Cargando…

Subspine femoroacetabular impingement: retrospective study of a series of patients treated by hip arthroscopic resection

BACKGROUND: Femoroacetabular impingement syndrome (FAIS) is a common hip pathology that causes pain and functional limitation in young patients. subspine femoroacetabular impingement (SFAI) is an increasingly diagnosed extra-articular subtype that occurs from mechanical conflict of the anteroinferio...

Descripción completa

Detalles Bibliográficos
Autores principales: Frances Borrego, Alberto, Martinez Garcia, Alvaro, Del Baño Barragán, Laura, Rodríguez González, Alberto, Echevarría Marín, Marta, Marco Martinez, Fernando
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10374478/
https://www.ncbi.nlm.nih.gov/pubmed/36752833
http://dx.doi.org/10.1007/s00402-022-04761-2
_version_ 1785078784827850752
author Frances Borrego, Alberto
Martinez Garcia, Alvaro
Del Baño Barragán, Laura
Rodríguez González, Alberto
Echevarría Marín, Marta
Marco Martinez, Fernando
author_facet Frances Borrego, Alberto
Martinez Garcia, Alvaro
Del Baño Barragán, Laura
Rodríguez González, Alberto
Echevarría Marín, Marta
Marco Martinez, Fernando
author_sort Frances Borrego, Alberto
collection PubMed
description BACKGROUND: Femoroacetabular impingement syndrome (FAIS) is a common hip pathology that causes pain and functional limitation in young patients. subspine femoroacetabular impingement (SFAI) is an increasingly diagnosed extra-articular subtype that occurs from mechanical conflict of the anteroinferior iliac spine (AIIS) with the cervico-diaphyseal junction during hip flexion, which is poorly described in the literature. QUESTIONS/PURPOSES: We aimed to describe the clinical, functional, and radiological results of the arthroscopic treatment of a group of patients with SFAI treated in our Hip Unit. STUDY DESIGN: Case series. METHODS: We present a retrospective study of ten patients with SFAI treated between 2013 and 2020 with arthroscopic resection. Clinical results were assessed with scales such as visual analog scale (VAS); modified Harris Hip Score (mHHS), and Hip disability and Osteoarthritis Outcome Score (HOOS). Radiological results were assessed with radiological measurements, magnetic resonance imaging (MRI), and computed tomography (CT) reconstructions. RESULTS: Six patients had a Type III AIIS and four of them had Type II. Two patients had previously been surgically treated for FAIS. The range of motion improved in flexion from 107 ± 11 degrees before surgery to 127.5 ± 6 degrees (p = 0.005). MHHS improved from 48.1 (38–75.3) before surgery to 83.1 (57–91) (p = 0.007) and HOOS improved from 65.2 (58–75) to 89 (68.1–100) (p = 0.007). VAS improved from 7.3 (5–9) pre-surgical to 2.5 (0–8) post-surgical (p = 0.005). We did not have significant complications except for an asymptomatic case of heterotopic ossification (Brooker I). CONCLUSION: Arthroscopic decompression of AIIS in SFAI patients is a safe procedure that provides satisfactory short-term functional results, improving clinical symptoms, function, sports performance, and range of motion in our study.
format Online
Article
Text
id pubmed-10374478
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Springer Berlin Heidelberg
record_format MEDLINE/PubMed
spelling pubmed-103744782023-07-29 Subspine femoroacetabular impingement: retrospective study of a series of patients treated by hip arthroscopic resection Frances Borrego, Alberto Martinez Garcia, Alvaro Del Baño Barragán, Laura Rodríguez González, Alberto Echevarría Marín, Marta Marco Martinez, Fernando Arch Orthop Trauma Surg Trauma Surgery BACKGROUND: Femoroacetabular impingement syndrome (FAIS) is a common hip pathology that causes pain and functional limitation in young patients. subspine femoroacetabular impingement (SFAI) is an increasingly diagnosed extra-articular subtype that occurs from mechanical conflict of the anteroinferior iliac spine (AIIS) with the cervico-diaphyseal junction during hip flexion, which is poorly described in the literature. QUESTIONS/PURPOSES: We aimed to describe the clinical, functional, and radiological results of the arthroscopic treatment of a group of patients with SFAI treated in our Hip Unit. STUDY DESIGN: Case series. METHODS: We present a retrospective study of ten patients with SFAI treated between 2013 and 2020 with arthroscopic resection. Clinical results were assessed with scales such as visual analog scale (VAS); modified Harris Hip Score (mHHS), and Hip disability and Osteoarthritis Outcome Score (HOOS). Radiological results were assessed with radiological measurements, magnetic resonance imaging (MRI), and computed tomography (CT) reconstructions. RESULTS: Six patients had a Type III AIIS and four of them had Type II. Two patients had previously been surgically treated for FAIS. The range of motion improved in flexion from 107 ± 11 degrees before surgery to 127.5 ± 6 degrees (p = 0.005). MHHS improved from 48.1 (38–75.3) before surgery to 83.1 (57–91) (p = 0.007) and HOOS improved from 65.2 (58–75) to 89 (68.1–100) (p = 0.007). VAS improved from 7.3 (5–9) pre-surgical to 2.5 (0–8) post-surgical (p = 0.005). We did not have significant complications except for an asymptomatic case of heterotopic ossification (Brooker I). CONCLUSION: Arthroscopic decompression of AIIS in SFAI patients is a safe procedure that provides satisfactory short-term functional results, improving clinical symptoms, function, sports performance, and range of motion in our study. Springer Berlin Heidelberg 2023-02-08 2023 /pmc/articles/PMC10374478/ /pubmed/36752833 http://dx.doi.org/10.1007/s00402-022-04761-2 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 Trauma Surgery
Frances Borrego, Alberto
Martinez Garcia, Alvaro
Del Baño Barragán, Laura
Rodríguez González, Alberto
Echevarría Marín, Marta
Marco Martinez, Fernando
Subspine femoroacetabular impingement: retrospective study of a series of patients treated by hip arthroscopic resection
title Subspine femoroacetabular impingement: retrospective study of a series of patients treated by hip arthroscopic resection
title_full Subspine femoroacetabular impingement: retrospective study of a series of patients treated by hip arthroscopic resection
title_fullStr Subspine femoroacetabular impingement: retrospective study of a series of patients treated by hip arthroscopic resection
title_full_unstemmed Subspine femoroacetabular impingement: retrospective study of a series of patients treated by hip arthroscopic resection
title_short Subspine femoroacetabular impingement: retrospective study of a series of patients treated by hip arthroscopic resection
title_sort subspine femoroacetabular impingement: retrospective study of a series of patients treated by hip arthroscopic resection
topic Trauma Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10374478/
https://www.ncbi.nlm.nih.gov/pubmed/36752833
http://dx.doi.org/10.1007/s00402-022-04761-2
work_keys_str_mv AT francesborregoalberto subspinefemoroacetabularimpingementretrospectivestudyofaseriesofpatientstreatedbyhiparthroscopicresection
AT martinezgarciaalvaro subspinefemoroacetabularimpingementretrospectivestudyofaseriesofpatientstreatedbyhiparthroscopicresection
AT delbanobarraganlaura subspinefemoroacetabularimpingementretrospectivestudyofaseriesofpatientstreatedbyhiparthroscopicresection
AT rodriguezgonzalezalberto subspinefemoroacetabularimpingementretrospectivestudyofaseriesofpatientstreatedbyhiparthroscopicresection
AT echevarriamarinmarta subspinefemoroacetabularimpingementretrospectivestudyofaseriesofpatientstreatedbyhiparthroscopicresection
AT marcomartinezfernando subspinefemoroacetabularimpingementretrospectivestudyofaseriesofpatientstreatedbyhiparthroscopicresection