Key result
Hip arthroscopy provides meaningful symptom improvement in patients with femoroacetabular impingement syndrome and ipsilateral knee pain, though outcomes are worse than in those without knee pain.
Why the study?
Does hip arthroscopy improve symptoms in patients with femoroacetabular impingement syndrome and concomitant lumbar or ipsilateral knee pathology compared to those without concomitant pathology?
Does hip arthroscopy improve symptoms in patients with femoroacetabular impingement syndrome and concomitant lumbar or ipsilateral knee pathology compared to those without concomitant pathology?
Patients with femoroacetabular impingement syndrome and concomitant knee or lumbar pathology should be counseled that while they will likely experience meaningful symptom improvement after hip arthroscopy, their outcomes may not be as robust as those without adjacent-joint disease.
From the lumbar spine to foot, the joints of the lower extremity are all intimately connected. Their movements are synchronized in a complex biomechanical dance. Pain in one joint tends to affect the joint above and joint below. Understanding the influence of adjacent-joint disease on the hip can help us better counsel patients undergoing hip surgery. Low-back pathology has been shown to negatively influence outcomes after hip arthroscopy. Ipsilateral knee pain appears to do the same. Patients with femoroacetabular impingement syndrome with ipsilateral knee pain should be counseled that their outcomes may not be quite as good as those without knee pain, but they should be able to expect meaningful improvement of their symptoms, both at the hip and at the knee after hip arthroscopy.
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Benjamin R. Saks (2024) conducted an editorial in Femoroacetabular impingement syndrome. Hip arthroscopy vs. Patients without concomitant pathology was evaluated. Hip arthroscopy provides meaningful symptom improvement in patients with femoroacetabular impingement syndrome and ipsilateral knee pain, though outcomes are worse than in those without knee pain.
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