Radiographic and Clinical Outcomes of Adolescents With Acetabular Retroversion Treated Arthroscopically

Radiographic and Clinical Outcomes of Adolescents With Acetabular Retroversion Treated Arthroscopically

Authors

Litrenta J, Mu B, Chen AW, Ortiz-Declet V, Perets I, Domb BG
DOI: 10.1097/BPO.0000000000001063

Background

Acetabular retroversion is a condition where the hip socket is positioned incorrectly, causing pincer impingement. While traditional treatment has involved surgery to reorient the acetabulum (PAO), hip arthroscopy has emerged as a less invasive option, especially in adolescents.

Methods

This study included adolescents under 18 with acetabular retroversion treated with hip arthroscopy, followed for at least 2 years. Radiographic measures like the lateral center-edge angle and clinical outcomes, including pain, function, and patient satisfaction, were tracked.

Key Findings

Significant improvements in clinical scores were seen at 2 years post-surgery. Only a few patients needed revision surgery, and none required PAO. The procedure was well-tolerated with no major complications.

Conclusions

Hip arthroscopy can effectively treat acetabular retroversion in adolescents, offering good clinical outcomes and avoiding the need for more invasive procedures like PAO.

What Does This Mean for Patients

If you're an adolescent with acetabular retroversion, hip arthroscopy can offer significant pain relief and functional improvement without the need for major surgery like PAO.