The ‘wave sign’ in hip arthroscopy: a systematic review of epidemiological factors, current diagnostic methods and treatment options
| Autor: | James Randolph Onggo, Jason Derry Onggo, Olufemi R. Ayeni, Mithun Nambiar, Andrew Duong, Parminder J. Singh, John O'Donnell |
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| Rok vydání: | 2020 |
| Předmět: |
030222 orthopedics
medicine.medical_specialty Intraclass correlation Decompression business.industry Protective factor MEDLINE 030229 sport sciences Acetabulum Natural history 03 medical and health sciences 0302 clinical medicine Internal medicine AcademicSubjects/MED00960 Medicine Internal validity Hip arthroscopy business Review Articles |
| Zdroj: | Journal of Hip Preservation Surgery |
| ISSN: | 2054-8397 |
| DOI: | 10.1093/jhps/hnaa058 |
| Popis: | This study aims to present a systematic review and synthesized evidence on the epidemiological factors, diagnostic methods and treatment options available for this phenomenon. A multi-database search (OVID Medline, EMBASE and PubMed) was performed according to PRISMA guidelines on 18 June 2019. All studies of any study design discussing on the epidemiological factors, diagnostic methods, classification systems and treatment options of the wave sign were included. The Newcastle–Ottawa quality assessment tool was used to appraise articles. No quantitative analysis could be performed due to heterogeneous data reported; 11 studies with a total of 501 patients with the wave sign were included. Three studies examined risk factors for wave sign and concluded that cam lesions were most common. Other risk factors include alpha angle >65° (OR=4.00, 95% CI: 1.26–12.71, P=0.02), male gender (OR 2.24, 95% CI: 1.09–4.62, P=0.03) and older age (OR=1.04, 95% CI: 1.01–1.07, P=0.03). Increased acetabular coverage in setting of concurrent cam lesions may be a protective factor. Wave signs most commonly occur at the anterior, superior and anterosuperior acetabulum. In terms of staging accuracy, the Haddad classification had the highest coefficients in intraclass correlation (k=0.81, 95% CI: 0.23–0.95, P=0.011), inter-observer reliability (k=0.88, 95% CI: 0.72–0.97, P |
| Databáze: | OpenAIRE |
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