PMID- 32776856
OWN - NLM
STAT- MEDLINE
DCOM- 20201221
LR  - 20201221
IS  - 1552-3365 (Electronic)
IS  - 0363-5465 (Linking)
VI  - 48
IP  - 11
DP  - 2020 Sep
TI  - An Iliopsoas Impingement Lesion in the Absence of Painful Internal Snapping May 
      Not Require Iliopsoas Fractional Lengthening.
PG  - 2747-2754
LID - 10.1177/0363546520944147 [doi]
AB  - BACKGROUND: Iliopsoas impingement (IPI) has been associated with a distinct 
      lesion on the anterior labrum. Iliopsoas fractional lengthening (IFL) can treat 
      IPI in instances of painful internal snapping (PIS) and mechanical groin pain. 
      PURPOSE: To report minimum 2-year outcomes of patients without PIS who had an IPI 
      lesion diagnosed intraoperatively that did not undergo IFL (+IPI -PIS -IFL) as 
      compared with a matched group of patients with PIS and an IPI lesion that was 
      treated with IFL (+IPI +PIS +IFL). STUDY DESIGN: Cohort study; Level of evidence, 
      3. METHODS: Data on all patients who underwent primary hip arthroscopy between 
      May 2009 and June 2017 were retrospectively reviewed. Patients were included if 
      they underwent hip arthroscopy for femoroacetabular impingement-related 
      pathology, an IPI lesion was diagnosed intraoperatively, and they had minimum 
      2-year postoperative scores for the following: modified Harris Hip Score (mHHS), 
      Nonarthritic Hip Score (NAHS), Hip Outcome Score-Sports Specific Subscale 
      (HOS-SSS), iHOT-12 (International Hip Outcome Tool-12), patient satisfaction, and 
      visual analog score (VAS) for pain. Patients were propensity score matched based 
      on the following criteria: age, body mass index, follow-up time, sex, labral 
      treatment, femoroplasty, and acetabuloplasty. RESULTS: A total of 412 hips were 
      eligible for the current study, of which 336 (81.6%) had 2-year follow-up. The 
      matching process established 37 hips in the +IPI -PIS -IFL group and 87 hips in 
      the +IPI +PIS +IFL group. Both groups experienced significant improvements from 
      presurgery to latest follow-up for all recorded patient-reported outcomes (PROs). 
      The +IPI -PIS -IFL group compared favorably with the +IPI +PIS +IFL group for 
      mHHS (86.0 vs 86.1; P = .53), NAHS (83.0 vs 84.7; P = .40), and HOS-SSS (78.1 vs 
      76.5; P = .87). Additionally, iHOT-12, VAS, patient satisfaction, and rates of 
      achieving the minimal clinically important difference for mHHS, NAHS, and HOS-SSS 
      were similar between groups at the latest follow-up. CONCLUSION: Patients without 
      PIS who were diagnosed with an IPI lesion intraoperatively and did not undergo 
      IFL had similar and favorable improvements in PROs, VAS, and satisfaction to a 
      matched cohort with PIS who had IFL performed. Thus, an IPI lesion in the absence 
      of PIS may not require IFL.
FAU - Meghpara, Mitchell B
AU  - Meghpara MB
AD  - American Hip Institute Research Foundation, Des Plaines, Illinois, USA.
AD  - AMITA Health St Alexius Medical Center, Hoffman Estates, Illinois, USA.
FAU - Bheem, Rishika
AU  - Bheem R
AD  - American Hip Institute Research Foundation, Des Plaines, Illinois, USA.
FAU - Diulus, Samantha C
AU  - Diulus SC
AD  - American Hip Institute Research Foundation, Des Plaines, Illinois, USA.
FAU - Rosinsky, Philip J
AU  - Rosinsky PJ
AD  - American Hip Institute Research Foundation, Des Plaines, Illinois, USA.
FAU - Shapira, Jacob
AU  - Shapira J
AD  - American Hip Institute Research Foundation, Des Plaines, Illinois, USA.
FAU - Maldonado, David R
AU  - Maldonado DR
AD  - American Hip Institute Research Foundation, Des Plaines, Illinois, USA.
FAU - Lall, Ajay C
AU  - Lall AC
AD  - American Hip Institute Research Foundation, Des Plaines, Illinois, USA.
AD  - American Hip Institute, Des Plaines, Illinois, USA.
FAU - Domb, Benjamin G
AU  - Domb BG
AD  - American Hip Institute Research Foundation, Des Plaines, Illinois, USA.
AD  - American Hip Institute, Des Plaines, Illinois, USA.
LA  - eng
PT  - Journal Article
DEP - 20200810
PL  - United States
TA  - Am J Sports Med
JT  - The American journal of sports medicine
JID - 7609541
SB  - IM
MH  - Activities of Daily Living
MH  - Arthroscopy
MH  - Cohort Studies
MH  - *Femoracetabular Impingement/surgery
MH  - Follow-Up Studies
MH  - *Hip Joint/surgery
MH  - Humans
MH  - *Pain
MH  - Patient Satisfaction
MH  - Retrospective Studies
MH  - Treatment Outcome
OTO - NOTNLM
OT  - hip arthroscopy
OT  - iliopsoas
OT  - impingement
OT  - labral tear
EDAT- 2020/08/11 06:00
MHDA- 2020/12/22 06:00
CRDT- 2020/08/11 06:00
PHST- 2020/08/11 06:00 [pubmed]
PHST- 2020/12/22 06:00 [medline]
PHST- 2020/08/11 06:00 [entrez]
AID - 10.1177/0363546520944147 [doi]
PST - ppublish
SO  - Am J Sports Med. 2020 Sep;48(11):2747-2754. doi: 10.1177/0363546520944147. Epub 
      2020 Aug 10.