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Subspine Hip Impingement: Clinical and Radiographic Results of its Arthroscopic Treatment

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Resumo:Abstract Objective To evaluate the clinical and radiographic results as well as complications related to patients undergoing arthroscopic treatment of subspine hip impingement. Methods We retrospectively evaluated 25 patients (28 hips) who underwent arthroscopic treatment of subspine impingement between January 2012 and June 2018. The mean follow-up was 29.5 months, and the patients were evaluated clinically by using the Harris hip score modified by Byrd (MHHS), the non-arthritic hip score (NAHS), and in terms of internal rotation and hip flexion. In addition, the following items were evaluated by imaging exams: the center-edge (CE) acetabular angle, the Alpha angle, the presence of a sign of the posterior wall, the degree of arthrosis, the presence of heterotopic hip ossification, and the Hetsroni classification for subspine impingement. Results There was an average postoperative increase of 26.9 points for the MHHS, 25.4 for the NAHS (p < 0.0001), 10.5° in internal rotation (p < 0.0024), and 7.9° for hip flexion (p < 0.0001). As for the radiographic evaluation, an average reduction of 3.3° in the CE angle and of 31.6° for the Alpha angle (p < 0.0001). Eighteen cases (64.3%) were classified as grade 0 osteoarthritis of Tönnis, and 10 (35.7%) were classified as Tönnis grade 1. Two cases (7.1%) presented grade 1 ossification of Brooker. Most hips (n = 15, 53.6%) were classified as type II of Hetsroni et al. Conclusion In the present study, patients undergoing arthroscopic treatment with subspine impingement showed improvement in clinical aspects and radiographic patterns measured postoperatively, with an average follow-up of 29.5 months.
Autores principais:Roos,Bruno Dutra
Outros Autores:Roos,Milton Valdomiro; Camisa Júnior,Antero; Lima,Ezequiel Moreno Ungaretti; Fontana,Mariano Feraboli; Okamoto,Roger Pires
Assunto:femoroacetabular impingement hip joint arthroscopy
Ano:2020
País:Brasil
Tipo de documento:artigo
Tipo de acesso:acesso aberto
Instituição associada:IBICT
Idioma:inglês
Origem:Oasisbr
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author Roos,Bruno Dutra
author2 Roos,Milton Valdomiro
Camisa Júnior,Antero
Lima,Ezequiel Moreno Ungaretti
Fontana,Mariano Feraboli
Okamoto,Roger Pires
author2_role author
author
author
author
author
author_facet Roos,Bruno Dutra
Roos,Milton Valdomiro
Camisa Júnior,Antero
Lima,Ezequiel Moreno Ungaretti
Fontana,Mariano Feraboli
Okamoto,Roger Pires
author_role author
country_str BR
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datacite.creators.creator.creatorName.fl_str_mv Roos,Bruno Dutra
Roos,Milton Valdomiro
Camisa Júnior,Antero
Lima,Ezequiel Moreno Ungaretti
Fontana,Mariano Feraboli
Okamoto,Roger Pires
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datacite.subjects.subject.fl_str_mv femoroacetabular impingement
hip joint
arthroscopy
datacite.titles.title.fl_str_mv Subspine Hip Impingement: Clinical and Radiographic Results of its Arthroscopic Treatment
dc.creator.none.fl_str_mv Roos,Bruno Dutra
Roos,Milton Valdomiro
Camisa Júnior,Antero
Lima,Ezequiel Moreno Ungaretti
Fontana,Mariano Feraboli
Okamoto,Roger Pires
dc.format.none.fl_str_mv text/html
dc.identifier.none.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162020000600722
dc.language.none.fl_str_mv eng
dc.publisher.none.fl_str_mv Sociedade Brasileira de Ortopedia e Traumatologia
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.source.none.fl_str_mv Revista Brasileira de Ortopedia v.55 n.6 2020
reponame:Revista Brasileira de Ortopedia (Online)
instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)
instacron:SBOT
dc.subject.none.fl_str_mv femoroacetabular impingement
hip joint
arthroscopy
dc.title.fl_str_mv Subspine Hip Impingement: Clinical and Radiographic Results of its Arthroscopic Treatment
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_6501
description Abstract Objective To evaluate the clinical and radiographic results as well as complications related to patients undergoing arthroscopic treatment of subspine hip impingement. Methods We retrospectively evaluated 25 patients (28 hips) who underwent arthroscopic treatment of subspine impingement between January 2012 and June 2018. The mean follow-up was 29.5 months, and the patients were evaluated clinically by using the Harris hip score modified by Byrd (MHHS), the non-arthritic hip score (NAHS), and in terms of internal rotation and hip flexion. In addition, the following items were evaluated by imaging exams: the center-edge (CE) acetabular angle, the Alpha angle, the presence of a sign of the posterior wall, the degree of arthrosis, the presence of heterotopic hip ossification, and the Hetsroni classification for subspine impingement. Results There was an average postoperative increase of 26.9 points for the MHHS, 25.4 for the NAHS (p < 0.0001), 10.5° in internal rotation (p < 0.0024), and 7.9° for hip flexion (p < 0.0001). As for the radiographic evaluation, an average reduction of 3.3° in the CE angle and of 31.6° for the Alpha angle (p < 0.0001). Eighteen cases (64.3%) were classified as grade 0 osteoarthritis of Tönnis, and 10 (35.7%) were classified as Tönnis grade 1. Two cases (7.1%) presented grade 1 ossification of Brooker. Most hips (n = 15, 53.6%) were classified as type II of Hetsroni et al. Conclusion In the present study, patients undergoing arthroscopic treatment with subspine impingement showed improvement in clinical aspects and radiographic patterns measured postoperatively, with an average follow-up of 29.5 months.
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person_str_mv Roos,Bruno Dutra
Roos,Milton Valdomiro
Camisa Júnior,Antero
Lima,Ezequiel Moreno Ungaretti
Fontana,Mariano Feraboli
Okamoto,Roger Pires
publishDate 2020
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spelling Subspine Hip Impingement: Clinical and Radiographic Results of its Arthroscopic TreatmentRoos,Bruno DutraRoos,Milton ValdomiroCamisa Júnior,AnteroLima,Ezequiel Moreno UngarettiFontana,Mariano FeraboliOkamoto,Roger Piresfemoroacetabular impingementhip jointarthroscopyopen accesshttp://purl.org/coar/access_right/c_abf2http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162020000600722URLhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162020000600722URLHasVersion2020-12-01Abstract Objective To evaluate the clinical and radiographic results as well as complications related to patients undergoing arthroscopic treatment of subspine hip impingement. Methods We retrospectively evaluated 25 patients (28 hips) who underwent arthroscopic treatment of subspine impingement between January 2012 and June 2018. The mean follow-up was 29.5 months, and the patients were evaluated clinically by using the Harris hip score modified by Byrd (MHHS), the non-arthritic hip score (NAHS), and in terms of internal rotation and hip flexion. In addition, the following items were evaluated by imaging exams: the center-edge (CE) acetabular angle, the Alpha angle, the presence of a sign of the posterior wall, the degree of arthrosis, the presence of heterotopic hip ossification, and the Hetsroni classification for subspine impingement. Results There was an average postoperative increase of 26.9 points for the MHHS, 25.4 for the NAHS (p < 0.0001), 10.5° in internal rotation (p < 0.0024), and 7.9° for hip flexion (p < 0.0001). As for the radiographic evaluation, an average reduction of 3.3° in the CE angle and of 31.6° for the Alpha angle (p < 0.0001). Eighteen cases (64.3%) were classified as grade 0 osteoarthritis of Tönnis, and 10 (35.7%) were classified as Tönnis grade 1. Two cases (7.1%) presented grade 1 ossification of Brooker. Most hips (n = 15, 53.6%) were classified as type II of Hetsroni et al. Conclusion In the present study, patients undergoing arthroscopic treatment with subspine impingement showed improvement in clinical aspects and radiographic patterns measured postoperatively, with an average follow-up of 29.5 months.engtext/htmlSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia v.55 n.6 2020reponame:Revista Brasileira de Ortopedia (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOTjournal articlehttp://purl.org/coar/resource_type/c_6501literatureVoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85
spellingShingle Subspine Hip Impingement: Clinical and Radiographic Results of its Arthroscopic Treatment
Roos,Bruno Dutra
femoroacetabular impingement
hip joint
arthroscopy
status SINGLETON
status_str VoR
subject.fl_str_mv femoroacetabular impingement
hip joint
arthroscopy
title Subspine Hip Impingement: Clinical and Radiographic Results of its Arthroscopic Treatment
title_full Subspine Hip Impingement: Clinical and Radiographic Results of its Arthroscopic Treatment
title_fullStr Subspine Hip Impingement: Clinical and Radiographic Results of its Arthroscopic Treatment
title_full_unstemmed Subspine Hip Impingement: Clinical and Radiographic Results of its Arthroscopic Treatment
title_short Subspine Hip Impingement: Clinical and Radiographic Results of its Arthroscopic Treatment
title_sort Subspine Hip Impingement: Clinical and Radiographic Results of its Arthroscopic Treatment
topic femoroacetabular impingement
hip joint
arthroscopy
topic_facet femoroacetabular impingement
hip joint
arthroscopy
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162020000600722
visible 1

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