PMID- 34920010 OWN - NLM STAT- MEDLINE DCOM- 20220608 LR - 20220701 IS - 1526-3231 (Electronic) IS - 0749-8063 (Linking) VI - 38 IP - 6 DP - 2022 Jun TI - Patients With Concomitant Painful External Snapping Hip and Femoroacetabular Impingement Syndromes Reported Complete Snapping Resolution With Release of the Gluteus Maximus and Iliotibial Band, and Comparable Minimum 2-Year Outcomes to a Propensity-Matched Control Group. PG - 1890-1899 LID - S0749-8063(21)01087-2 [pii] LID - 10.1016/j.arthro.2021.11.048 [doi] AB - PURPOSE: To report minimum 2-year patient-reported outcome measures (PROMs) following primary hip arthroscopy for femoroacetabular impingement syndrome (FAIS) and painful external snapping hip (ESH) treatment and ESH resolution, and to compare these PROMs to a benchmark FAIS propensity-matched control group without ESH. METHODS: Data were prospectively collected and retrospectively reviewed between November 2009 and April 2018. Patients were eligible if they were preoperatively diagnosed with FAIS and painful ESH and received primary hip arthroscopy to address these pathologies. ESH was treated with gluteus maximus and iliotibial band releases. Inclusion criteria were baseline and minimum two-year follow-up scores for the modified Harris Hip Score, Nonarthritic Hip Score, Hip Outcome Score-Sport Specific Subscale, and visual analog scale for pain. Exclusion criteria were Tonnis grade >1 and previous hip conditions. A secondary subanalysis was performed to benchmark these outcomes to a FAIS propensity-matched control group without ESH, according to age, sex, body mass index (BMI), Tonnis grade, and preoperative lateral center-edge and alpha-angles using a 1:3 ratio. The minimal clinically important difference (MCID) and the maximum outcome improvement (MOI) rates were reported. RESULTS: Twenty-two hips (21 patients) were included. The mean age, BMI, and follow-up were 31.3 years +/- 14.0, 26 kg/m(2) +/- 5.0, and 31.4 months +/- 4.4, respectively, with 68.2% being female. ESH was resolved in 100% of patients. Significant improvement for all PROMs at a minimum two-year (P < .001) was reported. The minimum two-year PROMs and the rate of achieving the MCID and MOI threshold were comparable to the control group. CONCLUSION: Following primary hip arthroscopy for FAIS and painful ESH, patients demonstrated significant improvement in all PROMs, and the rate of resolution of ESH was 100% at minimum two-year follow-up: with gluteus maximus and iliotibial band releases. Functional outcomes and rates of MCID and MOI achievement were comparable to a FAIS propensity-matched benchmark control group without ESH. LEVEL OF EVIDENCE: Level III, retrospective comparative study. CI - Copyright (c) 2021 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved. FAU - Maldonado, David R AU - Maldonado DR AD - American Hip Institute Research Foundation, Chicago, Illinois, U.S.A. FAU - Glein, Rachel M AU - Glein RM AD - American Hip Institute Research Foundation, Chicago, Illinois, U.S.A. FAU - Lee, Michael S AU - Lee MS AD - American Hip Institute Research Foundation, Chicago, Illinois, U.S.A. FAU - Annin, Shawn AU - Annin S AD - American Hip Institute Research Foundation, Chicago, Illinois, U.S.A. FAU - Owens, Jade S AU - Owens JS AD - American Hip Institute Research Foundation, Chicago, Illinois, U.S.A. FAU - Jimenez, Andrew E AU - Jimenez AE AD - American Hip Institute Research Foundation, Chicago, Illinois, U.S.A. FAU - Saks, Benjamin R AU - Saks BR AD - American Hip Institute Research Foundation, Chicago, Illinois, U.S.A.; AMITA Health St. Alexius Medical Center, Hoffman Estates, Illinois, U.S.A. FAU - Sabetian, Payam W AU - Sabetian PW AD - American Hip Institute Research Foundation, Chicago, Illinois, U.S.A. FAU - Lall, Ajay C AU - Lall AC AD - American Hip Institute Research Foundation, Chicago, Illinois, U.S.A.; American Hip Institute, Chicago, Illinois, U.S.A.; AMITA Health St. Alexius Medical Center, Hoffman Estates, Illinois, U.S.A. FAU - Domb, Benjamin G AU - Domb BG AD - American Hip Institute Research Foundation, Chicago, Illinois, U.S.A.; American Hip Institute, Chicago, Illinois, U.S.A.; AMITA Health St. Alexius Medical Center, Hoffman Estates, Illinois, U.S.A.. Electronic address: DrDomb@americanhipinstitute.org. LA - eng PT - Journal Article DEP - 20211214 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 CIN - Arthroscopy. 2022 Jun;38(6):1900-1903. PMID: 35660184 MH - Activities of Daily Living MH - Adult MH - Arthroscopy MH - Control Groups MH - Female MH - *Femoracetabular Impingement/complications/surgery MH - Follow-Up Studies MH - Hip Joint/surgery MH - Humans MH - Male MH - Pain MH - Patient Reported Outcome Measures MH - Retrospective Studies MH - Treatment Outcome EDAT- 2021/12/18 06:00 MHDA- 2022/06/09 06:00 CRDT- 2021/12/17 20:12 PHST- 2021/05/26 00:00 [received] PHST- 2021/11/17 00:00 [revised] PHST- 2021/11/30 00:00 [accepted] PHST- 2021/12/18 06:00 [pubmed] PHST- 2022/06/09 06:00 [medline] PHST- 2021/12/17 20:12 [entrez] AID - S0749-8063(21)01087-2 [pii] AID - 10.1016/j.arthro.2021.11.048 [doi] PST - ppublish SO - Arthroscopy. 2022 Jun;38(6):1890-1899. doi: 10.1016/j.arthro.2021.11.048. Epub 2021 Dec 14.