Effect of the presence of cysts in the hip joint on hip arthroscopy

被引:3
作者
Ciceklidag, Murat [1 ]
Ayanoglu, Tacettin [2 ]
Kaptan, Ahmet Yigit [3 ]
Vural, Abdurrahman [4 ]
Kalaycioglu, Oya [5 ]
Ozer, Mustafa [6 ]
Kanatli, Ulunay [7 ]
机构
[1] Yenimahalle Training & Res Hosp, Dept Orthoped & Traumatol, Ankara, Turkiye
[2] Abant Izzet Baysal Univ, Fac Med, Dept Orthoped & Traumatol, Bolu, Turkiye
[3] Harran Univ, Fac Med, Dept Orthoped & Traumatol, Sanliurfa, Turkiye
[4] Istanbul Basaksehir Cam & Sakura City Hosp, Dept Orthoped & Traumatol, Istanbul, Turkiye
[5] Abant Izzet Baysal Univ, Fac Med, Dept Biostat & Med Informat, Bolu, Turkiye
[6] Necmettin Erbakan Univ, Fac Med, Dept Orthoped & Traumatol, Konya, Turkiye
[7] Gazi Univ, Fac Med, Dept Orthoped & Traumatol, Ankara, Turkiye
关键词
Acetabular cyst; femoral cyst; hip arthroscopy; impingement; subchondral cyst; FEMOROACETABULAR IMPINGEMENT; FEMORAL-HEAD; NECK; OUTCOMES; EDEMA; PAIN;
D O I
10.52312/jdrs.2024.1657
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Objectives: The aim of this study was to investigate whether the presence and size of fibrous cysts affected postoperative results in patients undergoing hip arthroscopy. Patients and methods: Between January 2010 and December 2019, a total of 261 patients (138 males, 123 females; mean age: 39.5 +/- 11.9 years; range, 18 to 66 years) who underwent hip arthroscopy with the diagnosis of cam-pincer-mixed-type femoroacetabular impingement (FAI) and labral pathologies were retrospectively analyzed. The study groups (impingements and labral pathologies) and the presence of cyst (or cyst size: <5 mm, 5-8 mm, >8 mm) were used as the fixed effects, and the analysis was adjusted for baseline age, sex, and preoperative scores. Pre- and postoperative modified Harris Hip Score (mHHS) and Visual Analog Scale (VAS) scores that were applied to all patients were used as an indication of clinical results. Results: The mean preoperative mHHS score of the patients with a cyst was significantly lower compared to the patients without a cyst (56.8 +/- 12.3 vs. 60.3 +/- 12.7, p=0.026). The mean change in the mHHS score and the mean percentage change in VAS score were significantly higher in the patients with a cyst compared to the patients without a cyst (mHHS score: 28.1 +/- 14.0 vs. 22.5 +/- 14.1, p=0.002; VAS score: 61.9 +/- 30.2 vs. 52.6 +/- 47.4, p=0.038). The increase in mHHS score over time for patients with a cyst was significantly higher than the patients without cysts in the pincer group (38.1 +/- 11.1 vs. 19.3 +/- 13.5, p<0.001). The patients with a cyst size of >8 mm had a significantly higher increase in the mHHS scores compared to the patients with a cyst size of <5 mm (29.5 +/- 12.9 vs. 23.5 +/- 13.8, p=0.043). Conclusion: Subchondral cysts in the femoral head and neck junction accompanied cam-type and mixed-type FAI, while subchondral cysts in the acetabulum accompanied pincer-type impingement. In all groups, the mean increase in mHHS scores and the mean decrease in VAS scores were higher in patients with subchondral cysts than in patients without cysts. In patients with subchondral cysts, if the lesion causing FAI is treated arthroscopically, it can positively affect the functional results.
引用
收藏
页码:645 / 653
页数:9
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