Journal article
Male Gender and Competitive Athlete Status Are Associated With Better Outcomes Following Hip Arthroscopy In Patients With Global Acetabular Retroversion
Arthroscopy, Sports Medicine, and Rehabilitation, Vol.4(5), pp.E1721-E1729
10/01/2022
DOI: 10.1016/j.asmr.2022.06.019
PMCID: PMC9596885
PMID: 36312706
Abstract
To evaluate outcomes of hip arthroscopy in patients with global acetabular retroversion and to identify correlations between sex, radiographic measurements, athlete status, and return to play with patient-reported outcomes (PROs).
Retrospective study of patients with global acetabular retroversion who underwent arthroscopic femoroacetabular impingement (FAI) surgery was performed. Global acetabular retroversion was defined by 3 criteria: the crossover sign, ischial spine sign, and posterior wall sign on an anteroposterior (AP) pelvic radiograph. Radiographs were used to measure lateral center edge angle, alpha angle, and anterior and posterior wall indices. Femoral version was measured with 3-dimensional computed tomography. Demographics included age, gender, athlete status, return to play, and reoperation. PROs included modified Harris Hip Score, Hip Outcome Score (HOS), Hip Disability and Osteoarthritis Outcome Score, visual analog scale (VAS), and Veterans RAND-12. Spearman correlation determined correlation with perioperative PROs. Generalized estimating equation determined independent predictors. Significance was set at P = .05.
From 2013 to 2019, 149 patients (65.0% female) with 160 hips with FAI and global acetabular retroversion underwent hip arthroscopy. Follow-up averaged 29.6 months. All PROs demonstrated significant improvement with the exception of the Veterans RAND-12 Mental. Female patients scored significantly lower on most postoperative PROs and had greater VAS scores (P = .0002-0.0402). A greater proportion of male subjects met the minimum clinically important difference for the modified Harris Hip Score (88.00% vs 78.79%) Low femoral version correlated with greater HOS ADL, HOS Sport, and Hip Disability and Osteoarthritis Outcome Score Sport scores (P = .0077-0.0177). Athletes reported lower preoperative VAS scores, and higher perioperative scores in multiple PROs (P = .0004-0.0486). Nine hips (5.63%) underwent reoperation.
Patients with global acetabular retroversion and FAI undergoing hip arthroscopy report good outcomes at short-term follow-up. Male subjects and athletes had superior outcomes compared to female subjects and nonathletes. Radiographic measurements did not correlate with outcomes with exception of low femoral version. Athletes reported lower preoperative pain scores and greater postoperative PROs than nonathletes.
Level IV, therapeutic case series.
Details
- Title: Subtitle
- Male Gender and Competitive Athlete Status Are Associated With Better Outcomes Following Hip Arthroscopy In Patients With Global Acetabular Retroversion
- Creators
- Olivia C. O’Reilly - University of IowaMolly A. Day - Department of Orthopedics and Rehabilitation, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin U.S.AKayla Seiffert - Twin Cities Orthopedics, Edina, Minnesota U.S.AHollis M. Fritts - RAYUS Radiology, Eagan, Minnesota U.S.AQiang An - University of IowaRobert W. Westermann - University of IowaChristopher M. Larson - Twin Cities Orthopedics, Edina, Minnesota U.S.A
- Resource Type
- Journal article
- Publication Details
- Arthroscopy, Sports Medicine, and Rehabilitation, Vol.4(5), pp.E1721-E1729
- DOI
- 10.1016/j.asmr.2022.06.019
- PMID
- 36312706
- PMCID
- PMC9596885
- NLM abbreviation
- Arthrosc Sports Med Rehabil
- ISSN
- 2666-061X
- eISSN
- 2666-061X
- Publisher
- Elsevier Inc
- Language
- English
- Electronic publication date
- 08/30/2022
- Date published
- 10/01/2022
- Academic Unit
- Orthopedics and Rehabilitation; Athletic Training Program
- Record Identifier
- 9984303981002771
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