Association of Radiographic Markers of Hip Instability and Worse Outcomes 2 to 4 Years After Hip Arthroscopy for Femoroacetabular Impingement in Female Patients
Background: Reported outcomes of patients undergoing hip arthroscopy for femoroacetabular impingement (FAI) with underlying borderline acetabular dysplasia are mixed. This may in part be the result of mixed-sex reporting. Purpose: To determine the effect of radiographic measures of acetabular dyspla...
Gespeichert in:
| Veröffentlicht in: | The American journal of sports medicine 2022-03, Vol.50 (4), p.1020-1027 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1027 |
|---|---|
| container_issue | 4 |
| container_start_page | 1020 |
| container_title | The American journal of sports medicine |
| container_volume | 50 |
| creator | Marland, Jennifer D. Horton, Brandy S. West, Hugh S. Wylie, James D. |
| description | Background:
Reported outcomes of patients undergoing hip arthroscopy for femoroacetabular impingement (FAI) with underlying borderline acetabular dysplasia are mixed. This may in part be the result of mixed-sex reporting.
Purpose:
To determine the effect of radiographic measures of acetabular dysplasia and hip instability on outcomes of female patients undergoing hip arthroscopy for FAI.
Study Design:
Case-control study; Level of evidence, 3.
Methods:
This was a retrospective study of female patients undergoing arthroscopic surgery for FAI. All patients had preoperative radiographs including a standing anteroposterior pelvic view on which lateral center-edge angle (LCEA), anterior wall index (AWI), posterior wall index (PWI), and femoroepiphyseal acetabular roof (FEAR) index were measured. Patient outcomes were quantified by preoperative and postoperative 12-Item International Hip Outcome Tool (iHOT-12) scores. All patients had follow-up at 2 to 4 years postoperatively. Published values for minimal clinically important difference (MCID), substantial clinical benefit (SCB), Patient Acceptable Symptom State (PASS), and a normal (iHOT-12 > 86 points) or abnormal (iHOT-12 < 56 points) hip were used to determine outcome, as well as the final iHOT-12 score and iHOT-12 preoperative to postoperative difference.
Results:
The cohort consisted of 249 female patients (83% follow-up) with iHOT-12 scores at 2 to 4 years after surgery (mean, 34.6 months). Female patients with combined LCEA ≤25° and AWI 25° and an AWI ≥0.35 (all P < .05). There was no effect of PWI on outcomes. Similarly, female patients with combined LCEA ≤25° and a laterally oriented (positive) FEAR index were less likely to meet MCID, SCB, and PASS and have a normal hip and were more likely to have an abnormal hip compared with those patients who had an LCEA >25° and a negative (medial) FEAR index (all P < .05). In multivariate regression, an LCEA between 18° and 25° was an independent predictor of worse outcomes.
Conclusion:
An LCEA of 18° to 25°, in combination with an AWI of |
| doi_str_mv | 10.1177/03635465211073341 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2631865441</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_03635465211073341</sage_id><sourcerecordid>2631865441</sourcerecordid><originalsourceid>FETCH-LOGICAL-c368t-2e3c3297facc34cf8b5ee93acfbdea37d0c86b27deca36dfca6c045fe5fbf5eb3</originalsourceid><addsrcrecordid>eNp1kc9u1DAQxi0EokvLA3BBlrhwSfGf2MkeV1VLVypqVYEqTtHEGW9dkjjYzmHfhkfF6RaQQJxGmvl938zoI-QNZ6ecV9UHJrVUpVaCc1ZJWfJnZMWVEoWUWj0nq2VeLMAReRXjA2OMV7p-SY6k4nVdi2pFfmxi9MZBcn6k3tJb6JzfBZjunaGfIHzDEJf-pZvodowJWte7tKcwdvTOh4j0ek7GDxipoMnTkn5FyJKNTRgeVZuQ7oOPxk97an2gFzj44MFg9pp7CHQ7TG7c4YBjom5c5tAjvckn5U48IS8s9BFfP9Vj8uXi_PPZZXF1_XF7trkqjNR1KgRKI8W6smCMLI2tW4W4lmBs2yHIqmOm1q2oOjQgdWcNaMNKZVHZ1ips5TF5f_Cdgv8-Y0zN4KLBvocR_RwboSWvtSpLntF3f6EPfg5jvi5TpV5zLh4pfqBM_j4GtM0U3ABh33DWLPE1_8SXNW-fnOd2wO634ldeGTg9ABF2-Gft_x1_AgYapWQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2646911241</pqid></control><display><type>article</type><title>Association of Radiographic Markers of Hip Instability and Worse Outcomes 2 to 4 Years After Hip Arthroscopy for Femoroacetabular Impingement in Female Patients</title><source>MEDLINE</source><source>SAGE Complete</source><source>Alma/SFX Local Collection</source><creator>Marland, Jennifer D. ; Horton, Brandy S. ; West, Hugh S. ; Wylie, James D.</creator><creatorcontrib>Marland, Jennifer D. ; Horton, Brandy S. ; West, Hugh S. ; Wylie, James D.</creatorcontrib><description>Background:
Reported outcomes of patients undergoing hip arthroscopy for femoroacetabular impingement (FAI) with underlying borderline acetabular dysplasia are mixed. This may in part be the result of mixed-sex reporting.
Purpose:
To determine the effect of radiographic measures of acetabular dysplasia and hip instability on outcomes of female patients undergoing hip arthroscopy for FAI.
Study Design:
Case-control study; Level of evidence, 3.
Methods:
This was a retrospective study of female patients undergoing arthroscopic surgery for FAI. All patients had preoperative radiographs including a standing anteroposterior pelvic view on which lateral center-edge angle (LCEA), anterior wall index (AWI), posterior wall index (PWI), and femoroepiphyseal acetabular roof (FEAR) index were measured. Patient outcomes were quantified by preoperative and postoperative 12-Item International Hip Outcome Tool (iHOT-12) scores. All patients had follow-up at 2 to 4 years postoperatively. Published values for minimal clinically important difference (MCID), substantial clinical benefit (SCB), Patient Acceptable Symptom State (PASS), and a normal (iHOT-12 > 86 points) or abnormal (iHOT-12 < 56 points) hip were used to determine outcome, as well as the final iHOT-12 score and iHOT-12 preoperative to postoperative difference.
Results:
The cohort consisted of 249 female patients (83% follow-up) with iHOT-12 scores at 2 to 4 years after surgery (mean, 34.6 months). Female patients with combined LCEA ≤25° and AWI <0.35 had lower final iHOT-12 score and iHOT-12 difference and were less likely to meet MCID, SCB, and PASS and have a normal hip and were more likely to have an abnormal hip as determined by iHOT-12 cutoffs when compared with those patients who had an LCEA >25° and an AWI ≥0.35 (all P < .05). There was no effect of PWI on outcomes. Similarly, female patients with combined LCEA ≤25° and a laterally oriented (positive) FEAR index were less likely to meet MCID, SCB, and PASS and have a normal hip and were more likely to have an abnormal hip compared with those patients who had an LCEA >25° and a negative (medial) FEAR index (all P < .05). In multivariate regression, an LCEA between 18° and 25° was an independent predictor of worse outcomes.
Conclusion:
An LCEA of 18° to 25°, in combination with an AWI of <0.35 or a laterally opening FEAR index, was predictive of worse outcomes in female patients undergoing hip arthroscopy for FAI.</description><identifier>ISSN: 0363-5465</identifier><identifier>EISSN: 1552-3365</identifier><identifier>DOI: 10.1177/03635465211073341</identifier><identifier>PMID: 35188827</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Arthroscopy ; Case-Control Studies ; Female ; Femoracetabular Impingement - diagnostic imaging ; Femoracetabular Impingement - surgery ; Hip Joint - diagnostic imaging ; Hip Joint - surgery ; Humans ; Patients ; Retrospective Studies ; Sports medicine ; Treatment Outcome</subject><ispartof>The American journal of sports medicine, 2022-03, Vol.50 (4), p.1020-1027</ispartof><rights>2022 The Author(s)</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c368t-2e3c3297facc34cf8b5ee93acfbdea37d0c86b27deca36dfca6c045fe5fbf5eb3</citedby><cites>FETCH-LOGICAL-c368t-2e3c3297facc34cf8b5ee93acfbdea37d0c86b27deca36dfca6c045fe5fbf5eb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/03635465211073341$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/03635465211073341$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21818,27923,27924,43620,43621</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35188827$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Marland, Jennifer D.</creatorcontrib><creatorcontrib>Horton, Brandy S.</creatorcontrib><creatorcontrib>West, Hugh S.</creatorcontrib><creatorcontrib>Wylie, James D.</creatorcontrib><title>Association of Radiographic Markers of Hip Instability and Worse Outcomes 2 to 4 Years After Hip Arthroscopy for Femoroacetabular Impingement in Female Patients</title><title>The American journal of sports medicine</title><addtitle>Am J Sports Med</addtitle><description>Background:
Reported outcomes of patients undergoing hip arthroscopy for femoroacetabular impingement (FAI) with underlying borderline acetabular dysplasia are mixed. This may in part be the result of mixed-sex reporting.
Purpose:
To determine the effect of radiographic measures of acetabular dysplasia and hip instability on outcomes of female patients undergoing hip arthroscopy for FAI.
Study Design:
Case-control study; Level of evidence, 3.
Methods:
This was a retrospective study of female patients undergoing arthroscopic surgery for FAI. All patients had preoperative radiographs including a standing anteroposterior pelvic view on which lateral center-edge angle (LCEA), anterior wall index (AWI), posterior wall index (PWI), and femoroepiphyseal acetabular roof (FEAR) index were measured. Patient outcomes were quantified by preoperative and postoperative 12-Item International Hip Outcome Tool (iHOT-12) scores. All patients had follow-up at 2 to 4 years postoperatively. Published values for minimal clinically important difference (MCID), substantial clinical benefit (SCB), Patient Acceptable Symptom State (PASS), and a normal (iHOT-12 > 86 points) or abnormal (iHOT-12 < 56 points) hip were used to determine outcome, as well as the final iHOT-12 score and iHOT-12 preoperative to postoperative difference.
Results:
The cohort consisted of 249 female patients (83% follow-up) with iHOT-12 scores at 2 to 4 years after surgery (mean, 34.6 months). Female patients with combined LCEA ≤25° and AWI <0.35 had lower final iHOT-12 score and iHOT-12 difference and were less likely to meet MCID, SCB, and PASS and have a normal hip and were more likely to have an abnormal hip as determined by iHOT-12 cutoffs when compared with those patients who had an LCEA >25° and an AWI ≥0.35 (all P < .05). There was no effect of PWI on outcomes. Similarly, female patients with combined LCEA ≤25° and a laterally oriented (positive) FEAR index were less likely to meet MCID, SCB, and PASS and have a normal hip and were more likely to have an abnormal hip compared with those patients who had an LCEA >25° and a negative (medial) FEAR index (all P < .05). In multivariate regression, an LCEA between 18° and 25° was an independent predictor of worse outcomes.
Conclusion:
An LCEA of 18° to 25°, in combination with an AWI of <0.35 or a laterally opening FEAR index, was predictive of worse outcomes in female patients undergoing hip arthroscopy for FAI.</description><subject>Arthroscopy</subject><subject>Case-Control Studies</subject><subject>Female</subject><subject>Femoracetabular Impingement - diagnostic imaging</subject><subject>Femoracetabular Impingement - surgery</subject><subject>Hip Joint - diagnostic imaging</subject><subject>Hip Joint - surgery</subject><subject>Humans</subject><subject>Patients</subject><subject>Retrospective Studies</subject><subject>Sports medicine</subject><subject>Treatment Outcome</subject><issn>0363-5465</issn><issn>1552-3365</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc9u1DAQxi0EokvLA3BBlrhwSfGf2MkeV1VLVypqVYEqTtHEGW9dkjjYzmHfhkfF6RaQQJxGmvl938zoI-QNZ6ecV9UHJrVUpVaCc1ZJWfJnZMWVEoWUWj0nq2VeLMAReRXjA2OMV7p-SY6k4nVdi2pFfmxi9MZBcn6k3tJb6JzfBZjunaGfIHzDEJf-pZvodowJWte7tKcwdvTOh4j0ek7GDxipoMnTkn5FyJKNTRgeVZuQ7oOPxk97an2gFzj44MFg9pp7CHQ7TG7c4YBjom5c5tAjvckn5U48IS8s9BFfP9Vj8uXi_PPZZXF1_XF7trkqjNR1KgRKI8W6smCMLI2tW4W4lmBs2yHIqmOm1q2oOjQgdWcNaMNKZVHZ1ips5TF5f_Cdgv8-Y0zN4KLBvocR_RwboSWvtSpLntF3f6EPfg5jvi5TpV5zLh4pfqBM_j4GtM0U3ABh33DWLPE1_8SXNW-fnOd2wO634ldeGTg9ABF2-Gft_x1_AgYapWQ</recordid><startdate>20220301</startdate><enddate>20220301</enddate><creator>Marland, Jennifer D.</creator><creator>Horton, Brandy S.</creator><creator>West, Hugh S.</creator><creator>Wylie, James D.</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>20220301</creationdate><title>Association of Radiographic Markers of Hip Instability and Worse Outcomes 2 to 4 Years After Hip Arthroscopy for Femoroacetabular Impingement in Female Patients</title><author>Marland, Jennifer D. ; Horton, Brandy S. ; West, Hugh S. ; Wylie, James D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c368t-2e3c3297facc34cf8b5ee93acfbdea37d0c86b27deca36dfca6c045fe5fbf5eb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Arthroscopy</topic><topic>Case-Control Studies</topic><topic>Female</topic><topic>Femoracetabular Impingement - diagnostic imaging</topic><topic>Femoracetabular Impingement - surgery</topic><topic>Hip Joint - diagnostic imaging</topic><topic>Hip Joint - surgery</topic><topic>Humans</topic><topic>Patients</topic><topic>Retrospective Studies</topic><topic>Sports medicine</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Marland, Jennifer D.</creatorcontrib><creatorcontrib>Horton, Brandy S.</creatorcontrib><creatorcontrib>West, Hugh S.</creatorcontrib><creatorcontrib>Wylie, James D.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of sports medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Marland, Jennifer D.</au><au>Horton, Brandy S.</au><au>West, Hugh S.</au><au>Wylie, James D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association of Radiographic Markers of Hip Instability and Worse Outcomes 2 to 4 Years After Hip Arthroscopy for Femoroacetabular Impingement in Female Patients</atitle><jtitle>The American journal of sports medicine</jtitle><addtitle>Am J Sports Med</addtitle><date>2022-03-01</date><risdate>2022</risdate><volume>50</volume><issue>4</issue><spage>1020</spage><epage>1027</epage><pages>1020-1027</pages><issn>0363-5465</issn><eissn>1552-3365</eissn><abstract>Background:
Reported outcomes of patients undergoing hip arthroscopy for femoroacetabular impingement (FAI) with underlying borderline acetabular dysplasia are mixed. This may in part be the result of mixed-sex reporting.
Purpose:
To determine the effect of radiographic measures of acetabular dysplasia and hip instability on outcomes of female patients undergoing hip arthroscopy for FAI.
Study Design:
Case-control study; Level of evidence, 3.
Methods:
This was a retrospective study of female patients undergoing arthroscopic surgery for FAI. All patients had preoperative radiographs including a standing anteroposterior pelvic view on which lateral center-edge angle (LCEA), anterior wall index (AWI), posterior wall index (PWI), and femoroepiphyseal acetabular roof (FEAR) index were measured. Patient outcomes were quantified by preoperative and postoperative 12-Item International Hip Outcome Tool (iHOT-12) scores. All patients had follow-up at 2 to 4 years postoperatively. Published values for minimal clinically important difference (MCID), substantial clinical benefit (SCB), Patient Acceptable Symptom State (PASS), and a normal (iHOT-12 > 86 points) or abnormal (iHOT-12 < 56 points) hip were used to determine outcome, as well as the final iHOT-12 score and iHOT-12 preoperative to postoperative difference.
Results:
The cohort consisted of 249 female patients (83% follow-up) with iHOT-12 scores at 2 to 4 years after surgery (mean, 34.6 months). Female patients with combined LCEA ≤25° and AWI <0.35 had lower final iHOT-12 score and iHOT-12 difference and were less likely to meet MCID, SCB, and PASS and have a normal hip and were more likely to have an abnormal hip as determined by iHOT-12 cutoffs when compared with those patients who had an LCEA >25° and an AWI ≥0.35 (all P < .05). There was no effect of PWI on outcomes. Similarly, female patients with combined LCEA ≤25° and a laterally oriented (positive) FEAR index were less likely to meet MCID, SCB, and PASS and have a normal hip and were more likely to have an abnormal hip compared with those patients who had an LCEA >25° and a negative (medial) FEAR index (all P < .05). In multivariate regression, an LCEA between 18° and 25° was an independent predictor of worse outcomes.
Conclusion:
An LCEA of 18° to 25°, in combination with an AWI of <0.35 or a laterally opening FEAR index, was predictive of worse outcomes in female patients undergoing hip arthroscopy for FAI.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>35188827</pmid><doi>10.1177/03635465211073341</doi><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0363-5465 |
| ispartof | The American journal of sports medicine, 2022-03, Vol.50 (4), p.1020-1027 |
| issn | 0363-5465 1552-3365 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2631865441 |
| source | MEDLINE; SAGE Complete; Alma/SFX Local Collection |
| subjects | Arthroscopy Case-Control Studies Female Femoracetabular Impingement - diagnostic imaging Femoracetabular Impingement - surgery Hip Joint - diagnostic imaging Hip Joint - surgery Humans Patients Retrospective Studies Sports medicine Treatment Outcome |
| title | Association of Radiographic Markers of Hip Instability and Worse Outcomes 2 to 4 Years After Hip Arthroscopy for Femoroacetabular Impingement in Female Patients |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-10T20%3A19%3A01IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Association%20of%20Radiographic%20Markers%20of%20Hip%20Instability%20and%20Worse%20Outcomes%202%20to%204%20Years%20After%20Hip%20Arthroscopy%20for%20Femoroacetabular%20Impingement%20in%20Female%20Patients&rft.jtitle=The%20American%20journal%20of%20sports%20medicine&rft.au=Marland,%20Jennifer%20D.&rft.date=2022-03-01&rft.volume=50&rft.issue=4&rft.spage=1020&rft.epage=1027&rft.pages=1020-1027&rft.issn=0363-5465&rft.eissn=1552-3365&rft_id=info:doi/10.1177/03635465211073341&rft_dat=%3Cproquest_cross%3E2631865441%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2646911241&rft_id=info:pmid/35188827&rft_sage_id=10.1177_03635465211073341&rfr_iscdi=true |