Outerbridge Grade IV Cartilage Lesions in the Hip Identified at Arthroscopy

Bhatia, Sanjeev; Nowak, Douglas D.; Briggs, Karen K.; Patterson, Diana C.; Philippon, Marc J.

doi:10.1016/j.arthro.2015.11.053

Cited by 43 publications

(37 citation statements)

References 25 publications

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“…Other studies by the Vail group have shown that higher alpha angles are associated with more advanced acetabular articular damage. 11 Again, the extent of associated articular damage is not noted in the Tjong et al study. Of course, radiographic features of FAI may commonly be present as an incidental finding.…”

Section: See Related Article On Page 773mentioning

confidence: 67%

Editorial Commentary: Hip Femoroacetabular Impingement Correction: Risk Versus Reward, or How Much Is Too Much?

Byrd¹

2017

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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When performing arthroscopic surgical management of symptomatic cases of hip femoroacetabular impingement (FAI), it is important to consider how much cam lesion resection is required, if any. Generally, failure to adequately address a cam lesion could result in progressive damage to the articular cartilage. Thus, while it is important to consider exactly how much arthroscopic intervention is necessary to achieve successful results, the potential consequences of neglecting a cam lesion are at least as worrisome as the risks of indicated cam lesion treatment.

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Section: See Related Article On Page 773mentioning

confidence: 67%

Editorial Commentary: Hip Femoroacetabular Impingement Correction: Risk Versus Reward, or How Much Is Too Much?

Byrd¹

2017

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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“…There was no statically significant difference between male and female patients regarding the arthroscopic findings as well as no association between the age of the patients and any of the arthoscopic findings was found. Bhatia et al 7 in their study about the risk factors of FAI related cartilage lesions reported that full thickness chondral defects were present in 308 of 1097 hips (28%). In this study, the international hip outcome tool-12, modified Harris hip score, range of hip flexion and range of internal rotation of the hip at 90°of flexion showed statistically significant improvement following hip arthroscopy.…”

Section: Discussionmentioning

confidence: 99%

Results of arthroscopic treatment of femroacetabular impingement (FAI)

Ragab

Elkhadrawe

Housden

et al. 2018

Alexandria Journal of Medicine

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Introduction: Femoroacetabular impingement (FAI) has been suggested as an important etiology of pain in the groin region in young adults especially athletes and there are theories connecting it to early onset osteoarthritis. Aim: To assess the results of arthroscopic treatment of FAI. Patients: Forty patients had been managed arthroscopically for their FAI in both El-Hadra university hospital and William Harvey Hospital. Methods: Results of arthroscopic treatment of FAI in 40 consecutive patients had been evaluated using patients reported outcomes (modified Harris Hip Score and international Hip Outcome Tool-12) and clinical measures of improvement of range of motion in both flexion and internal rotation in 90°of hip flexion. Results: The average of the outcome scores showed statistically significant improvement following the arthroscopic intervention. Conclusion: Femroacetabular impingement is an important etiology of groin pain in young adults, nevertheless the athletes. Diagnosis of this condition is primarily a clinical one to be supported with relevant imaging. Hip arthroscopy is an effective approach to treat and correct the underlying bony abnormalities of FAI. Younger age of patients predicts better improvement in i-HOT-12 score.

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“…17 The early management of these lesions, associated with FAI correction, is directly related to the outcome of the arthroscopic treatment. 19 Thus, the identification of patients susceptible to deep articular cartilage lesions is decisive for defining the timing of the surgical treatment and to manage the postoperative expectations of the patient, especially regarding the return to sports activities.…”

Section: Introductionmentioning

confidence: 99%

Impacto femoroacetabular – Fatores associados à presença de lesões profundas da junção condrolabral

et al. 2019

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ResumoObjetivo Avaliar os fatores associados à presença de lesões condrais profundas (graus III e IV de Konan/Haddad) em pacientes submetidos à artroscopia do quadril para tratamento do impacto femoroacetabular (IFA).Método Estudo transversal, prospectivo, de uma série de 125 artroscopias consecutivas do quadril feitas entre maio de 2016 e maio de 2017. Depois de aplicados os critérios de exclusão, foram analisados 107 quadris de 92 pacientes submetidos a tratamento cirúrgico do IFA dos tipos misto e CAM. Para fins de análise, os grupos foram divididos entre lesões consideradas leves e profundas, e foi feita associação com escore de sintomas, ângulo de cobertura lateral, ângulo alfa, idade, gênero, e classificação radiológica de artrose. Foram considerados como estatisticamente significativos testes com valor de probabilidade < 0,05.Resultados Pacientes cujos quadris apresentaram lesões consideradas profundas tiveram escores de quadril não artrítico (NAHSs, na sigla em inglês) significativamente maiores do que aqueles cujos quadris apresentavam lesões consideradas leves ou não apresentavam lesão condrolabral (67,9 ± 19,4 versus 57,0 ± 21,9; p = 0,027). A prevalência de lesões profundas foi maior nos quadris Tonnis 1 do que nos que apresentaram Tonnis 0: 15 (55,6%) versus 10 (12,7%), respectivamente; p < 0,001. Homens apresentaram melhores escores funcionais e maior prevalência de lesões graus III e IV do que as mulheres: 65,6 ± 19,6 versus 49,3 ± 21,6; p < 0,001, e 23 (34,3%) versus 2 (5,0%), p = 0,001, respectivamente.Conclusão Homens apresentaram maior prevalência de lesões profundas. Quadris Tonnis 1 tiveram um risco 4,4 vezes maior de apresentar essas lesões. Pacientes com lesões condrolabrais profundas apresentaram melhor escore funcional pré-operatório.

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Outerbridge Grade IV Cartilage Lesions in the Hip Identified at Arthroscopy

Cited by 43 publications

References 25 publications

Editorial Commentary: Hip Femoroacetabular Impingement Correction: Risk Versus Reward, or How Much Is Too Much?

Editorial Commentary: Hip Femoroacetabular Impingement Correction: Risk Versus Reward, or How Much Is Too Much?

Results of arthroscopic treatment of femroacetabular impingement (FAI)

Impacto femoroacetabular – Fatores associados à presença de lesões profundas da junção condrolabral

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