PMID- 36965542
OWN - NLM
STAT- MEDLINE
DCOM- 20230807
LR  - 20230808
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
VI  - 39
IP  - 9
DP  - 2023 Sep
TI  - Hypermobile Patients With Femoroacetabular Impingement Syndrome Can Be 
      Effectively Treated Utilizing Hip Arthroscopy With Periportal Capsulotomy 
      Closure: A Matched Cohort Analysis Compared to Patients Without Joint 
      Hypermobility.
PG  - 2026-2034
LID - S0749-8063(23)00240-2 [pii]
LID - 10.1016/j.arthro.2023.03.008 [doi]
AB  - PURPOSE: To assess the 2-year outcomes of arthroscopic treatment with periportal 
      capsulotomy closure for femoroacetabular impingement syndrome (FAIS) in patients 
      with generalized ligamentous laxity (GLL). METHODS: A retrospective analysis was 
      performed from a prospectively collected database of FAIS patients undergoing hip 
      arthroscopy. FAIS patients with GLL were identified as having Beighton score >/=4. 
      FAIS patients with GLL were treated with arthroscopic labral repair, 
      osteochondroplasty, via periportal capsulotomy with subsequent capsular closure. 
      These patients were matched by age, sex, and body mass index (BMI) with a cohort 
      of FAIS patients without GLL who underwent the same procedure via periportal 
      capsulotomy without capsular closure. Preoperatively, and 2 years 
      postoperatively, patients completed patient-reported outcomes (PRO) scores, 
      including the Hip Disability and Osteoarthritis Outcome Score (HOOS), 12-item 
      Short-Form survey (SF-12) and the visual analog scale (VAS). RESULTS: Forty 
      patients (5 male, 35 female) with FAIS and GLL were included (age: 29.7 +/- 9.0; 
      BMI: 23.3 +/- 4.1). FAIS patients with GLL demonstrated similar significant PRO 
      score improvements compared to a matched cohort of FAIS patients without GLL at 2 
      years after surgery (VAS Pain: (-)2.5 +/- 3.0, (-)2.7 +/- 2.7; SF-12 PCS: 17.7 +/- 
      14.2, 16.7 +/- 15.0; HOOS-Symptoms: 26.3 +/- 24.0, 20.6 +/- 18.1; HOOS-Pain: 29.8 +/- 
      20.4, 24.4 +/- 9.0; HOOS-ADL: 24.9 +/- 18.4, 22.0 +/- 19.9; HOOS-Sports: 43.6 +/- 26.1, 
      33.1 +/- 29.8; and HOOS-QOL: 44.2 +/- 27.6, 41.7 +/- 27.1, respectively). Both cohorts 
      achieved minimal clinically important differences (MCID) for each HOOS subscore 
      at equivalent high rates (70-88%). CONCLUSIONS: Patients with GLL in the setting 
      of FAIS can be effectively treated with arthroscopy via periportal capsulotomy 
      and capsular closure. These patients demonstrate significant improvements in PRO 
      scores at 2 years, similar to normal laxity FAIS patients undergoing arthroscopic 
      treatment via periportal capsulotomy without capsular closure. LEVEL OF EVIDENCE: 
      Level III, retrospective comparative therapeutic trial.
CI  - Copyright (c) 2023 Arthroscopy Association of North America. Published by Elsevier 
      Inc. All rights reserved.
FAU - Soriano, Kylen K J
AU  - Soriano KKJ
AD  - Department of Orthopaedic Surgery, University of California-San Francisco, San 
      Francisco, California, U.S.A.
FAU - Hartwell, Matthew J
AU  - Hartwell MJ
AD  - Department of Orthopaedic Surgery, University of California-San Francisco, San 
      Francisco, California, U.S.A.
FAU - Nguyen, Thu Quynh
AU  - Nguyen TQ
AD  - Department of Orthopaedic Surgery, University of California-San Francisco, San 
      Francisco, California, U.S.A.
FAU - Flores, Sergio E
AU  - Flores SE
AD  - Department of Orthopaedic Surgery, University of California-San Francisco, San 
      Francisco, California, U.S.A.
FAU - Zhang, Alan L
AU  - Zhang AL
AD  - Department of Orthopaedic Surgery, University of California-San Francisco, San 
      Francisco, California, U.S.A. Electronic address: Alan.zhang@ucsf.edu.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20230323
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  - Humans
MH  - Male
MH  - Female
MH  - Young Adult
MH  - Adult
MH  - *Femoracetabular Impingement/surgery
MH  - Retrospective Studies
MH  - Hip Joint/surgery
MH  - *Joint Instability/surgery
MH  - Arthroscopy/methods
MH  - Quality of Life
MH  - Treatment Outcome
MH  - Cohort Studies
MH  - Patient Reported Outcome Measures
MH  - Activities of Daily Living
MH  - Pain
MH  - Follow-Up Studies
EDAT- 2023/03/26 06:00
MHDA- 2023/08/07 06:41
CRDT- 2023/03/25 20:27
PHST- 2022/09/22 00:00 [received]
PHST- 2023/03/01 00:00 [revised]
PHST- 2023/03/03 00:00 [accepted]
PHST- 2023/08/07 06:41 [medline]
PHST- 2023/03/26 06:00 [pubmed]
PHST- 2023/03/25 20:27 [entrez]
AID - S0749-8063(23)00240-2 [pii]
AID - 10.1016/j.arthro.2023.03.008 [doi]
PST - ppublish
SO  - Arthroscopy. 2023 Sep;39(9):2026-2034. doi: 10.1016/j.arthro.2023.03.008. Epub 
      2023 Mar 23.