Demographic and Radiographic Factors Associated With Intra-articular Hip Cartilage Injury: A Cross-sectional Study of 1511 Hip Arthroscopy Procedures

Review written by Dr Joanne Kemp info

Key Points

  1. Men, people aged over 30 years, those with cam morphology and those with reduced joint space are more likely to have acetabular cartilage injury at hip arthroscopy.
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BACKGROUND & OBJECTIVE

Hip and groin pain is commonly seen in athletes, and femoroacetabular impingement syndrome (FAIS) is considered to be a cause of hip and groin pain. Increasing numbers of people are undergoing hip arthroscopy surgery to treat FAIS, and reduce pain. It is also thought that FAIS is a cause of hip osteoarthritis (OA) in later life. However, it is unknown whether cartilage injury (thought to be a precursor to hip OA) is related to factors such as the hip morphology (hip bone shape) seen in FAIS. Therefore, the aim of this study was to examine whether there was a relationship between demographic factors (for example age, sex, etc), radiographic factors (for example cam morphology, pincer morphology, acetabular dysplasia), and the severity of cartilage injury seen at hip arthroscopy.

Femoroacetabular impingement syndrome is considered to be a cause of hip and groin pain in athletes.
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While it is important to monitor athletes who may be at risk of hip injury, it is also important not to undertake expensive and risky diagnostic procedures and interventions where they are not warranted.

METHODS

The authors conducted the study in Denmark, and retrospectively reviewed data from the Danish Hip Arthroscopy Registry. Data was collected from 1923 hip arthroscopy surgeries that were conducted between 2012 and 2018. To be included, data needed to relate to

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