Predictors of Clinically Suspected Intra-articular Hip Symptoms and Prevalence of Hip Pathomorphologies Presenting to Sports Medicine and Hip Preservation Orthopaedic Surgeons

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Christopher M LarsonRebecca M Stone

Abstract

The first purpose of the study was to evaluate the prevalence of various radiographic parameters and pathomorphologies for patients presenting with the diagnosis of hip pain. The second purpose of this study was to identify those pathomorphologies and radiographic parameters that were predictive of clinically suspected intra-articular and hip joint-related symptoms. A total of 998 hips (499 patients, 228 males, 271 females, mean age 38 years) presented to 2 orthopaedic surgeons with the diagnosis of hip pain. Patients were retrospectively identified as intra-articular and hip joint-related symptoms or extra-articular and non-hip joint-related symptoms based on history, examination, injection response, and diagnosis listed on clinical notes. A detailed morphologic evaluation of anteroposterior and 45° modified Dunn lateral radiographs of both hips was performed for all patients. The presence of at least 1 finding consistent with femoroacetabular impingement (FAI) was noted in 96.6% of patients (89.9% of hips) and was bilateral in 83%. The prevalence of dysplasia was 10.6% in patients (6.7% of hips) and was bilateral in 2.8%. Cam-type morphology was more common in males (P < .001). Profunda and protrusio were more common in femal...Continue Reading

Citations

Jul 1, 2018·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Christiano A C TrindadeMarc J Philippon

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