Hip labral tears, economics in sports medicine and guidelines for NSAID use

Khan, Karim M.

doi:10.1136/bjsm.2009.064212

Cited by 2 publications

(2 citation statements)

References 9 publications

(8 reference statements)

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“…The best timing for arthroscopic knee surgery reported for anterior cruciate ligament lesions is within the first year of injury [12], but there is no study describing the best timing for hip arthroscopy. Some authors suggest hip pain should be treated conservatively and recommend surgery only if physiotherapy has failed [13].…”

Section: Discussionmentioning

confidence: 99%

Timing in hip arthroscopy: does surgical timing change clinical results?

Aprato

Jayasekera

Villar

2012

International Orthopaedics (SICOT)

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Purpose To our knowledge, there is no report in the orthopaedic literature that correlates the duration of hip pain with the results of hip arthroscopic surgery. The aim of this study was to compare the modified Harris Hip Score (mHHS) with patient satisfaction in a prospective study over a two year period. Methods We present a prospective single-surgeon series of 525 consecutive patients undergoing hip arthroscopy for a labral tear, femoroacetabular impingement (FAI), or a chondral lesion. Modified HHS was recorded for all patients at the time of surgery and at six weeks, six months and one, two and three years after hip arthroscopy. At the time of surgery, patients were divided into three groups based on duration of preoperative symptoms: group A, under 6 months; group B, six months to three years; group C, over three years. Results Mean age was 39 years. There were significantly better outcomes for patients who underwent surgery within six months of symptom onset compared with those who waited longer. Patients who had symptoms for over 3 years by the time of surgery had a significantly poorer result than those with a shorter symptom duration and a higher chance of requiring revision surgery. Conclusions We recommend that patients with a diagnosis of labral tear, FAI or a chondral lesion should undergo hip arthroscopic surgery within six months of symptom onset. Patients with persistent symptoms for over three years should be made aware of the poorer outcome after hip arthroscopy.

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Section: Discussionmentioning

confidence: 99%

Timing in hip arthroscopy: does surgical timing change clinical results?

Aprato

Jayasekera

Villar

2012

International Orthopaedics (SICOT)

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“…al. 2009 31 Clinical Commentary Khan 2009 32 Editorial Purcell 2009 33 Literature review Journal of Science and Medicine in Sport Van Wier et. al.…”

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confidence: 99%

Clinical guidelines in sports medicine: Am I reading a guideline or a consensus statement: What's the difference? Does it matter?

Machotka

Perraton

Grimmer

2014

Journal of Science and Medicine in Sport

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Introduction:The integration of research evidence into clinical practice is one of the most challenging aspects of sports medicine. The time required to search library databases and read multiple systematic reviews represents a significant barrier to many clinicians. Clinical guidelines and consensus statements provide a summary of best practice for clinical conditions, and provide clinical recommendations. In sports medicine, the terms clinical guideline and consensus statement are often used interchangeably; however, important differences exist between these resources. The aims of this review were to quantify the number of clinical guidelines published in sports medicine journals over the last five years, and assess their methodological quality.Methods: In March 2014, the top ten sports medicine journals based on current impact factors were searched using the single keyword 'guideline'. Peer-reviewed papers providing clinical recommendations that were described by the authors as a guideline were included. The International Centre for Allied Health Evidence (iCAHE) guideline checklist, which consists of fourteen 'yes' and 'no' responses, graded 1 or 0 respectively, was used to assess the methodological quality of each clinical guideline.Results: Seven guidelines were retained from a pool of 34 potentially relevant publications. The excluded publications were experimental studies (n = 14), expert commentaries or editorials (n = 5), literature reviews (n = 4) or conference proceedings (n = 4). Five of the excluded publications were titled as clinical guidelines. The iCAHE guideline checklist scores ranged from 6 to 11. Within the seven included guidelines, the most frequently identified methodological problems were a failure to describe the strategy used to search for evidence, failure to critically appraise the quality of underlying evidence and failure to clearly link the hierarchy and quality of underlying evidence to each recommendation.Discussion: A limited number of clinical guidelines are available in the field of sports medicine. Existing clinical guidelines should be interpreted with caution because of methodological problems that were identified by this review. Consensus statements are useful resources for busy sports medicine clinicians; however, these resources should be subjected to the same rigorous appraisal as clinical guidelines, in order to identify areas where bias may potentially limit the usefulness of the recommendations.

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Hip labral tears, economics in sports medicine and guidelines for NSAID use

Cited by 2 publications

References 9 publications

Timing in hip arthroscopy: does surgical timing change clinical results?

Timing in hip arthroscopy: does surgical timing change clinical results?

Clinical guidelines in sports medicine: Am I reading a guideline or a consensus statement: What's the difference? Does it matter?

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