Subspine femoroacetabular impingement: retrospective study of a series of patients treated by hip arthroscopic resection
dc.contributor.author | Francés Borrego, Alberto | |
dc.contributor.author | Martínez García, Álvaro | |
dc.contributor.author | Baño Barragán, Laura del | |
dc.contributor.author | Rodríguez González, Alberto | |
dc.contributor.author | Echevarría Marín, Marta | |
dc.contributor.author | Marco Martínez, Fernando | |
dc.date.accessioned | 2024-04-19T10:36:03Z | |
dc.date.available | 2024-04-19T10:36:03Z | |
dc.date.issued | 2023-02-08 | |
dc.description.abstract | Background: Femoroacetabular impingement syndrome (FAIS) is a common hip pathology that causes pain and functional limitation in young patients. subspine femoroacetabular impingement (SFAI) is an increasingly diagnosed extra-articular subtype that occurs from mechanical conflict of the anteroinferior iliac spine (AIIS) with the cervico-diaphyseal junction during hip flexion, which is poorly described in the literature. Questions/purposes: We aimed to describe the clinical, functional, and radiological results of the arthroscopic treatment of a group of patients with SFAI treated in our Hip Unit. Study design: Case series. Methods: We present a retrospective study of ten patients with SFAI treated between 2013 and 2020 with arthroscopic resection. Clinical results were assessed with scales such as visual analog scale (VAS); modified Harris Hip Score (mHHS), and Hip disability and Osteoarthritis Outcome Score (HOOS). Radiological results were assessed with radiological measurements, magnetic resonance imaging (MRI), and computed tomography (CT) reconstructions. Results: Six patients had a Type III AIIS and four of them had Type II. Two patients had previously been surgically treated for FAIS. The range of motion improved in flexion from 107 ± 11 degrees before surgery to 127.5 ± 6 degrees (p = 0.005). MHHS improved from 48.1 (38-75.3) before surgery to 83.1 (57-91) (p = 0.007) and HOOS improved from 65.2 (58-75) to 89 (68.1-100) (p = 0.007). VAS improved from 7.3 (5-9) pre-surgical to 2.5 (0-8) post-surgical (p = 0.005). We did not have significant complications except for an asymptomatic case of heterotopic ossification (Brooker I). Conclusion: Arthroscopic decompression of AIIS in SFAI patients is a safe procedure that provides satisfactory short-term functional results, improving clinical symptoms, function, sports performance, and range of motion in our study. | |
dc.description.department | Depto. de Cirugía | |
dc.description.faculty | Fac. de Medicina | |
dc.description.refereed | TRUE | |
dc.description.status | pub | |
dc.identifier.citation | Frances Borrego A, Martinez Garcia A, Del Baño Barragán L, Rodríguez González A, Echevarría Marín M, Marco Martinez F. Subspine femoroacetabular impingement: retrospective study of a series of patients treated by hip arthroscopic resection. Arch Orthop Trauma Surg. 2023 Aug;143(8):4951-4959. doi: 10.1007/s00402-022-04761-2. | |
dc.identifier.doi | 10.1007/s00402-022-04761-2 | |
dc.identifier.issn | 1434-3916 | |
dc.identifier.officialurl | 10.1007/s00402-022-04761-2 | |
dc.identifier.pmid | 36752833 | |
dc.identifier.relatedurl | https://link.springer.com/article/10.1007/s00402-022-04761-2 | |
dc.identifier.uri | https://hdl.handle.net/20.500.14352/103247 | |
dc.issue.number | 8 | |
dc.journal.title | Archives of Orthopaedic and Trauma Surgery | |
dc.language.iso | eng | |
dc.page.final | 4959 | |
dc.page.initial | 4951 | |
dc.publisher | Springer Nature | |
dc.rights | Attribution 4.0 International | en |
dc.rights.accessRights | open access | |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | |
dc.subject.cdu | 616.7-001 | |
dc.subject.keyword | Femoroacetabular impigement | |
dc.subject.keyword | Hip | |
dc.subject.keyword | Hip arthroscopy | |
dc.subject.keyword | Subspine impigement | |
dc.subject.ucm | Sistema musculoesquelético | |
dc.subject.unesco | 3213.15 Traumatología | |
dc.title | Subspine femoroacetabular impingement: retrospective study of a series of patients treated by hip arthroscopic resection | |
dc.type | journal article | |
dc.type.hasVersion | VoR | |
dc.volume.number | 143 | |
dspace.entity.type | Publication | |
relation.isAuthorOfPublication | 93de43a9-ca2f-4244-b150-ce1f555142b3 | |
relation.isAuthorOfPublication | a78a5d1c-8d93-470f-a1fb-926142ff81a0 | |
relation.isAuthorOfPublication | e160ced6-aec8-4bde-9f5f-5d5872dadf87 | |
relation.isAuthorOfPublication.latestForDiscovery | 93de43a9-ca2f-4244-b150-ce1f555142b3 |
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