Femoracetabular Impingement

SAN FRANCISCO — Psychological readiness may influence the rate of return to sport in recreational athletes who underwent hip arthroscopy with labral preservation for femoroacetabular impingement, according to results presented here.

Among patients with labral tears, hip arthroscopy with primary labral repair is the gold standard treatment, which published literature has shown to have high success rates.

Hip arthroscopy is a safe and effective procedure for improving functional impairments in pediatric and adolescent patients, according to a published study.

Published results showed no differences in postoperative morphine equivalent dose among patients who did and those who did not receive fascia iliaca block for elective hip arthroscopic labral repair and treatment of femoroacetabular impingement.

The indications for acetabular labral reconstruction are controversial. The literature is full of reports that show good results with labral treatment ranging from minimal debridement to repair or segmental reconstruction and ultimately to circumferential reconstruction. Also reflected in the literature is the shared experience of surgeons who have dedicated their careers to helping people with non-arthritic hip problems. In other words, some times it may not matter how we treat the labrum; other times it matters quite a bit. Widely cited work that shows superior results with repair vs. debridement suggests that patients who underwent debridement, but did not fare well had undertreated labral pathology. However, we must be aware that the majority of these patients still did well. We can infer from such results, as well as from many other published reports and our shared experience, that how we treat the labrum does matter to a consequential percentage of our patients.

MRI-based 3D models of the hip joint had excellent correlation with and may replace CT-based 3D models for both diagnostic parameters and range of motion values in patients with femoroacetabular impingement, according to published results.

BOSTON — The patient-reported outcomes measurement information system may be a valid and efficient patient-reported outcome in patients undergoing hip arthroscopy for femoroacetabular impingement, according to results presented at the American Orthopaedic Society for Sports Medicine Annual Meeting.

Roxana Viamont-Guerra, MD, from Brazil discusses the unique opportunity she had to visit a renowned host centre and Frédéric Laude, MD, in Clinique du Sport Paris V for 6 months in the beginning of 2018.

BOSTON — Results presented at the American Orthopaedic Society for Sports Medicine Annual Meeting showed preoperative mental health status was more predictive of 1-year patient-reported outcomes of hip pain and function compared with intraoperative findings during hip arthroscopy for femoroacetabular impingement.

Published results showed significant improvements in patient-reported outcomes at a minimum of 5 years among patients who underwent hip arthroscopy with segmental labral reconstruction. These results were comparable with patients who underwent primary labral repair, except primary labral reconstruction resulted in lower patient satisfaction scores.