PMID- 32826727
OWN - NLM
STAT- MEDLINE
DCOM- 20211124
LR  - 20211124
IS  - 1473-5865 (Electronic)
IS  - 1060-152X (Linking)
VI  - 30
IP  - 6
DP  - 2021 Nov 1
TI  - Acetabular labral tears in the adolescent athlete: results of a graduated 
      management protocol from therapy to arthroscopy.
PG  - 549-555
LID - 10.1097/BPB.0000000000000793 [doi]
AB  - This study sought to determine outcomes of a graduated management protocol from 
      therapy to arthroscopy for adolescents presenting with hip pain and an associated 
      acetabular tear. Thirty-seven hips with an MRI confirmed labral tear were 
      prospectively enrolled in a graduated management protocol created for 
      adolescents. The protocol began with activity modification and focused physical 
      therapy. Patients with persistent symptoms were offered an intraarticular 
      corticosteroid injection. Those with continued symptoms were treated with 
      arthroscopic surgery. The modified Harris hip score (mHHS) and nonarthritic hip 
      score (NAHS) were recorded at the initial visit. Patients were contacted by 
      telephone at 1, 2, and 5 years from enrollment for repeat assessment with mHHS 
      and NAHS. At presentation, the mean mHHS and NAHS for the entire cohort was 
      66.4  +/-  11.4 and 70.2  +/-  12.6, and these values improved significantly to 
      89.3  +/-  10.6 and 87.0  +/-  11.4 at a mean follow-up of 35.7  +/-  18.3 months 
      (range 11.7-64.4 months). Forty-two percent of hips were managed with physical 
      therapy and activity modifications alone, 28% of hips progressed to a steroid 
      injection but did not require surgery, and 31% required arthroscopic 
      intervention. Seventy-three percent of hips treated with activity modification 
      alone, 80% treated with an injection, and 82% of hips treated with arthroscopic 
      repair met the minimal clinically significant difference (MCID) (P = 0.859). At 
      an average of 36 months follow-up, the majority (78%) of adolescent patients with 
      an acetabular labral tear will achieve the MCID utilizing a graduated management 
      protocol.
CI  - Copyright (c) 2020 Wolters Kluwer Health, Inc. All rights reserved.
FAU - Murtha, Andrew S
AU  - Murtha AS
AD  - Rady Children's Hospital.
FAU - Bomar, James D
AU  - Bomar JD
AD  - University of California, San Diego, San Diego, California, USA.
FAU - Johnson, Kristina P
AU  - Johnson KP
AD  - University of California, San Diego, San Diego, California, USA.
FAU - Upasani, Vidyadhar V
AU  - Upasani VV
AD  - University of California, San Diego, San Diego, California, USA.
FAU - Pennock, Andrew T
AU  - Pennock AT
AD  - University of California, San Diego, San Diego, California, USA.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Pediatr Orthop B
JT  - Journal of pediatric orthopedics. Part B
JID - 9300904
SB  - IM
MH  - Adolescent
MH  - *Arthroscopy
MH  - Athletes
MH  - *Femoracetabular Impingement
MH  - Follow-Up Studies
MH  - Hip Joint/diagnostic imaging/surgery
MH  - Humans
MH  - Retrospective Studies
MH  - Treatment Outcome
EDAT- 2020/08/23 06:00
MHDA- 2021/11/25 06:00
CRDT- 2020/08/23 06:00
PHST- 2020/08/23 06:00 [pubmed]
PHST- 2021/11/25 06:00 [medline]
PHST- 2020/08/23 06:00 [entrez]
AID - 01202412-202111000-00007 [pii]
AID - 10.1097/BPB.0000000000000793 [doi]
PST - ppublish
SO  - J Pediatr Orthop B. 2021 Nov 1;30(6):549-555. doi: 10.1097/BPB.0000000000000793.