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Prospective analysis of hip arthroscopy with 2-year follow-up.
[focal myositis]
Numerous
indications
,
but
little
outcome
data
,
have
been
reported
for
hip
arthroscopy
.
The
purpose
of
this
prospective
study
is
to
report
the
2
-
year
results
of
hip
arthroscopy
performed
on
a
consecutive
series
of
patients
for
a
variety
of
disorders
.
Case
series
.
There
were
38
procedures
performed
on
35
patients
who
have
achieved
2
-
year
follow-up
.
All
patients
were
assessed
with
a
modified
Harris
hip
score
(
pain
and
function
)
preoperatively
and
postoperatively
at
1
,
3
,
6
,
12
,
and
24
months
or
until
a
subsequent
procedure
was
performed
.
Variables
studied
included
age
,
sex
,
diagnosis
,
duration
of
symptoms
,
onset
of
symptoms
,
center-edge
angle
,
Workers
'
Compensation
,
and
pending
litigation
.
Follow-up
was
obtained
on
all
patients
.
The
median
score
improved
from
57
to
85
points
.
This
included
10
cases
(
9
patients
)
who
underwent
a
subsequent
procedure
at
an
average
of
10
months
(
6
total
hip
arthroplasty
,
1
core
decompression
,
3
second
arthroscopy
)
with
an
index
score
of
54
compared
with
52
at
the
time
of
the
second
procedure
.
The
median
improvement
for
the
following
diagnoses
was
:
loose
body
(
34
)
,
labral
lesion
(
27
)
,
synovitis
(
26
)
,
chondral
injury
(
18
)
,
arthritis
(
14
)
,
and
avascular
necrosis
(
-
11
)
.
Of
the
variables
studied
,
the
most
statistically
significant
finding
was
that
older
men
with
longer
duration
of
symptoms
did
worse
.
Two
complications
occurred
in
1
patient
:
partial
neuropraxia
of
the
lateral
femoral
cutaneous
nerve
and
focal
myositis
ossificans
along
the
anterior
portal
tract
.
Hip
arthroscopy
can
be
performed
for
a
variety
of
conditions
(
except
end-
stage
avascular
necrosis
)
with
reasonable
expectations
of
success
and
an
acceptable
complication
rate
.
This
is
the
first
report
to
quantitate
the
results
of
hip
arthroscopy
for
a
heterogeneous
population
.
Diseases
Validation
Diseases presenting
"hip score"
symptom
focal myositis
harlequin ichthyosis
lamellar ichthyosis
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