Hip Spine Syndrome Negatively Impacts Arthroscopic Outcomes in the Management of Femoroacetabular Impingement Syndrome: A Systematic Review
To determine whether the presence of spine pathology affects clinical outcomes after hip arthroscopy for femoroacetabular impingement syndrome (FAIS) in the setting of hip-spine syndrome (HSS) A systematic review of PubMed and Cochrane was conducted. Primary research articles evaluating patient-repo...
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| Veröffentlicht in: | Arthroscopy 2023-06, Vol.39 (6), p.1552-1564 |
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| creator | Akpinar, Berkcan Vasavada, Kinjal Rynecki, Nicole D. Owusu-Sarpong, Stephane Youm, Thomas |
| description | To determine whether the presence of spine pathology affects clinical outcomes after hip arthroscopy for femoroacetabular impingement syndrome (FAIS) in the setting of hip-spine syndrome (HSS)
A systematic review of PubMed and Cochrane was conducted. Primary research articles evaluating patient-reported outcomes (PRO) after hip arthroscopy for FAIS in the presence of concomitant spine pathology were considered
Literature review identified 12 studies meeting criteria. In 2109 FAIS patients undergoing hip arthroscopy, 591 had concomitant spine pathology. Baseline PROs in the hip-spine (modified Harris Hip Score [mHHS]: 39.8–65.29 vs 56.9–78.8, 8 studies; non-arthritic hip score [NAHS]: 42.2–51.5 vs 68.2–75.2, 4 studies; hip outcome score-activities of daily living [HOS-ADL]: 45.9–71.1 vs 49.3–89.51, 9 studies; hip outcome score-Sport (HOS-Sport): 22.8–49.6 vs 50.6–73.1, 3 studies; international hip outcome tool-33 [iHOT-12]: 38.0 vs 66.0, 1 study; visual analog scale [VAS] Pain: 6.43–6.56 vs 1.18–3.60, 3 studies; VAS Satisfaction: 7.18–7.46 range at follow-up, 2 studies) and control (mHHS: 39.3–64.9 vs 70.2–92.6, 6 studies; NAHS: 42.8–54.2 vs 74.0–87.1, 4 studies; HOS-ADL: 59.0–76.4 vs 75.4–97.1, 4 studies; HOS-Sport: 38.1–55.1 vs 60.9–93.9, 3 studies; iHOT-12: 43.4 vs 89.8, 1 study; VAS Pain: 6.18–6.22 vs 1.82–3.44, 2 studies; VAS Satisfaction: 7.74–8.22 range at follow up, 2 studies). Minimal clinically important difference threshold rates achieved in the hip-spine (44.1–86.7, 4 studies) cohorts were significantly lower than control (79.4–88.2%; 4 studies) cohorts in 3 studies. Patient-acceptable symptomatic state threshold rates achieved in the hip-spine (42–63.5, 3 studies) cohorts were significantly lower than control (58.8–81.0, 3 studies) in 1 study. There was no statistical difference in complication and reoperation rates between cohorts
FAIS patients with concomitant HSS have improved but inferior outcomes after hip arthroscopy compared to patients without HSS
IV, systematic review. |
| doi_str_mv | 10.1016/j.arthro.2022.08.024 |
| format | Article |
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A systematic review of PubMed and Cochrane was conducted. Primary research articles evaluating patient-reported outcomes (PRO) after hip arthroscopy for FAIS in the presence of concomitant spine pathology were considered
Literature review identified 12 studies meeting criteria. In 2109 FAIS patients undergoing hip arthroscopy, 591 had concomitant spine pathology. Baseline PROs in the hip-spine (modified Harris Hip Score [mHHS]: 39.8–65.29 vs 56.9–78.8, 8 studies; non-arthritic hip score [NAHS]: 42.2–51.5 vs 68.2–75.2, 4 studies; hip outcome score-activities of daily living [HOS-ADL]: 45.9–71.1 vs 49.3–89.51, 9 studies; hip outcome score-Sport (HOS-Sport): 22.8–49.6 vs 50.6–73.1, 3 studies; international hip outcome tool-33 [iHOT-12]: 38.0 vs 66.0, 1 study; visual analog scale [VAS] Pain: 6.43–6.56 vs 1.18–3.60, 3 studies; VAS Satisfaction: 7.18–7.46 range at follow-up, 2 studies) and control (mHHS: 39.3–64.9 vs 70.2–92.6, 6 studies; NAHS: 42.8–54.2 vs 74.0–87.1, 4 studies; HOS-ADL: 59.0–76.4 vs 75.4–97.1, 4 studies; HOS-Sport: 38.1–55.1 vs 60.9–93.9, 3 studies; iHOT-12: 43.4 vs 89.8, 1 study; VAS Pain: 6.18–6.22 vs 1.82–3.44, 2 studies; VAS Satisfaction: 7.74–8.22 range at follow up, 2 studies). Minimal clinically important difference threshold rates achieved in the hip-spine (44.1–86.7, 4 studies) cohorts were significantly lower than control (79.4–88.2%; 4 studies) cohorts in 3 studies. Patient-acceptable symptomatic state threshold rates achieved in the hip-spine (42–63.5, 3 studies) cohorts were significantly lower than control (58.8–81.0, 3 studies) in 1 study. There was no statistical difference in complication and reoperation rates between cohorts
FAIS patients with concomitant HSS have improved but inferior outcomes after hip arthroscopy compared to patients without HSS
IV, systematic review.</description><identifier>ISSN: 0749-8063</identifier><identifier>EISSN: 1526-3231</identifier><identifier>DOI: 10.1016/j.arthro.2022.08.024</identifier><identifier>PMID: 36058423</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Activities of Daily Living ; Arthroscopy ; Femoracetabular Impingement - surgery ; Follow-Up Studies ; Hip Joint - surgery ; Humans ; Pain ; Patient Reported Outcome Measures ; Retrospective Studies ; Treatment Outcome</subject><ispartof>Arthroscopy, 2023-06, Vol.39 (6), p.1552-1564</ispartof><rights>2022 Arthroscopy Association of North America</rights><rights>Copyright © 2022 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c362t-580e7af2762dddb90c0f8d42acc6289b6c7a7804a0e138360073cfe50515fce73</citedby><cites>FETCH-LOGICAL-c362t-580e7af2762dddb90c0f8d42acc6289b6c7a7804a0e138360073cfe50515fce73</cites><orcidid>0000-0003-0417-3593 ; 0000-0001-5565-3373 ; 0000-0003-2346-5495</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0749806322005163$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36058423$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Akpinar, Berkcan</creatorcontrib><creatorcontrib>Vasavada, Kinjal</creatorcontrib><creatorcontrib>Rynecki, Nicole D.</creatorcontrib><creatorcontrib>Owusu-Sarpong, Stephane</creatorcontrib><creatorcontrib>Youm, Thomas</creatorcontrib><title>Hip Spine Syndrome Negatively Impacts Arthroscopic Outcomes in the Management of Femoroacetabular Impingement Syndrome: A Systematic Review</title><title>Arthroscopy</title><addtitle>Arthroscopy</addtitle><description>To determine whether the presence of spine pathology affects clinical outcomes after hip arthroscopy for femoroacetabular impingement syndrome (FAIS) in the setting of hip-spine syndrome (HSS)
A systematic review of PubMed and Cochrane was conducted. Primary research articles evaluating patient-reported outcomes (PRO) after hip arthroscopy for FAIS in the presence of concomitant spine pathology were considered
Literature review identified 12 studies meeting criteria. In 2109 FAIS patients undergoing hip arthroscopy, 591 had concomitant spine pathology. Baseline PROs in the hip-spine (modified Harris Hip Score [mHHS]: 39.8–65.29 vs 56.9–78.8, 8 studies; non-arthritic hip score [NAHS]: 42.2–51.5 vs 68.2–75.2, 4 studies; hip outcome score-activities of daily living [HOS-ADL]: 45.9–71.1 vs 49.3–89.51, 9 studies; hip outcome score-Sport (HOS-Sport): 22.8–49.6 vs 50.6–73.1, 3 studies; international hip outcome tool-33 [iHOT-12]: 38.0 vs 66.0, 1 study; visual analog scale [VAS] Pain: 6.43–6.56 vs 1.18–3.60, 3 studies; VAS Satisfaction: 7.18–7.46 range at follow-up, 2 studies) and control (mHHS: 39.3–64.9 vs 70.2–92.6, 6 studies; NAHS: 42.8–54.2 vs 74.0–87.1, 4 studies; HOS-ADL: 59.0–76.4 vs 75.4–97.1, 4 studies; HOS-Sport: 38.1–55.1 vs 60.9–93.9, 3 studies; iHOT-12: 43.4 vs 89.8, 1 study; VAS Pain: 6.18–6.22 vs 1.82–3.44, 2 studies; VAS Satisfaction: 7.74–8.22 range at follow up, 2 studies). Minimal clinically important difference threshold rates achieved in the hip-spine (44.1–86.7, 4 studies) cohorts were significantly lower than control (79.4–88.2%; 4 studies) cohorts in 3 studies. Patient-acceptable symptomatic state threshold rates achieved in the hip-spine (42–63.5, 3 studies) cohorts were significantly lower than control (58.8–81.0, 3 studies) in 1 study. There was no statistical difference in complication and reoperation rates between cohorts
FAIS patients with concomitant HSS have improved but inferior outcomes after hip arthroscopy compared to patients without HSS
IV, systematic review.</description><subject>Activities of Daily Living</subject><subject>Arthroscopy</subject><subject>Femoracetabular Impingement - surgery</subject><subject>Follow-Up Studies</subject><subject>Hip Joint - surgery</subject><subject>Humans</subject><subject>Pain</subject><subject>Patient Reported Outcome Measures</subject><subject>Retrospective Studies</subject><subject>Treatment Outcome</subject><issn>0749-8063</issn><issn>1526-3231</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUFv1DAQhS0EokvhHyDkI5ekYztxHA5Iq6qllQqVKJwtrzNpvUriYDtF-xv403i7W46cxtK8N5-eHyHvGZQMmDzbliakh-BLDpyXoErg1QuyYjWXheCCvSQraKq2UCDFCXkT4xYAhFDiNTkREmpVcbEif67cTO9mNyG9201d8CPSb3hvknvEYUevx9nYFOn6CRWtn52lt0uyWRepm2h6QPrVTOYeR5wS9T29xNEHbywms1kGE_Y33HTcPzM-0XV-x4RjJln6HR8d_n5LXvVmiPjuOE_Jz8uLH-dXxc3tl-vz9U1hheSpqBVgY3reSN513aYFC73qKm6slVy1G2kb0yioDCDLcSVAI2yPNdSs7i024pR8PNydg_-1YEx6dNHiMJgJ_RI1b6BtWfayLK0OUpvTx4C9noMbTdhpBnpfg97qQw16X4MGpXMN2fbhSFg2I3b_TM__ngWfDwLMOXP2oKN1OFnsXECbdOfd_wl_AWfrnXg</recordid><startdate>202306</startdate><enddate>202306</enddate><creator>Akpinar, Berkcan</creator><creator>Vasavada, Kinjal</creator><creator>Rynecki, Nicole D.</creator><creator>Owusu-Sarpong, Stephane</creator><creator>Youm, Thomas</creator><general>Elsevier Inc</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>7X8</scope><orcidid>https://orcid.org/0000-0003-0417-3593</orcidid><orcidid>https://orcid.org/0000-0001-5565-3373</orcidid><orcidid>https://orcid.org/0000-0003-2346-5495</orcidid></search><sort><creationdate>202306</creationdate><title>Hip Spine Syndrome Negatively Impacts Arthroscopic Outcomes in the Management of Femoroacetabular Impingement Syndrome: A Systematic Review</title><author>Akpinar, Berkcan ; Vasavada, Kinjal ; Rynecki, Nicole D. ; Owusu-Sarpong, Stephane ; Youm, Thomas</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c362t-580e7af2762dddb90c0f8d42acc6289b6c7a7804a0e138360073cfe50515fce73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Activities of Daily Living</topic><topic>Arthroscopy</topic><topic>Femoracetabular Impingement - surgery</topic><topic>Follow-Up Studies</topic><topic>Hip Joint - surgery</topic><topic>Humans</topic><topic>Pain</topic><topic>Patient Reported Outcome Measures</topic><topic>Retrospective Studies</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Akpinar, Berkcan</creatorcontrib><creatorcontrib>Vasavada, Kinjal</creatorcontrib><creatorcontrib>Rynecki, Nicole D.</creatorcontrib><creatorcontrib>Owusu-Sarpong, Stephane</creatorcontrib><creatorcontrib>Youm, Thomas</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Arthroscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Akpinar, Berkcan</au><au>Vasavada, Kinjal</au><au>Rynecki, Nicole D.</au><au>Owusu-Sarpong, Stephane</au><au>Youm, Thomas</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hip Spine Syndrome Negatively Impacts Arthroscopic Outcomes in the Management of Femoroacetabular Impingement Syndrome: A Systematic Review</atitle><jtitle>Arthroscopy</jtitle><addtitle>Arthroscopy</addtitle><date>2023-06</date><risdate>2023</risdate><volume>39</volume><issue>6</issue><spage>1552</spage><epage>1564</epage><pages>1552-1564</pages><issn>0749-8063</issn><eissn>1526-3231</eissn><abstract>To determine whether the presence of spine pathology affects clinical outcomes after hip arthroscopy for femoroacetabular impingement syndrome (FAIS) in the setting of hip-spine syndrome (HSS)
A systematic review of PubMed and Cochrane was conducted. Primary research articles evaluating patient-reported outcomes (PRO) after hip arthroscopy for FAIS in the presence of concomitant spine pathology were considered
Literature review identified 12 studies meeting criteria. In 2109 FAIS patients undergoing hip arthroscopy, 591 had concomitant spine pathology. Baseline PROs in the hip-spine (modified Harris Hip Score [mHHS]: 39.8–65.29 vs 56.9–78.8, 8 studies; non-arthritic hip score [NAHS]: 42.2–51.5 vs 68.2–75.2, 4 studies; hip outcome score-activities of daily living [HOS-ADL]: 45.9–71.1 vs 49.3–89.51, 9 studies; hip outcome score-Sport (HOS-Sport): 22.8–49.6 vs 50.6–73.1, 3 studies; international hip outcome tool-33 [iHOT-12]: 38.0 vs 66.0, 1 study; visual analog scale [VAS] Pain: 6.43–6.56 vs 1.18–3.60, 3 studies; VAS Satisfaction: 7.18–7.46 range at follow-up, 2 studies) and control (mHHS: 39.3–64.9 vs 70.2–92.6, 6 studies; NAHS: 42.8–54.2 vs 74.0–87.1, 4 studies; HOS-ADL: 59.0–76.4 vs 75.4–97.1, 4 studies; HOS-Sport: 38.1–55.1 vs 60.9–93.9, 3 studies; iHOT-12: 43.4 vs 89.8, 1 study; VAS Pain: 6.18–6.22 vs 1.82–3.44, 2 studies; VAS Satisfaction: 7.74–8.22 range at follow up, 2 studies). Minimal clinically important difference threshold rates achieved in the hip-spine (44.1–86.7, 4 studies) cohorts were significantly lower than control (79.4–88.2%; 4 studies) cohorts in 3 studies. Patient-acceptable symptomatic state threshold rates achieved in the hip-spine (42–63.5, 3 studies) cohorts were significantly lower than control (58.8–81.0, 3 studies) in 1 study. There was no statistical difference in complication and reoperation rates between cohorts
FAIS patients with concomitant HSS have improved but inferior outcomes after hip arthroscopy compared to patients without HSS
IV, systematic review.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>36058423</pmid><doi>10.1016/j.arthro.2022.08.024</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0003-0417-3593</orcidid><orcidid>https://orcid.org/0000-0001-5565-3373</orcidid><orcidid>https://orcid.org/0000-0003-2346-5495</orcidid></addata></record> |
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| subjects | Activities of Daily Living Arthroscopy Femoracetabular Impingement - surgery Follow-Up Studies Hip Joint - surgery Humans Pain Patient Reported Outcome Measures Retrospective Studies Treatment Outcome |
| title | Hip Spine Syndrome Negatively Impacts Arthroscopic Outcomes in the Management of Femoroacetabular Impingement Syndrome: A Systematic Review |
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