Marc R Safran1, Noah P Epstein. 1. Department of Orthopaedic Surgery, Stanford University, Redwood City, California, U.S.A. Electronic address: msafran@stanford.edu.
Abstract
PURPOSE: The purpose of this study was to evaluate 4 hips with symptomatic protrusio acetabuli treated arthroscopically for symptomatic pincer-type femoroacetabular impingement in 3 patients aged younger than 40 years. METHODS: Four hips in 3 patients, all active women, aged 26 to 37 years, with hip pain and radiographic evidence of protrusio acetabuli and a center-edge angle (CEA) of 50° or more, were studied and followed up for a minimum of 2.5 years. Each of these patients underwent arthroscopic anterior and lateral acetabuloplasty, partial labrectomy, synovectomy, and chondroplasty. Follow-up included evaluation with the modified Harris Hip Score (mHHS), radiographs, and clinical history and examination. RESULTS: Patient 1 had bilateral hip surgeries. The right hip was followed up for 63 months, and the CEA improved from 67° to 60°, with an mHHS score improvement by 60.4 points. The CEA for the left hip improved from 63° to 53° at 61 months' follow-up, and the mHHS improved by 43.9 points. Both hips had a final mHHS of 100 points. Patient 3, followed up for 28 months, had a final mHHS of 100 points, 32 points better than preoperatively, whereas the CEA improved from 51° to 44°. Patient 3, a 26-year-old with preoperative radiographically apparent arthritis, had a final mHHS of 87 points, 35 points better than preoperatively, and the CEA improved from 50° to 42° at 32 months' follow-up. All 3 patients were happy with their outcomes. CONCLUSIONS: In this small case series, arthroscopic acetabuloplasty showed reduced symptoms and improved function in 3 patients with protrusio aged younger than 40 years at a minimum of 2.5 years' follow-up. LEVEL OF EVIDENCE: Level IV, therapeutic case series.
PURPOSE: The purpose of this study was to evaluate 4 hips with symptomatic protrusio acetabuli treated arthroscopically for symptomatic pincer-type femoroacetabular impingement in 3 patients aged younger than 40 years. METHODS: Four hips in 3 patients, all active women, aged 26 to 37 years, with hip pain and radiographic evidence of protrusio acetabuli and a center-edge angle (CEA) of 50° or more, were studied and followed up for a minimum of 2.5 years. Each of these patients underwent arthroscopic anterior and lateral acetabuloplasty, partial labrectomy, synovectomy, and chondroplasty. Follow-up included evaluation with the modified Harris Hip Score (mHHS), radiographs, and clinical history and examination. RESULTS:Patient 1 had bilateral hip surgeries. The right hip was followed up for 63 months, and the CEA improved from 67° to 60°, with an mHHS score improvement by 60.4 points. The CEA for the left hip improved from 63° to 53° at 61 months' follow-up, and the mHHS improved by 43.9 points. Both hips had a final mHHS of 100 points. Patient 3, followed up for 28 months, had a final mHHS of 100 points, 32 points better than preoperatively, whereas the CEA improved from 51° to 44°. Patient 3, a 26-year-old with preoperative radiographically apparent arthritis, had a final mHHS of 87 points, 35 points better than preoperatively, and the CEA improved from 50° to 42° at 32 months' follow-up. All 3 patients were happy with their outcomes. CONCLUSIONS: In this small case series, arthroscopic acetabuloplasty showed reduced symptoms and improved function in 3 patients with protrusio aged younger than 40 years at a minimum of 2.5 years' follow-up. LEVEL OF EVIDENCE: Level IV, therapeutic case series.
Authors: Markus S Hanke; Simon D Steppacher; Corinne A Zurmühle; Klaus A Siebenrock; Moritz Tannast Journal: Clin Orthop Relat Res Date: 2016-10 Impact factor: 4.176
Authors: Thomas L Sanders; Patrick Reardon; Bruce A Levy; Aaron J Krych Journal: Knee Surg Sports Traumatol Arthrosc Date: 2016-08-09 Impact factor: 4.342
Authors: Dan Cohen; Abdullah Khan; Jeffrey Kay; David Slawaska-Eng; Mahmoud Almasri; Nicole Simunovic; Andrew Duong; Marc R Safran; Olufemi R Ayeni Journal: Knee Surg Sports Traumatol Arthrosc Date: 2021-06-26 Impact factor: 4.114