PMID- 37100216
OWN - NLM
STAT- MEDLINE
DCOM- 20231121
LR  - 20231121
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
VI  - 39
IP  - 12
DP  - 2023 Dec
TI  - Timing From Symptom Onset to Hip Arthroscopy Does Not Affect Patient-Reported 
      Outcome Measures for the Treatment of Femoroacetabular Impingement in Adolescent 
      Patients.
PG  - 2466-2473
LID - S0749-8063(23)00304-3 [pii]
LID - 10.1016/j.arthro.2023.03.028 [doi]
AB  - PURPOSE: To evaluate symptom duration and its relationship to patient-reported 
      outcomes (PROs) and survivorship after hip arthroscopy in adolescents. METHODS: 
      Patients </=18 at time of primary hip arthroscopy for femoroacetabular impingement 
      (FAI) between January 2011 and September 2018 were included. Exclusion criteria 
      consisted of history of previous ipsilateral hip surgery, presence of 
      osteoarthritis or dysplasia on preoperative radiographs, previous hip fracture, 
      or history of slipped capital femoral epiphysis or Legg-Calve-Perthes disease. 
      Minimum 2-year PROs (modified Harris Hip Score, Hip Outcome Score 
      [HOS]-Activities of Daily Living, HOS-Sport Scale, Short Forms 12 [SF-12]), 
      minimum clinically significant difference (MCID) and patient-acceptable symptom 
      state (PASS) rates, and revision surgery rates were compared based on symptom 
      duration. RESULTS: Two-year minimal follow-up was obtained for 111 patients (134 
      hips) (80%), including 74 females and 37 males with a mean age of 16.4 +/- 1.1 
      (range 13.0-18.0). The mean symptom duration was 17.2 +/- 15.2 months (range 43 
      days to 6.0 years). Ten patients (11 hips), 6 females (7 hips) and 4 males, 
      required revision surgery at an average of 2.3 +/- 1.0 years (range 0.9-4.3 years). 
      At a mean follow-up of 4.8 +/- 2.2 years (range 2-10 years), there were 
      statistically significant improvements in all PROs (P < .05 for all). Symptom 
      duration showed no significant correlation to post-operative scores (correlation 
      coefficient range -0.162 to -0.078, P > .05 for all). Symptom duration </=12 months 
      versus >12 months or as a continuous variable was not a predictor for requiring 
      revision surgery or achieving MCID/PASS (95% confidence interval crosses 1 for 
      all). CONCLUSIONS: In an adolescent cohort of symptomatic FAI patients who 
      underwent hip arthroscopy, there is no difference in PRO measures when analyzing 
      symptom duration by arbitrary time intervals or as a continuous variable. LEVEL 
      OF EVIDENCE: Level IV, case series.
CI  - Copyright (c) 2023 Arthroscopy Association of North America. Published by Elsevier 
      Inc. All rights reserved.
FAU - Ruzbarsky, Joseph J
AU  - Ruzbarsky JJ
AD  - Steadman Philippon Research Institute, Vail, Colorado, U.S.A; Steadman Clinic and 
      United States Coalition for the Prevention of Illness and Injury in Sport, Vail, 
      Colorado, U.S.A.
FAU - Comfort, Spencer M
AU  - Comfort SM
AD  - Steadman Philippon Research Institute, Vail, Colorado, U.S.A.
FAU - Fukase, Naomasa
AU  - Fukase N
AD  - Steadman Philippon Research Institute, Vail, Colorado, U.S.A.
FAU - Briggs, Karen K
AU  - Briggs KK
AD  - Steadman Philippon Research Institute, Vail, Colorado, U.S.A.
FAU - Vidal, Leslie B
AU  - Vidal LB
AD  - Steadman Philippon Research Institute, Vail, Colorado, U.S.A; Steadman Clinic and 
      United States Coalition for the Prevention of Illness and Injury in Sport, Vail, 
      Colorado, U.S.A.
FAU - Philippon, Marc J
AU  - Philippon MJ
AD  - Steadman Philippon Research Institute, Vail, Colorado, U.S.A; Steadman Clinic and 
      United States Coalition for the Prevention of Illness and Injury in Sport, Vail, 
      Colorado, U.S.A. Electronic address: drphilippon@sprivail.org.
LA  - eng
PT  - Journal Article
DEP - 20230424
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. 2023 Dec;39(12):2477-2486. PMID: 37127241
MH  - Female
MH  - Male
MH  - Humans
MH  - Adolescent
MH  - Activities of Daily Living
MH  - Arthroscopy
MH  - *Femoracetabular Impingement/surgery
MH  - Patient Reported Outcome Measures
MH  - *Hip Fractures
EDAT- 2023/04/27 00:42
MHDA- 2023/11/21 06:42
CRDT- 2023/04/26 19:26
PHST- 2022/09/05 00:00 [received]
PHST- 2023/03/30 00:00 [revised]
PHST- 2023/03/31 00:00 [accepted]
PHST- 2023/11/21 06:42 [medline]
PHST- 2023/04/27 00:42 [pubmed]
PHST- 2023/04/26 19:26 [entrez]
AID - S0749-8063(23)00304-3 [pii]
AID - 10.1016/j.arthro.2023.03.028 [doi]
PST - ppublish
SO  - Arthroscopy. 2023 Dec;39(12):2466-2473. doi: 10.1016/j.arthro.2023.03.028. Epub 
      2023 Apr 24.