Role of arthroscopy for the diagnosis and management of post-traumatic hip pain: a prospective study

• Published in: Journal of hip preservation surgery 2019-12, Vol.6 (4), p.377-384
• Main Authors: Alfikey, Arafat, El-Bakoury, Ahmed, Karim, Mahmoud Abdel, Farouk, Hazem, Kaddah, Mohamed Abdelhalem, Abdelazeem, Ahmed Hazem
• Format: Article
• Language: English
• ISSN: 2054-8397; 2054-8397
• DOI: 10.1093/jhps/hnz052

The current published literature regarding the role of hip arthroscopy in the diagnosis and management of post-traumatic hip pain is still limited. Therefore, we conducted the present prospective study to determine the value of hip arthroscopy in the diagnosis and management of various causes of hip pain after traumatic conditions. The present study included a prospective cohort of 17 patients with symptomatic post-traumatic hip pain. It was conducted between July 2013 and May 2018. The mean age was 22 (19-29) years and the mean follow-up was 24 ( : 7-36) months. Prior to surgery, every eligible patient underwent assessment of functional status using the Modified Harris Hip Score, Oxford hip score (OHS) and Western Ontario and McMaster Universities Arthritis Index (WOMAC) score. All patients underwent arthroscopic management for their diagnosed pathologies. The most commonly encountered diagnosis was labral tear (58.8%), followed by ligamentum teres tear (35.3%) and loose intra-articular fragments (29.4%). In addition, 52.9% of the patients had associated CAM lesion and 11.8% had associated Pincer lesion. The mHSS, OHS and WOMAC score showed significant improvement in the post-operative period (