PMID- 37103484 OWN - NLM STAT- MEDLINE DCOM- 20230602 LR - 20230608 IS - 1552-3365 (Electronic) IS - 0363-5465 (Linking) VI - 51 IP - 7 DP - 2023 Jun TI - Results of Endoscopic Labral Repair With Concomitant Gluteus Medius and/or Minimus Repair Compared With Outcomes of Labral Repair Alone: A Matched Comparative Cohort Analysis at Minimum 2-Year Follow-up. PG - 1818-1825 LID - 10.1177/03635465231166708 [doi] AB - BACKGROUND: There is a paucity of information available to clinicians on outcomes of patients undergoing endoscopic surgery for labral repairs and femoroacetabular impingement syndrome with simultaneous repair of the gluteus medius and/or minimus muscles. PURPOSE: To determine whether patients with labral tears and concomitant gluteal pathology who undergo simultaneous endoscopic labral and gluteus medius and/or minimus repair experience similar outcomes to patients with isolated labral tears who undergo endoscopic labral repair alone. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: A matched retrospective comparative cohort study was performed. Patients who underwent gluteus medius and/or minimus repair with concomitant labral repair between January 2012 and November 2019 were identified. These patients were matched in a 1:3 ratio by sex, age, and body mass index (BMI) to patients who underwent labral repair alone. Preoperative radiographs were assessed. Patient-reported outcomes (PROs) were assessed preoperatively and 2 years postoperatively. PRO measures included the Hip Outcome Score Activities of Daily Living and Sports subscales, modified Harris Hip Score, 12-Item International Hip Outcome Tool, and visual analog scales for pain and satisfaction. Published labral repair minimal clinically important difference (MCID) and Patient Acceptable Symptom State (PASS) thresholds were utilized for these measures. RESULTS: A total of 31 patients who underwent gluteus medius and/or minimus repair with concomitant labral repair (27 female, 4 male; age, 50.8 +/- 7.3 years; BMI, 27.9 +/- 5.2) were matched with 93 patients who underwent labral repair alone (81 female, 12 male; age, 50.9 +/- 8.1 years; BMI, 28.5 +/- 6.2). There were no significant differences in sex (P > .99), age (P = .869), or BMI (P = .592); preoperative radiographic measurements; or preoperative or 2-year postoperative PRO scores (P>/= .081). Changes between preoperative and 2-year postoperative PRO scores were significantly different for both groups for all PROs assessed (P < .001 for all). There were no significant differences in MCID or PASS achievement rates (P>/= .123), with low PASS achievement rates of 40% to 60% found in both groups. CONCLUSION: Patients who were treated with endoscopic gluteus medius and/or minimus repair with concomitant labral repair demonstrated comparable outcomes with those who were treated with endoscopic labral repair alone. FAU - Horner, Nolan S AU - Horner NS AD - Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of Orthopaedic Surgery, Rush Medical College of Rush University, Rush University Medical Center, Chicago, Illinois, USA. FAU - Chapman, Reagan S AU - Chapman RS AD - Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of Orthopaedic Surgery, Rush Medical College of Rush University, Rush University Medical Center, Chicago, Illinois, USA. FAU - Larson, Jordan H AU - Larson JH AD - Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of Orthopaedic Surgery, Rush Medical College of Rush University, Rush University Medical Center, Chicago, Illinois, USA. FAU - Nho, Shane J AU - Nho SJ AD - Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of Orthopaedic Surgery, Rush Medical College of Rush University, Rush University Medical Center, Chicago, Illinois, USA. LA - eng PT - Journal Article DEP - 20230427 PL - United States TA - Am J Sports Med JT - The American journal of sports medicine JID - 7609541 SB - IM MH - Humans MH - Male MH - Female MH - Adult MH - Middle Aged MH - Follow-Up Studies MH - Cohort Studies MH - Treatment Outcome MH - Retrospective Studies MH - *Arthroscopy/methods MH - Activities of Daily Living MH - Muscle, Skeletal/surgery MH - *Femoracetabular Impingement/diagnostic imaging/surgery/etiology MH - Patient Reported Outcome Measures MH - Hip Joint/surgery OTO - NOTNLM OT - femoroacetabular impingement OT - hip OT - hip arthroscopy OT - hip/pelvis/thigh OT - muscle injuries EDAT- 2023/04/27 12:42 MHDA- 2023/06/02 06:42 CRDT- 2023/04/27 10:55 PHST- 2023/06/02 06:42 [medline] PHST- 2023/04/27 12:42 [pubmed] PHST- 2023/04/27 10:55 [entrez] AID - 10.1177/03635465231166708 [doi] PST - ppublish SO - Am J Sports Med. 2023 Jun;51(7):1818-1825. doi: 10.1177/03635465231166708. Epub 2023 Apr 27.