PMID- 28412060 OWN - NLM STAT- MEDLINE DCOM- 20180327 LR - 20181202 IS - 1526-3231 (Electronic) IS - 0749-8063 (Linking) VI - 33 IP - 8 DP - 2017 Aug TI - Minimum 2-Year Outcomes of Arthroscopic Management of Symptomatic Hip Labrum Tears in Patients With Global Acetabular Overcoverage. PG - 1514-1520 LID - S0749-8063(17)30113-5 [pii] LID - 10.1016/j.arthro.2017.01.039 [doi] AB - PURPOSE: To report minimum 2-year patient-reported outcomes (PROs) after hip arthroscopy (HA) for symptomatic labral tears in patients with global acetabular overcoverage. METHODS: This study was a retrospective case series of patients who underwent HA from April 2008 to April 2013. The inclusion criteria were patients with global acetabular overcoverage, defined as a lateral center-edge angle greater than 40 degrees , and with coxa profunda, defined radiologically by the ilioischial line lateral to the acetabular floor. Only patients with minimum 2-year follow-up and no history of hip conditions or surgery were included. We recorded demographic, examination, radiologic, and intraoperative findings; intraoperative procedures performed; and the following PROs: modified Harris Hip Score (mHHS), Non-Arthritic Hip Score, Hip Outcome Score-Activities of Daily Living (HOS-ADL), Hip Outcome Score-Sports-Specific Subscale (HOS-SSS), visual analog scale, and patient satisfaction. RESULTS: The inclusion criteria were met by 39 patients, of whom 35 (89.7%) had 2-year follow-up. There was no distinct pattern of examination findings. The study population had a mean acetabular inclination of -1.19 degrees and an anterior center-edge angle of 35 degrees . There was no association with measures of acetabular retroversion. Intrasubstance tearing of the labrum occurred in 75% of patients (mean tear size, 2.68 hours on acetabular clock face; mean location, 11.5 to 3 on acetabular clock face). There were significant improvements in the mean scores for all PROs: mHHS, 13.5 +/- 17.7 points (P < .01); Non-Arthritic Hip Score, 14.3 +/- 21.3 (P < .001); HOS-ADL, 11.6 +/- 19.7 (P < .001); HOS-SSS, 17.1 +/- 35.1 (P < .001); and visual analog scale, -2.77 +/- 2.58 (P < .001). The mean patient satisfaction rating was 6.61. The improvements in mHHS, HOS-ADL, and HOS-SSS did not reach the minimal clinically important difference. The incidence of secondary procedures was 17% (4 patients underwent conversion to total hip arthroplasty and 2 required revision HA). CONCLUSIONS: HA in patients with global acetabular overcoverage was associated with improvements in PROs and pain at minimum 2-year follow-up. However, these improvements did not reach the minimal clinically important difference for the mHHS, HOS-ADL, and HOS-SSS. The incidence of secondary procedures was 17%. The pattern of labral injury is predominantly intrasubstance labral damage with a narrow rim of adjacent chondral injury. LEVEL OF EVIDENCE: Level IV, therapeutic case series. CI - Copyright (c) 2017 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved. FAU - Chandrasekaran, Sivashankar AU - Chandrasekaran S AD - American Hip Institute, Westmont, Illinois, U.S.A. FAU - Darwish, Nader AU - Darwish N AD - American Hip Institute, Westmont, Illinois, U.S.A. FAU - Close, Mary R AU - Close MR AD - American Hip Institute, Westmont, Illinois, U.S.A. FAU - Suarez-Ahedo, Carlos AU - Suarez-Ahedo C AD - American Hip Institute, Westmont, Illinois, U.S.A. FAU - Lodhia, Parth AU - Lodhia P AD - American Hip Institute, Westmont, Illinois, U.S.A. FAU - Domb, Benjamin G AU - Domb BG AD - American Hip Institute, Westmont, Illinois, U.S.A.; Hinsdale Orthopaedics, Westmont, Illinois, U.S.A.. Electronic address: DrDomb@americanhipinstitute.org. LA - eng PT - Journal Article DEP - 20170412 PL - United States TA - Arthroscopy JT - Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association JID - 8506498 SB - IM MH - Activities of Daily Living MH - Adolescent MH - Adult MH - Arthroscopy/methods MH - Female MH - Femoracetabular Impingement/diagnostic imaging/physiopathology/*surgery MH - Femur Head/diagnostic imaging/injuries/*surgery MH - Humans MH - Male MH - Middle Aged MH - Pain Measurement MH - Patient Satisfaction MH - Range of Motion, Articular MH - Retrospective Studies MH - Treatment Outcome MH - Young Adult EDAT- 2017/04/17 06:00 MHDA- 2018/03/28 06:00 CRDT- 2017/04/17 06:00 PHST- 2015/08/04 00:00 [received] PHST- 2017/01/25 00:00 [revised] PHST- 2017/01/26 00:00 [accepted] PHST- 2017/04/17 06:00 [pubmed] PHST- 2018/03/28 06:00 [medline] PHST- 2017/04/17 06:00 [entrez] AID - S0749-8063(17)30113-5 [pii] AID - 10.1016/j.arthro.2017.01.039 [doi] PST - ppublish SO - Arthroscopy. 2017 Aug;33(8):1514-1520. doi: 10.1016/j.arthro.2017.01.039. Epub 2017 Apr 12.