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Pre-operative intra-articular hip injection as a predictor of short-term outcome following arthroscopic management of femoroacetabular impingement

  • Hip
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Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Purpose

Diagnostic hip injections are often used to confirm intra-articular pathology prior to arthroscopic treatment for femoroacetabular impingement (FAI). However, little is known whether the type of response correlates with the post-operative functional outcomes. The purpose of this study is to document the ability of a diagnostic hip injection to predict short-term functional outcomes following arthroscopic surgical management.

Methods

A prospective cohort of 52 patients diagnosed with FAI who had an intra-articular hip injection prior to arthroscopic surgery was evaluated. A pain diary was used during the 2 weeks after hip injection to document response. In addition, the modified Harris Hip Score (mHHS) was administered preoperatively and 6 months post-operatively to assess functional outcomes. The relationship between response to an intra-articular hip injection and mHHS scores 6 months after FAI surgery was evaluated.

Results

Overall, 42 of 52 (81 %) patients diagnosed with FAI achieved pain relief from the hip injection. Outcomes according to mHHS scores improved significantly at the 6-month follow-up visit (19 points, 95 % CI 15–24, p = 0.001). The therapeutic utility of the hip injection suggested that lack of pain relief predicted a lack of functional improvement following arthroscopic surgery.

Conclusion

In this study, the data suggests that a positive response from an intra-articular hip injection is not a strong predictor of short-term functional outcomes following arthroscopic management of FAI. However, a negative response from an intra-articular hip injection may predict a higher likelihood of having a negative result from surgery.

Level of evidence

Level II.

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Acknowledgments

Dr. Bhandari is funded in part by a Canada Research Chair.

Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Division of Orthopaedic Surgery, Department of Surgery, McMaster University Medical Center, 1200 Main St. West, Room 4E17, Hamilton, ON, L8N 3Z5, Canada

    Olufemi R. Ayeni, Kevin Chan & Mohit Bhandari

  2. Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON, Canada

    Forough Farrokhyar, Sarah Crouch, Sheila Sprague & Mohit Bhandari

Authors
  1. Olufemi R. Ayeni
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  2. Forough Farrokhyar
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  3. Sarah Crouch
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  4. Kevin Chan
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  5. Sheila Sprague
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  6. Mohit Bhandari
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Correspondence to Olufemi R. Ayeni.

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Ayeni, O.R., Farrokhyar, F., Crouch, S. et al. Pre-operative intra-articular hip injection as a predictor of short-term outcome following arthroscopic management of femoroacetabular impingement. Knee Surg Sports Traumatol Arthrosc 22, 801–805 (2014). https://doi.org/10.1007/s00167-014-2883-y

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  • DOI: https://doi.org/10.1007/s00167-014-2883-y

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