Early outcomes after hip arthroscopy for femoroacetabular impingement in the athletic adolescent patient: a preliminary report

J Pediatr Orthop. Oct-Nov 2008;28(7):705-10. doi: 10.1097/BPO.0b013e318186eb2e.

Abstract

Background: Hip arthroscopy is becoming a more popular method of treatment of pediatric hip disorders. We report on the treatment of femoroacetabular impingement (FAI) in the adolescent population.

Methods: Between March 2005 and May 2006, 16 patients (aged 16 years or younger) underwent hip arthroscopy for FAI. There were 14 female adolescents and 2 male adolescents, with 1 patient undergoing a bilateral procedure. Five patients had isolated pincer impingement, 2 had isolated cam impingement, and 9 had mixed pathology. All patients had labral pathology. Seven patients were treated with suture anchor repair of the labrum and 9 with partial labral debridement. Subjective data were collected from each patient during their initial visit and at follow-up after surgery. Subjective data included the modified Harris hip score (MHHS), patient satisfaction, and hip outcome score (HOS) activities of daily living (ADL), and sports subscales.

Results: The mean age at the time of arthroscopy was 15 years old (range, 11-16 years). The mean preoperative MHHS was 55 (range, 33-70), HOS ADL was 58 (range, 38-75), and HOS sport was 33 (range, 0-78). The mean time from injury to surgery was 10.6 months (range, 6 weeks-30 months). The mean time to follow-up was 1.36 years (range, 1-2 years). The mean postoperative MHHS improved 35 points to 90 (range, 70-100; P = 0.005), postoperative HOS ADL improved 36 points to 94 (range, 74-100; P = 0.001), and postoperative HOS sport score improved 56 points to 89 (range, 58-100; P = 0.001). The mean patient satisfaction score was 9 (range, 9-10).

Conclusions: Hip arthroscopy for FAI in the adolescent population produces excellent improvement in function and a high level of patient satisfaction in the short-term.

MeSH terms

  • Acetabulum / pathology
  • Acetabulum / surgery
  • Activities of Daily Living
  • Adolescent
  • Arthroscopy / methods*
  • Child
  • Debridement
  • Female
  • Femur Head / pathology
  • Femur Head / surgery
  • Follow-Up Studies
  • Hip Joint / pathology
  • Hip Joint / surgery*
  • Humans
  • Joint Diseases / pathology
  • Joint Diseases / surgery*
  • Male
  • Patient Satisfaction
  • Sports
  • Treatment Outcome