Arthroscopic Treatment of Femoroacetabular Impingement

Polesello, Giancarlo Cavalli; Queiroz, Marcelo Cavalheiro de; Ono, Nelson Keiske; Honda, Emerson Kiyoshi; Guimarães, Rodrigo Pereira; Junior, Walter Ricioli

doi:10.1016/s2255-4971(15)30073-2

Cited by 8 publications

(18 citation statements)

References 41 publications

(67 reference statements)

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“…These mechanisms may include activities such as performing leg press exercises, ballet, yoga, spinning exercise, other gym activities, dancing, working in a squatting position and others. 24 , 25 , 26 , 27 , 28 …”

Section: Indicationsmentioning

confidence: 99%

Current possibilities for hip arthroplasty

Polesello

Guimarães

Júnior

et al. 2014

Revista Brasileira de Ortopedia (English Edition)

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Hip arthroscopy has been popularized over the last decade and, with technical advances regarding imaging diagnostics, understanding of the physiopathology or surgical techniques, several applications have been described. Both arthroscopy for intra-articular conditions and endoscopy for extra-articular procedures can be used in diagnosing or treating different conditions. This updated article has the objective of presenting the various current possibilities for hip arthroscopy.

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Section: Indicationsmentioning

confidence: 99%

Current possibilities for hip arthroplasty

Polesello

Guimarães

Júnior

et al. 2014

Revista Brasileira de Ortopedia (English Edition)

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“…Both of the known mechanisms for impingement (cam or inclusion and pincer or impaction) are related to pain, restriction of the range of motion and diminished tolerance of exercise among the individuals affected. 1 , 2 , 3 , 4 , 5 , 6 , 7 Several studies have now suggested that some of the hip osteoarthrosis cases that previously were considered to be idiopathic are secondary to FAI. 1 , 2 , 3 …”

Section: Introductionmentioning

confidence: 99%

“…Conservative treatment can be attempted first and consists of modification of high-impact physical activities, avoidance of load-bearing activities associated with excessive flexional and torsional movements (which would increase the demand on the joint) and lastly, use of anti-inflammatory drugs. 4 , 7 When the conservative treatment only brings temporary relief, surgical treatment is indicated. 4 , 7 Some authors have stated that because this is a mechanical pathological condition, delaying surgical treatment of FAI may not be beneficial for the patient.…”

Section: Introductionmentioning

confidence: 99%

“… 4 , 7 When the conservative treatment only brings temporary relief, surgical treatment is indicated. 4 , 7 Some authors have stated that because this is a mechanical pathological condition, delaying surgical treatment of FAI may not be beneficial for the patient. However, there is still no consensus in the literature in relation to this matter.…”

Section: Introductionmentioning

confidence: 99%

“…However, there is still no consensus in the literature in relation to this matter. 1 , 2 , 3 , 4 , 5 , 6 , 7 …”

Section: Introductionmentioning

confidence: 99%

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Extracapsular approach for arthroscopic treatment of femoroacetabular impingement: clinical and radiographic results and complications

Roos

Júnior

et al. 2015

Revista Brasileira de Ortopedia (English Edition)

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ObjectivesTo evaluate the clinical and radiographic results and complications relating to patients undergoing arthroscopic treatment for femoroacetabular impingement by means of an extracapsular approach.MethodsBetween January 2011 and March 2012, 49 patients (50 hips) underwent arthroscopic treatment for femoroacetabular impingement, performed by the hip surgery team of the Orthopedic Hospital of Passo Fundo, Rio Grande do Sul. Forty patients (41 hips) fulfilled all the requirements for this study. The mean follow-up was 29.1 months. The patients were assessed clinically by means of the Harris Hip score, as modified by Byrd (MHHS), the Non-Arthritic Hip score (NAHS) and the internal rotation of the hip. Their hips were also evaluated radiographically, with measurement of the CE angle, dimensions of the joint space, alpha angle, neck-head index, degree of arthrosis and presence of heterotopic ossification of the hip.ResultsOut of the 41 hips treated, 31 (75.6%) presented good or excellent clinical results. There was a mean postoperative increase of 22.1 points for the MHHS, 21.5 for the NAHS and 16.4̊ for the internal rotation of the hip (p < 0.001). Regarding the radiographic evaluation, correction to normal values was observed for the alpha angle and neck-head index, with a mean postoperative decrease of 32.9̊ and mean increase of 0.10, respectively (p < 0.001).ConclusionArthroscopic treatment of femoroacetabular impingement by means of an extracapsular approach presented satisfactory clinical and radiographic results over a mean follow-up of 29.1 months, with few complications.

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Hip Range of Motion Is Increased After Hip Arthroscopy for Femoroacetabular Impingement: A Systematic Review

Filan

Mullins

Carton

2022

Arthroscopy, Sports Medicine, and Rehabilitation

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Purpose: To investigate the impact of arthroscopic correction of symptomatic femoroacetabular impingement on postoperative hip range of motion (ROM), as an objectively measured postoperative clinically reported outcome. Methods: A systematic review of the current literature was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. PubMed, OVID/MEDLINE, EMBASE, and Cochrane databases were queried in November 2020. Studies not reporting pre-to postoperative ROM measurements were excluded. Methodologic quality was assessed using the MINORS assessment, and certainty of evidence was assessed using the GRADE approach. Effect size using standardized mean differences assessed magnitude of change between pre-and postoperative ROM. Results: In total, 23 studies were included evaluating 2,332 patients. Mean age ranged from 18 to 44.2 years. Flexion, internal rotation (IR), and external rotation (ER) were the predominantly measured ROMs reported in 91%, 100% and 65% of studies, respectively. Observed change following hip arthroscopy was considered significant in 57.1% (flexion), 74% (IR), and 20% (ER). Effect size of change in significantly improved ROMs were weak (16.7% flexion, 33.3% ER), moderate (58.3% flexion, 29.4% IR), and large (25% flexion, 64.7% IR, 66.7% ER). For goniometric assessment mean observed changes ranged as follows: flexion: 0.1 to 12.2 ; IR: 3.6 to 21.9 ; ER: e2.6 to 12.8 . For computed tomographyesimulated assessment, the mean observed change ranged as follows: flexion: 3.0 to 8.0 ; IR 9.3 to 14.0 . Conclusions: Outcome studies demonstrate overall increased range of flexion and IR post-hip arthroscopy, with a moderate and large effect respectively. Change in ER is less impacted following hip arthroscopy. Certainty of evidence to support this observation is low. Current research evaluating changes in this functional ability is limited by a lack of prospective studies and non-standardized measurement evaluation techniques. Level of Evidence: Level IV, systematic review of Level II-IV studies.From the Hip and Groin Clinic (P.

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Arthroscopic Treatment of Femoroacetabular Impingement

Cited by 8 publications

References 41 publications

Current possibilities for hip arthroplasty

Current possibilities for hip arthroplasty

Extracapsular approach for arthroscopic treatment of femoroacetabular impingement: clinical and radiographic results and complications

Hip Range of Motion Is Increased After Hip Arthroscopy for Femoroacetabular Impingement: A Systematic Review

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