery but there are only a few studies evaluating endoscopic treatment. This study aimed to evaluate the outcome of endoscopically treated GTPS at minimum two years postoperatively using patient-reported outcome measures (PROMs), and to assess the complication rate associated with endoscopic surgery. METHODS: A total of 33 patients, mean age 43.2 years, 88% women, with a mean symptom duration of 3.5 years, were included in the study. A total of 36 operated hips were included. Pre- and at minimum two years postoperatively the patients completed questionnaires consisting of the International Hip Outcome Tool (iHOT-12) and the Hip Sports Activity scale (HSAS), the Visual analogue scale for overall hip function (VAS-OHF), the Copenhagen Hip and Groin Outcome Score (HAGOS), the EuroQoL-5 Dimension Questionnaire (EQ-5D) and the EQ-VAS. Complications were assessed using the Clavien-Dindo classification. RESULTS: Median follow-up time was 24.5 months postoperatively. Statistically significant improvements were seen for the following PROMs (p < 0.05); iHOT-12 (36.3 vs 54.0), HAGOS different subscores (40.8 vs 59.0, 46.5 vs 62.6, 29.9 vs 53.1, 33.5 vs 51.4, 20.7 vs 41.4, 23.4 vs 43.3), EQ-VAS (55.9 vs 63.3) and EQ-5D (0.392 vs 0.648). VAS-OHF and HSAS did not reach significance. There was a 71% satisfaction rate with the surgery. Three Clavien-Dindo grade 1 and one grade 2 complications were registered postoperatively, with 41% of patients achieving PASS for iHOT-12 at two years follow-up. CONCLUSION: Endoscopic surgery for greater trochanteric pain syndrome improved patient-reported outcomes and the procedure was associated with low risk of complications. LEVEL OF EVIDENCE: Level IV.
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spelling pubmed-100146352023-03-16 Good functional outcomes after endoscopic treatment for greater trochanteric pain syndrome Karlsson, Louise Quist, Philip Helander, Katarina Nilsson Snaebjörnsson, Thorkell Stålman, Anders Lindman, Ida Öhlin, Axel J Exp Orthop Original Paper PURPOSE: Greater trochanteric pain syndrome (GTPS) is a term covering different conditions generating lateral hip pain. Recalcitrant cases may require surgery but there are only a few studies evaluating endoscopic treatment. This study aimed to evaluate the outcome of endoscopically treated GTPS at minimum two years postoperatively using patient-reported outcome measures (PROMs), and to assess the complication rate associated with endoscopic surgery. METHODS: A total of 33 patients, mean age 43.2 years, 88% women, with a mean symptom duration of 3.5 years, were included in the study. A total of 36 operated hips were included. Pre- and at minimum two years postoperatively the patients completed questionnaires consisting of the International Hip Outcome Tool (iHOT-12) and the Hip Sports Activity scale (HSAS), the Visual analogue scale for overall hip function (VAS-OHF), the Copenhagen Hip and Groin Outcome Score (HAGOS), the EuroQoL-5 Dimension Questionnaire (EQ-5D) and the EQ-VAS. Complications were assessed using the Clavien-Dindo classification. RESULTS: Median follow-up time was 24.5 months postoperatively. Statistically significant improvements were seen for the following PROMs (p < 0.05); iHOT-12 (36.3 vs 54.0), HAGOS different subscores (40.8 vs 59.0, 46.5 vs 62.6, 29.9 vs 53.1, 33.5 vs 51.4, 20.7 vs 41.4, 23.4 vs 43.3), EQ-VAS (55.9 vs 63.3) and EQ-5D (0.392 vs 0.648). VAS-OHF and HSAS did not reach significance. There was a 71% satisfaction rate with the surgery. Three Clavien-Dindo grade 1 and one grade 2 complications were registered postoperatively, with 41% of patients achieving PASS for iHOT-12 at two years follow-up. CONCLUSION: Endoscopic surgery for greater trochanteric pain syndrome improved patient-reported outcomes and the procedure was associated with low risk of complications. LEVEL OF EVIDENCE: Level IV. Springer Berlin Heidelberg 2023-03-15 /pmc/articles/PMC10014635/ /pubmed/36918447 http://dx.doi.org/10.1186/s40634-023-00574-3 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Paper
Karlsson, Louise
Quist, Philip
Helander, Katarina Nilsson
Snaebjörnsson, Thorkell
Stålman, Anders
Lindman, Ida
Öhlin, Axel
Good functional outcomes after endoscopic treatment for greater trochanteric pain syndrome
title Good functional outcomes after endoscopic treatment for greater trochanteric pain syndrome
title_full Good functional outcomes after endoscopic treatment for greater trochanteric pain syndrome
title_fullStr Good functional outcomes after endoscopic treatment for greater trochanteric pain syndrome
title_full_unstemmed Good functional outcomes after endoscopic treatment for greater trochanteric pain syndrome
title_short Good functional outcomes after endoscopic treatment for greater trochanteric pain syndrome
title_sort good functional outcomes after endoscopic treatment for greater trochanteric pain syndrome
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10014635/
https://www.ncbi.nlm.nih.gov/pubmed/36918447
http://dx.doi.org/10.1186/s40634-023-00574-3
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