HIP ARTHROSCOPY IN ATHLETES
Section snippets
METHODS
Since 1993, all patients undergoing hip arthroscopy have been prospectively assessed using a modified Harris hip score (Table 1).3 This includes an assessment based on pain (44 points) and function (47 points). A multiplier of 1.1 provides a total possible score of 100. The elements of deformity (4 points) and range of motion (5 points) from the original Harris hip score were deleted because neither of these are principal indications for arthroscopy.
A score is obtained preoperatively and then
RESULTS
Follow-up was achieved on 100% of patients (44 cases in 42 patients). Follow-up averaged 26 months with a range of 3 to 60 months (Fig. 1). The average improvement was 35 points from a preoperative value of 57 to 92 postoperatively. Thirty nine (93%) demonstrated greater than 10 points of improvement. Results over time are tabulated in Figures 2 and 3. Figure 2 represents the earlier group (n = 32) initially followed at more frequent intervals. For the overall group, 67% of the eventual
DISCUSSION
In general, hip arthroscopy has proven to be an effective procedure for many hip disorders. Its efficacy was not readily evident during the authors' early experience in hip arthroscopy. Thus, the importance of prospectively assessing these patients was apparent.
Initially, it was unclear who could benefit from arthroscopy and how long it would take to recover. Speed of recovery is often an important issue for athletes, coaches, and sports organizations. Thus, these patients were monitored at
SUMMARY
The limited data (n = 42) and diverse pathology within this study make statistical analysis difficult, although the observations are still meaningful. Diagnostic arthroscopy has defined elusive causes of disabling hip pain in an athletic population including occult labral and chondral damage and rupture of the ligamentum teres. Operative arthroscopy has been effective in reducing the symptoms associated with many of these forms of pathology. For more evident causes of hip pain, such as loose
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Address reprint requests to J. W. Thomas Byrd, MD, Nashville Sports Medicine & Orthopaedic Center, 2011 Church Street, Suite 100, Nashville, TN 37203, e-mail: [email protected]