Beyond the patella: Treatment of cam femoroacetabular impingement syndrome improves anterior knee pain.
| Autor: | Sanchis-Alfonso V; Orthopedic Department, Hospital Arnau de Vilanova, Valencia, Spain. Electronic address: vicente.sanchis.alfonso@gmail.com., Sanchez-Soler JF; Orthopedic Department, Hospital del Mar, Universitat Autònoma de Barcelona, Barcelona, Spain., Ribera-Martinez N; Orthopedic Department, Hospital Arnau de Vilanova, Valencia, Spain., Espregueira-Mendes J; Clínica Espregueira - FIFA Medical Centre of Excellence, Porto, Portugal; Dom Henrique Research Centre, Porto, Portugal; School of Medicine, University of Minho, Braga, Portugal; ICVS/3B's-PT Government Associate Laboratoryō, Braga, Guimarães, Portugal; 3B's Research Group - Biomaterials, Biodegradables and Biomimetics, University of Minho, Headquarters of the European Institute of Excellence on Tissue Engineering and Regenerative Medicine, Barco, Guimarães, Portugal., Monllau JC; Orthopedic Department, Hospital del Mar, Universitat Autònoma de Barcelona, Barcelona, Spain; Institut Català de Traumatologia, Hospital Universitari Dexeus, Universitat Autònoma de Barcelona, Barcelona, Spain., Tey-Pons M; Universitat Pompeu Fabra, Hospital Parc Tauli Sabadell, iMove Barcelona, Barcelona, Spain. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of ISAKOS : joint disorders & orthopaedic sports medicine [J ISAKOS] 2024 Aug; Vol. 9 (4), pp. 587-591. Date of Electronic Publication: 2024 May 03. |
| DOI: | 10.1016/j.jisako.2024.04.017 |
| Abstrakt: | Objectives: This study aimed to investigate if there is a relationship between cam femoroacetabular impingement syndrome (cam-FAIS) and chronic anterior knee pain (AKP). Methods: This is a pilot retrospective review of 12 AKP patients with no structural anomalies in the patellofemoral joint and no skeletal malalignment in the lower limbs. All the patients were resistant to proper conservative treatment for AKP (AKP-R). Subsequently, these patients developed pain in the ipsilateral hip several months later, and upon evaluation, were diagnosed with cam-FAIS. Arthroscopic femoral osteoplasty and labral repair were performed and clinical follow-up of hip and knee pain and function (Kujala Score and Non-arthritic Hip Score -NAHS-) was carried out. Results: All the patients showed improvement in the knee and hip pain scores with a statistically significant clinical difference in all of them at 69 months follow up (range: 18 to 115) except one patient without improvement in the groin VAS score post-operatively. Visual analogical scale (VAS) of knee pain improved from 6.3 (range: 5 to 8) to a postoperative 0.5 (range: 0 to 3.5), (p < 0.001). The VAS of groin pain improved from 4.4 (range: 2 to 8) to a postoperative 0.9 (range: 0 to 3), (p < 0.001). NAHS improved from a preoperative 67.9 (range: 28.7 to 100) to a postoperative 88 (range: 70 to 100), (p < 0.015) and knee Kujala's score improved from a preoperative 48.7 (range: 22 to 71) to a postoperative 96 (range: 91 to 100), (p < 0.001). Conclusion: This study's principal finding suggests an association between cam-FAIS and AKP-R in young patients who exhibit normal knee imaging and lower limbs skeletal alignment. Addressing cam-FAIS in these cases leads to resolution of both groin and knee pain, resulting in improved functional outcomes for both joints. Study Design: Retrospective cohort series with a single contemporaneous long-term follow-up. Level of Evidence: IV. (Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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