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Current Reviews in Musculoskeletal Medicine
Published in: Current Reviews in Musculoskeletal Medicine 4/2016

01-12-2016 | Outcomes Research in Orthopedics (O Ayeni, Section Editor)

Radiographic outcomes reporting after arthroscopic management of femoroaceabular impingement: a systematic review

Authors: Ivan Dzaja, Kyle Martin, Jeffrey Kay, Muzammil Memon, Andrew Duong, Nicole Simunovic, Olufemi R. Ayeni

Published in: Current Reviews in Musculoskeletal Medicine | Issue 4/2016

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Abstract

Femoroacetabular impingement (FAI) is a condition increasingly being recognized as a cause of hip pain and disability. Hip arthroscopy is a common method used to treat this condition. The purpose of this review was to identify reported radiographic outcomes after arthroscopic surgery for FAI. Online databases (PubMed, EMBASE, and Medline) were screened for studies involving arthroscopic management of FAI. Full-text reviews of eligible studies were conducted. We identified 23 eligible studies involving 1348 patients from an initial screen of 1304 studies involved. There were 15 different radiographic parameters among the 23 studies. The most commonly reported radiographic outcomes included the alpha angle (69.6 %), center edge angle (34.7 %), and femoral offset ratio (17.4 %). This study highlights the significant variation in reported radiographic outcomes after arthroscopic FAI surgery.
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Literature
1.
Ito K, Minka II MA, Leunig M, et al. Femoroacetabular impingement and the cam-effect. A MRI-based quantitative anatomical study of the femoral head-neck offset. J Bone Joint Surg (Br). 2001;83:171–6.CrossRef
2.
Tanzer M, Noiseux N. Osseous abnormalities and early osteoarthritis: the role of hip impingement. Clin Orthop Relat Res. 2004;429:170–7.CrossRef
3.
Ganz R, Parvizi J, Beck M, Leunig M, Notzli H, Siebenrock KA. Femoroacetabular impingement: a cause for osteoarthritis of the hip. Clin Orthop Relat Res. 2003;417:112–20.
4.
Ganz R, Leunig M, Leunig-Ganz K, Harris WH. The etiology of osteoarthritis of the hip: an integrated mechanical concept. Clin Orthop Relat Res. 2008;466(2):264–72.CrossRefPubMedPubMedCentral
5.
Beck M, Kalhor M, Leunig M, Ganz R. Hip morphology influences the pattern of damage to the acetabular cartilage: femoroacetabular impingement as a cause of early osteoarthritis of the hip. J Bone Joint Surg (Br). 2005;87:1012–8.CrossRef
6.
7.
Byrd JW, Jones KS, Gwathmey FW. Femoroacetabular impingement in adolescent athletes: outcomes of arthroscopic management. Am J Sports Med. 2016
8.
Larson CM, Giveans MR. Arthroscopic management of femoroacetabular impingement: early outcomes measures. Arthroscopy. 2008;24(5):540–6.CrossRefPubMed
9.
Nho SJ, Magennis EM, Singh CK, Kelly BT. Outcomes after the arthroscopic treatment of femoroacetabular impingement in a mixed group of high-level athletes. Am J Sports Med. 2011;39(Suppl):7S–13.
10.•
Hetaimish BM, Khan M, Crouch S, Simunovic N, Bedi A, Mohtadi N, et al. Consistency of reported outcomes after arthroscopic management of femoroacetabular impingement. Arthroscopy. 2013;29(4):780–7. Recent review studying consistency of both clinical and radiographic outcomes in the literature. Important study in that highlights the lack of consistency in outcome reporting with FAI surgery.CrossRefPubMed
11.
Slim K, Nini E, Forestier D, Kwiatkowski F, Panis Y, Chipponi J. Methodological index for non-randomized studies (minors): development and validation of a new instrument. ANZ J Surg. 2003;73:712–6.CrossRefPubMed
12.
Portney LG, Watkins MP. Foundations of clinical research: applications to practice. 2nd ed. Upper Saddle River: Prentice Hall Health; 2000. p. 90–3.
13.
Philippon MJ, Wolff AB, Briggs KK, Zehms CT, Kuppersmith BS. Acetabular rim reduction for the treatment of femoroacetabular impingement correlates with preoperative and postoperative center-edge angle. Arthroscopy. 2010;26(6):757–61.CrossRefPubMed
14.
Kelly BT, Bedi A, Robertson CM, Dela Torre K, Giveans MR, Larson CM. Alterations in internal rotation and alpha angles are associated with arthroscopic cam decompression in the hip. Am J Sports Med. 2012;40(5):1107–12.CrossRefPubMed
15.
Larson CM, Giveans MR, Stone RM. Arthroscopic debridement versus refixation of the acetabular labrum associated with femoroacetabular impingement: mean 3.5-year follow-up. Am J Sports Med. 2012;40(5):1015–21.CrossRefPubMed
16.
Larson CM, Giveans MR. Arthroscopic debridement versus refixation of the acetabular labrum associated with femoroacetabular impingement. Arthroscopy. 2009;25(4):369–76.CrossRefPubMed
17.
Safran MR, Epstein NP. Arthroscopic management of protrusio acetabuli. Arthroscopy. 2009;29(11):1777–82.CrossRef
18.
Ilizaliturri VM, Nossa-Barrera JM, Acosta-Rodriguez E, Camacho-Galindo J. Arthroscopic treatment of femoroacetabular impingement secondary to paediatric hip disorders. J Bone Joint Surg (Br). 2007;89-B(8):1025–30.CrossRef
19.
Wylie JD, Beckman JT, Maak TG, Aoki SK. Arthroscopic treatment of mild to moderate deformity after slipped capital femoral epiphysis: intra-operative findings and functional outcomes. Arthroscopy. 2015;31(2):247–53.CrossRefPubMed
20.
Gupta A, Redmond JM, Stake CE, Finch NA, Dunne KF, Domb BG. Does the femoral cam lesion regrow after osteoplasty for femoroacetabular impingement?: two-year follow-up. Am J Sports Med. 2014;42(9):2149–55.CrossRefPubMed
21.
Gross CE, Hellman M, Freedman R, Hart M, Reddy A, Salata M, et al. Effect of anterior acetabular rim recession on radiographic parameters: an in vivo study. Arthroscopy. 2013;29(8):1292–6.CrossRefPubMed
22.
Brunner A, Horisberger M, Herzon RF. Evaluation of a computer tomography-based navigation system prototype for hip arthroscopy in the treatment of femoroacetabular cam impingement. Arthroscopy. 2009;25(4):382–91.CrossRefPubMed
23.
Zingg PO, Buehler TC, Poutawera VR, Alireza A, Dora C. Femoral neck fractures after arthroscopic femoral neck osteochondroplasty for femoroacetabular impingement. Knee Surg Sports Traumatol Arthrosc. 2014;22:926–31.CrossRefPubMed
24.
Gicquel T, Gedouin JE, Krantz N, May O, Gicquel P, Bonin N. Function and osteoarthritis progression after arthroscopic treatment of femoro-acetabular impingement: a prospective study after a mean follow-up of 4.6 (4.2-5.5) years. Orthop Traumatol Surg Res. 2014;100(6):651–6.CrossRefPubMed
25.
Nho SJ, Magennis EM, Singh CK, Kelly BT. Outcomes after the arthroscopic treatment of femoroacetabular impingement in a mixed group of high-level athletes. Am J Sports Med. 2011;39 Suppl 1:14S–9.CrossRefPubMed
26.
Rafols C, Monckeberg JE, Numair J, Botello J, Rosales J. Platelet-rich plasma augmentation of arthroscopic hip surgery for femoroacetabular impingement: a prospective study with 24-month follow-up. Arthroscopy. 2015;31(10):1886–92.CrossRefPubMed
27.
Zhuo H, Wang X, Liu X, Song G, Li Y, Feng H. Quantitative evaluation of residual bony impingement lesions after arthroscopic treatment for isolated pincer-type femoroacetabular impingement using three-dimensional CT. Arch Orthop Trauma Surg. 2015;135:1123–30.CrossRefPubMed
28.
Bedi A, Zaltz I, De La Torre K, Kelly BT. Radiographic comparison of surgical hip dislocation and hip arthroscopy for treatment of cam deformity in femoroacetabular impingement. Am J Sports Med. 2011;39 Suppl 1:20S–8.CrossRefPubMed
29.
Ross JR, Larson CM, Adeoyo O, Kelly BT, Bedi A. Residual deformity is the most common reason for revision hip arthroscopy: a three-dimensional CT study. CORR. 2015;473:1388–95.CrossRef
30.
Domb BG, Stake CE, Botser IB, Jackson TJ. Surgical dislocation of the hip versus arthroscopic treatment of femoroacetabular impingement: a prospective matched-pair study with average 2-year follow-up. Arthroscopy. 2013;29(9):1506–13.CrossRefPubMed
31.
Zingg PO, Ulbrich EJ, Buehler TC, Kalberer F, Poutawera VR, Dora C. Surgical hip dislocation versus hip arthroscopy for femoroacetabular impingement: clinical and morphological short-term results. Arch Orthop Trauma Surg. 2013;133:69–79.CrossRefPubMed
32.
Bedi A, Dolan M, Hetsroni I, Magennis E, Lipman J, Buly R, et al. Surgical treatment of femoroacetabular impingement improves hip kinematics: a computer-assisted model. Am J Sports Med. 2011;39 Suppl 1:43S–9.CrossRefPubMed
33.
Larson CM, Stone RM. The rarely encountered rim fracture that contributes to both femoroacetabular impingement and hip stability: a report of 2 cases of arthroscopic partial excision and internal fixation. Arthroscopy. 2011;27(7):1018–22.CrossRefPubMed
34.
Gedouin JE, Duperron D, Langlais F, Thomazeau H. Update to femoroacetabular impingement arthroscopic management. Orthop Traumatol Surg Res. 2010;96:222–7.CrossRefPubMed
35.•
de Sa D, Urguhart N, Philippon M, Ye JE, Simunovic N, Ayeni OR. Alpha angle correction in femoroacetabular impingement. Knee Sports Traumatol Arthrosc. 2014;22(4):812–21. Recent review looking at clinical outcomes associated with alpha angle correction. Review suggests that correction to less than 55° leads to improved patient outcomes. Highlights the importance in stressing radiographic measures in helping to predict patient outcome.CrossRef
36.•
Sardana V, Philippon MJ, de Sa D, Redi A, Ye L, Simunovic N, et al. Revision hip arthroscopy indications and outcomes: a systematic review. Arthroscopy. 2015;31(10):2047–55. Recent review looking at indications and outcomes of revision hip arthroscopy. Review suggests that residual deformity is a predictor of requiring revision surgery. Again, highlights the importance of using radiographic measures to ensure adequate bony resection of deformity.CrossRefPubMed
37.
Clohisy JC, Dobson MA, Robison JF, Warth LC, Zheng J, Liu SS, et al. Radiographic structural abnormalities associated with premature, natural hip-joint failure. J Bone Joint Surg Am. 2011;93 Suppl 2:3–9.CrossRefPubMed
Metadata
Title
Radiographic outcomes reporting after arthroscopic management of femoroaceabular impingement: a systematic review
Authors
Ivan Dzaja
Kyle Martin
Jeffrey Kay
Muzammil Memon
Andrew Duong
Nicole Simunovic
Olufemi R. Ayeni
Publication date
01-12-2016
Publisher
Springer US
Published in
Current Reviews in Musculoskeletal Medicine / Issue 4/2016
Electronic ISSN: 1935-9748
DOI
https://doi.org/10.1007/s12178-016-9366-3

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