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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
"arthritis"
symptom
acute rheumatic fever
child syndrome
congenital adrenal hyperplasia
cystinuria
familial hypocalciuric hypercalcemia
familial mediterranean fever
focal myositis
harlequin ichthyosis
homocystinuria without methylmalonic aciduria
inclusion body myositis
lamellar ichthyosis
malignant atrophic papulosis
pyomyositis
sneddon syndrome
trochlear dysplasia
typhoid
wiskott-aldrich syndrome
This symptom has already been validated