Impacto subespinhal do quadril: Resultados clínicos e radiográficos do tratamento artroscópico

Okamoto, Bruno

doi:10.1055/s-0040-1713760

Cited by 8 publications

(5 citation statements)

References 24 publications

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“…The ten patients were "very" or "pretty" satisfied, in accordance with the previous literature. Results described in the literature are very satisfactory and few complications have been described, so although the evidence is poor, arthroscopic subspine decompression could become in the future the gold standard in this pathology [3,11,28]. All our patients began with symptoms when doing sports.…”

Section: Discussionmentioning

confidence: 76%

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

Borrego

Garcia

Barragán

et al. 2023

Arch Orthop Trauma Surg

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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.

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Section: Discussionmentioning

confidence: 76%

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

Borrego

Garcia

Barragán

et al. 2023

Arch Orthop Trauma Surg

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“…Among the total hips identified, 85% (529 hips) underwent AIIS decompression, 85% (530 hips) underwent femoral osteochondroplasty, and 74% (458 hips) underwent labral repair (Table 4). Labral repair was more commonly performed than labral debridement in all included studies except Roos et al, 32 who performed 6 repairs (21% of patients) versus 16 debridements (57% of patients).…”

Section: Resultsmentioning

confidence: 99%

“…25 The remaining complication was a perineal skin laceration attributed to the use of a perineal traction post. 32 There were no cases of iatrogenic rectus injury or fluid extravasation as a result of AIIS decompression.…”

Section: Patient-reported Outcomesmentioning

confidence: 85%

“…Articles describing arthroscopic hip preservation surgery (FAI, dysplasia, isolated AIIS impingement) Review articles Assessment of incidence of AIIS impingement and arthroscopic decompression Case reports Evaluation of patient characteristics and radiographic parameters related to AIIS impingement Technique articles Evaluation of objective or subjective outcomes of patients after AIIS decompression Non-English language articles Minimum mean follow-up of 6 months for reported outcomes a AIIS, anterior inferior iliac spine; FAI, femoroacetabular impingement. § except Roos et al, 32 who performed 6 repairs (21% of patients) versus 16 debridements (57% of patients).…”

Section: Inclusion Criteria Exclusion Criteriamentioning

confidence: 99%

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Outcomes of Arthroscopic Decompression of the Anterior Inferior Iliac Spine: A Systematic Review and Meta-analysis

et al. 2022

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Background: Anterior inferior iliac spine (AIIS) impingement has been increasingly recognized as a source of extra-articular impingement and hip pain. However, no aggregate data analysis of patient outcomes after AIIS decompression has been performed. Purpose: To evaluate outcomes after arthroscopic AIIS decompression. Study Design: Meta-analysis; Level of evidence, 4. Methods: A systematic review was performed according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. PubMed, EMBASE, and Cochrane Central Register of Controlled Trials were queried for all English-language studies reporting outcomes of arthroscopic AIIS decompression performed in isolation or in conjunction with hip impingement correction surgery. After screening, 10 articles were included. The indications for AIIS decompression were recorded, and weighted mean improvements in patient-reported outcome (PRO) scores, complication rates, and revision rates were calculated. Results: A total of 547 patients (311 women; 57%) were identified, with a total of 620 operative hips. The mean age was 28.42 ± 5.6 years, and the mean follow-up was 25.22 ± 11.1 months. A total of 529 hips (85%) underwent AIIS decompression, 530 hips (85%) underwent femoral osteochondroplasty, and 458 hips (74%) underwent labral repair. Of the patients, 13% underwent bilateral AIIS decompression. The mean modified Harris Hip Score improved from 61.3 ± 6.9 to 88.7 ± 4.7 postoperatively (change, 27.4 ± 5.7 points; P < .001), the Hip Outcome Score–Activities of Daily Living improved from 67.2 ± 10.6 to 91.1 ± 3.2 postoperatively (change, 24.0 ± 8.0 points; P = .001), and the Hip Outcome Score–Sports Specific Subscale improved from 36.8 ± 19.2 to 82.8 ± 3.8 postoperatively (change, 46.0 ± 18.2 points; P = .002). The pooled risk of postoperative complications was 1.1% (95% CI, 0.1%-2.1%), and the pooled risk of needing revision surgery was 1.0% (95% CI, 0.1%-2.0%). No complication was directly attributed to the AIIS decompression portion of the procedure. Conclusion: PROs improved significantly after hip arthroscopy with AIIS decompression, with a low risk of postoperative complications and subsequent revision surgeries. Failure to identify extra-articular sources of hip pain in outcomes of femoroacetabular impingement syndrome, including from the AIIS, could lead to poorer outcomes and future revision surgery.

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“…In this study, Roos et al [ 2 ], from Brazil, evaluated the clinical and radiographic results, as well as complications related to patients undergoing arthroscopic treatment of subspine hip impingement. They retrospectively evaluated 25 patients (28 hips) who underwent arthroscopic treatment of subspine impingement between January 2012 and June 2018.…”

Section: Subspine Hip Impingement: Clinical and Radiographic Results Of Its Arthroscopic Treatmentmentioning

confidence: 99%

What the papers say

Bajwa

2020

Journal of Hip Preservation Surgery

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Impacto subespinhal do quadril: Resultados clínicos e radiográficos do tratamento artroscópico

Cited by 8 publications

References 24 publications

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

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

Outcomes of Arthroscopic Decompression of the Anterior Inferior Iliac Spine: A Systematic Review and Meta-analysis

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