The Association of α Angle on Disease Severity in Adolescent Femoroacetabular Impingement
| Autor: | David Podeszwa, K. John Wagner, Tyler R. Youngman, William Z. Morris, Phillip L. Wilson, Henry B. Ellis, Daniel J. Sucato, Benjamin Montanez, Benjamin Johnson |
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| Rok vydání: | 2020 |
| Předmět: |
Male
musculoskeletal diseases medicine.medical_specialty Adolescent Radiography Clinical exam Osteoarthritis patient reported outcomes labral disease Severity of Illness Index Arthroscopy Young Adult Femoral head Disease severity Femoracetabular Impingement medicine Humans Orthopedics and Sports Medicine Patient Reported Outcome Measures Prospective Studies Child Femoroacetabular impingement femoroacetabular impingement Retrospective Studies Hip α angle business.industry General Medicine Articular cartilage damage Ucla score medicine.disease Surgery Treatment Outcome medicine.anatomical_structure Adolescent Health Services Pediatrics Perinatology and Child Health Female Hip Joint lateral center edge angle business |
| Zdroj: | Journal of Pediatric Orthopedics |
| ISSN: | 0271-6798 |
| DOI: | 10.1097/bpo.0000000000001703 |
| Popis: | Background: Femoroacetabular Impingement (FAI) is a common cause of hip pain in adolescent patients. Clinical exam and radiographic markers, such as α angle and lateral center edge angle (LCEA), are commonly used to aid in the diagnosis of this condition. The purpose of this study was to correlate preoperative α angle and LCEA with preoperative symptoms, intraoperative findings, and preoperative and postoperative patient reported outcomes (PROs) in the adolescent patient. Methods: A retrospective analysis of prospectively collected data was conducted for all patients who underwent operative intervention for FAI at an academic institution over an 11-year period. Preoperative imaging was obtained and measured for LCEA and α angle. PROs (modified Harris Hip Score, Hip Disability and Osteoarthritis Outcome Score, and UCLA score) were collected preoperatively, as well as 1, 2, and 5 years postoperatively. Operative intervention was either open surgical hip dislocation or arthroscopic, and intraoperative disease was graded using the Beck Classification system. Patients with minimum 1-year follow-up were included in statistical analysis. Results: There were 86 hips (64 female hips) included with an average age of 16.3 years (range, 10.4 to 20.5 y), with an average of 37 months of follow-up. There was no correlation between severity of preoperative symptoms or difference between pre and postoperative PROs for both α angle and LCEA. Overall, significant improvement was noted in modified Harris Hip Score, Hip Disability and Osteoarthritis Outcome Score, and UCLA Score (P |
| Databáze: | OpenAIRE |
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