5-Year Arthroscopy-Free Survivorship and Outcomes of Adolescents Undergoing Primary Hip Arthroscopy: A Comparison Between Traumatic and Atraumatic Injuries
Authors
Lee MS, Paraschos OA, Jimenez AE, Owens JS, Maldonado DR, Domb BG
Journal
Am J Sports Med, August 2022
Background
This study evaluates the outcomes of adolescents undergoing hip arthroscopy for femoroacetabular impingement syndrome (FAIS), comparing those with traumatic injuries (TIs) to those with atraumatic injuries (AHS). It also assesses the rate of revision surgeries over five years.
Methods
- 31 adolescent patients (32 hips) with TIs were compared with 64 patients (hips) with AHS.
- Both groups had 5-year follow-up data, including scores on the modified Harris Hip Score (mHHS), Nonarthritic Hip Score, Hip Outcome Score-Sport Specific Subscale, and pain scales.
Key Findings
- Both groups showed significant improvement in patient-reported outcomes (PROs).
- The traumatic injury group had higher revision surgery rates (28.1% vs 6.3%).
Conclusions
While adolescents with TIs had comparable improvement in outcomes to those with AHS, the higher revision rates in the traumatic injury group are a concern.
What Does This Mean For Patients
If you're an adolescent with a traumatic hip injury undergoing arthroscopy, expect significant improvement, but be aware that revision surgery rates are higher than for those without a traumatic injury.