Arthroscopic Treatment of Iliopsoas Snapping in Patients With Radiographic Acetabular Dysplasia Using Iliopsoas Fractional Lengthening and Capsular Plication
Authors
Hartigan DE, Perets I, Close MR, Walsh JP, Chaharbakhshi EO, Mohr MR, Domb BG
Journal: Arthroscopy. 2018 Jun;34(6):1841-1850.
DOI: 10.1016/j.arthro.2018.01.027
PMID: 29653792
Background
This study evaluates the outcomes of patients with iliopsoas tendon snapping and acetabular dysplasia who underwent arthroscopic treatment involving iliopsoas fractional lengthening and capsular plication.
Methods
Data were collected for patients with an LCEA <25° who underwent hip arthroscopy with iliopsoas lengthening and capsular plication. Patient-reported outcomes (PROs), VAS, and satisfaction were recorded, and radiographs were analyzed for progression of osteoarthritis.
Key Findings
Significant improvements were noted in PROs and VAS scores, with no significant radiographic progression of osteoarthritis. Patient satisfaction was high (mean 8.0), and only 4 patients required revision surgery for labral retears.
Conclusions
Arthroscopic treatment for iliopsoas snapping in patients with acetabular dysplasia yields favorable outcomes, including high satisfaction and improved pain levels, without significant progression of osteoarthritis.
What Does This Mean for Patients
Patients with iliopsoas snapping and acetabular dysplasia can expect significant improvement in pain and function with hip arthroscopy, and the procedure has a low risk of osteoarthritis progression.
DOI: 10.1016/j.arthro.2018.01.027