Arthroscopic Subspine Decompression Is Commonly Reported in a Heterogenous Patient Population With Concomitant Procedures: A Systematic Review
Authors
Curley AJ, Owens JS, Jimenez AE, Maldonado DR, Saks BR, Sabetian PW, Lall AC, Domb BG
Background
- Subspine impingement, caused by abnormalities in the anterior inferior iliac spine (AIIS), is a potential source of hip pain.
- Arthroscopic subspine decompression is one treatment option, often performed alongside other hip preservation procedures.
Methods
- This study systematically reviewed articles on arthroscopic subspine decompression, focusing on patient demographics, outcomes, and complications.
- Studies included those with subspine decompression combined with femoroacetabular impingement syndrome (FAIS) procedures.
Key Findings
- Subspine decompression is commonly performed in conjunction with other hip preservation procedures.
- The most common diagnostic test used is the subspine impingement test.
- Patients generally report improved outcomes after surgery, including improved hip flexion and PROs.
Conclusions
- Arthroscopic subspine decompression can be effective, especially when combined with other hip procedures.
- However, study quality is varied, and many studies lack robust methodologies.
What Does This Mean for Patients
- If you're undergoing hip surgery for impingement or other hip pathologies, subspine decompression may be part of your treatment if you're also dealing with subspine impingement.
- While this procedure tends to improve patient outcomes, be aware that the evidence behind it varies in quality.