Trends in Adolescent Hip Arthroscopy From the PHIS Database 2008–2018

Abstract

Background: Previous studies have suggested that hip arthroscopy has been performed with increasing frequency. Few studies have examined this trend in the adolescent population. The purpose of this study was to evaluate the trend in the frequency of hip arthroscopy in adolescents standardized by total orthopaedic surgeries in adolescents at pediatric hospitals in the United States. Methods: The Pediatric Health Information System (PHIS) database was queried for patients aged 10 to 19 years who underwent orthopaedic surgery at any of the PHIS-participating hospitals from 2008 to 2018. The subgroup of patients in this age cohort who underwent hip arthroscopy was identified using Current Procedural Terminology procedure codes. The yearly rate was expressed as the number of hip arthroscopies per 1000 orthopaedic surgeries. A linear model was used to fit the data and illustrate the relative trend. Results: A total of 432,309 orthopaedic surgeries including 9491 hip arthroscopies were performed for patients 10 to 19 years of age. Hip arthroscopies were performed at a yearly rate of 22 per 1000 orthopaedic surgeries. Over the 10-year period, the number of hip arthroscopies increased 6.2-fold, whereas the number of orthopaedic procedures increased 1.6-fold. There was a 3.9-fold increase in hip arthroscopies relative to total orthopaedic surgeries. Conclusions: The number of hip arthroscopic procedures in adolescent patients has increased by 3.9-fold times relative to total orthopaedic surgeries in adolescents over a 10-year span, on the basis of data from PHIS-participating institutions. This finding mirrors the trends in the adult population over similar time periods. This may be because of increasing participation in sports in the adolescent population, and a better understanding of the diagnosis and treatment of femoroacetabular impingement and other sports-related hip pathologies. Level of Evidence: Level IV.

5-Year Arthroscopy-Free Survivorship and Outcomes of Adolescents Undergoing Primary Hip Arthroscopy: A Comparison Between Traumatic and Atraumatic Injuries

“…Hip arthroscopy in the adolescent has become increasingly popular as a minimally invasive method of addressing labral injuries such as FAI. 11,18 FAI has been associated with adolescents participating in high levels of…”

“…5,24,30 The number of adolescents undergoing hip arthroscopy has increased by at least 390% from 2008 to 2018. 18 The increase in hip arthroscopies may be due to the growing number of adolescents developing femoroacetabular impingement (FAI) because of participation in sports or other high-impact activities or an increased awareness of the symptoms of FAI. 18 It has been hypothesized that adolescents may develop FAI as a result of cam-type deformities caused by the proximal femoral physis.…”

“…18 The increase in hip arthroscopies may be due to the growing number of adolescents developing femoroacetabular impingement (FAI) because of participation in sports or other high-impact activities or an increased awareness of the symptoms of FAI. 18 It has been hypothesized that adolescents may develop FAI as a result of cam-type deformities caused by the proximal femoral physis. 1,2 Hip arthroscopy can be used to correct FAI, and previous studies have demonstrated the effectiveness of hip arthroscopy in the adolescent population.…”

“…5,24,30 The number of adolescents undergoing hip arthroscopy has increased by at least 390% from 2008 to 2018. 18…”

Femoroazetabuläres Impingement-Syndrom bei Adoleszenten – Wie beraten? Wie behandeln?

“…Deutlich mehr Daten existieren zur operativen Therapie des FAIS beim Jugendlichen. In den USA nahm die Anzahl an Hüftarthroskopien bei jugendlichen Patienten in einem Zeitraum von 10 Jahren (2008 bis 2018) um das 3,9-Fache zu [ 8 ]. Eine Metaanalyse zum arthroskopischen Management von FAIS bei Jugendlichen analysierte die Daten von 406 Adoleszenten (53 % weiblich) mit einem durchschnittlichen Alter von 15,9 Jahren und Follow-up von 30,4 Monaten.…”