Outcomes in Pediatric Hip FAI Surgery: a Scoping Review

Alvandi, Bejan; Dayton, Steven R.; Hartwell, Matthew J.; Gerlach, Erik B.; Swiatek, Peter R.; Carney, John; Tjong, Vehniah K.

doi:10.1007/s12178-022-09771-6

Cited by 3 publications

(1 citation statement)

References 60 publications

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“…FAI predominately affects physically active young and adult people, and in particular, athletes, among whom cam morphology is more present, from two to eight times, compared with the general population [1][2][3][4][5][6]. Moreover, FAI is a common source of hip pain in children and adolescents, and recent studies demonstrated the effects of sex, race, and sports on FAI development in the paediatric population [6][7][8][9]. Management strategies include first-line conservative options, including pharmacological and non-pharmacological options, such as muscular training and activity modification; osteopathic manipulative treatments, which facilitate a reduction in impingement and an increase in the range of motion; or surgical treatment when severe symptoms are present and conservative therapy fails [1][2][3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

The Evaluation of the Balance Test and MuscleLab Test for the Early Detection of Femoroacetabular Impingement

Centemeri,

Riva,

Belingheri

et al. 2023

JFMK

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Femoroacetabular impingement (FAI) is a common source of hip pain affecting a wide range of subjects. In this work, we assessed two tests, namely the balance test and the MuscleLab test, in comparison with the flexion–abduction–external rotation (FABER) and flexion–adduction–internal rotation (FADIR) tests, in order to evaluate the functionality of the neural–musculoskeletal system of the subjects affected by FAI based on the measurement of biomechanical parameters. Our goal was to investigate the early detection of an altered hip joint and to monitor pathology progression over time. A total of 52 subjects, 29 females and 23 males, with an average age of 42 ± 13 years presenting hip impingement diagnosed using X-ray, were enrolled. Twenty-eight patients without signs of hip impingements were used as the control group. The balance test, which evaluates the capacity of a person to keep the orthostatic position against terrestrial gravity, and the MuscleLab test, which measures the force and power generated by active muscles during a movement, as well as FABER and FADIR tests, were performed in each subject. The balance and MuscleLab tests presented 100% sensitivity and higher sensitivity in FAI diagnosis, with 72.9% and 70.4%, respectively, in comparison with those obtained using FABER and FADIR tests, with 59.6% and 67.3%, respectively. The evaluation of the neural–musculoskeletal system using the balance and MuscleLab tests can help in the early detection of the severity of hip impingements and the assessment of non-operative treatments used over time.

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Section: Introductionmentioning

confidence: 99%

The Evaluation of the Balance Test and MuscleLab Test for the Early Detection of Femoroacetabular Impingement

Centemeri,

Riva,

Belingheri

et al. 2023

JFMK

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Primary Hip Arthroscopy for Femoroacetabular Impingement Syndrome in Adolescents Improves Outcomes and Clinical Benefit Achievement Rates at Short-Term Follow-Up: A Multicenter Analysis

Maldonado¹,

Kufta²,

Krych³

et al. 2023

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Changes in sagittal vertebral–pelvic ratios in children with a high position of the large trochanter after surgical treatment

Pozdnikin,

Bortulev,

Vissarionov

et al. 2023

Pediatr Traum Orthop Reconstr Surg

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BACKGROUND: Alteration in the anatomical shape and structure of the proximal femur is a common orthopedic problem in children. In most cases, this is accompanied by a high position of the large trochanter, which leads not only to the development of extraarticular impingement syndrome and the progression of coxarthrosis, but also to impaired vertebralpelvic relations. AIM: To evaluate the effect of the transposition of the large trochanter in children on changes in the radiological parameters of sagittal vertebralpelvic ratios. MATERIALS AND METHODS: The study included 20 patients (20 hip joints) aged 915 years with deformity of the proximal femur, which was accompanied by a high position of the large trochanter. The patients underwent clinical and X-ray examination before and after surgical treatment, i.e., transposition of the large trochanter according to original methods. The pelvic angle, lumbar lordosis, thoracic kyphosis, pelvic deviation angle, sacral tilt, and sagittal vertical axis (SVA) were evaluated. The obtained data were analyzed statistically. RESULTS: Excessive pelvic anteversion and vertical posture of the hyperlordotic type are characteristics of the patients analyzed. These signs were manifested as a significant increase in global lumbar lordosis and the angle of inclination of the sacrum and a decrease in the angle of inclination of the pelvis, in combination with a negative imbalance in SVA. The surgery made it possible to normalize the articulotrochanteric distance index and increase the angle of inclination of the pelvis while reducing the sacral slope, which improved global lumbar lordosis. CONCLUSIONS: After the surgical intervention, in addition to restoring normal ratios in the hip joint and eliminating the extraarticular femoroacetabular impingement syndrome, the hyperlordotic type of vertical posture transformed toward the normal one in accordance with the classification of R. Rousully, which resulted in the prevention of the development of degenerative and dystrophic changes in the lumbar spine.

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Outcomes in Pediatric Hip FAI Surgery: a Scoping Review

Cited by 3 publications

References 60 publications

The Evaluation of the Balance Test and MuscleLab Test for the Early Detection of Femoroacetabular Impingement

The Evaluation of the Balance Test and MuscleLab Test for the Early Detection of Femoroacetabular Impingement

Primary Hip Arthroscopy for Femoroacetabular Impingement Syndrome in Adolescents Improves Outcomes and Clinical Benefit Achievement Rates at Short-Term Follow-Up: A Multicenter Analysis

Changes in sagittal vertebral–pelvic ratios in children with a high position of the large trochanter after surgical treatment

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