Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Nov;30(11):3907-3915.
doi: 10.1007/s00167-022-06997-2. Epub 2022 May 23.

Improvement in pain and patient-related outcome measures following hip arthroscopy in patients with femoroacetabular impingement syndrome and concomitant generalized ligamentous laxity: a systematic review

Xi Ming Zhu  1 , Asra Toobaie  2 , Alla Iansavichene  3 , Moin Khan  4   5 , Ryan M Degen  2
Affiliations

Improvement in pain and patient-related outcome measures following hip arthroscopy in patients with femoroacetabular impingement syndrome and concomitant generalized ligamentous laxity: a systematic review

Xi Ming Zhu et al. Knee Surg Sports Traumatol Arthrosc. 2022 Nov.

Abstract

Purpose: Within orthopaedic sports medicine, concomitant ligamentous laxity is often found to be a negative prognostic factor for post-operative outcomes following various procedures. The effect of ligamentous laxity on outcomes following hip arthroscopy remains infrequently reported. Therefore, the purpose of this study is to report on the outcomes of hip arthroscopy for the treatment of femoroacetabular impingement syndrome (FAIS) with concomitant generalized ligamentous laxity (GLL).

Methods: A systematic search was performed in Medline, EMBASE, CENTRAL, and SPORTDiscus (from inception to April 2021) for studies reporting outcomes following hip arthroscopy for symptomatic FAIS in patients with concomitant GLL.

Results: Six studies representing 213 patients and 231 hips were included. Outcomes of pain and functional scores as measured by VAS, Harris Hip Score, and Hip Disability and Osteoarthritis Outcomes Score were tabulated. A mean improvement of 4.8 on VAS was observed. Improvements of 30.0 on HHS, 33.1 for ssHOS, and 23.9 for ADL-HOS were observed.

Conclusion: Hip arthroscopy is an effective method of alleviating pain and improving function with statistically significant improvements in all PROM in patients with concomitant FAIS with GLL.

Level of evidence: IV.

Prospero registration: CRD42021248864.

Keywords: Arthroscopy; Femoroacetabular impingement; Hip arthroscopy; Joint instability; Joint laxity.

PubMed Disclaimer

Similar articles

See all similar articles

References

    1. Beighton P (1988) Hypermobility scoring. Br J Rheumatol 27:163. https://doi.org/10.1093/rheumatology/27.2.163 - DOI - PubMed
    1. Biro F, Gewanter HL, Baum J (1983) The hypermobility syndrome. Pediatrics 72:701–706 - DOI
    1. Griffin DR, Dickenson EJ, O’Donnell J, Agricola R, Awan T, Beck M, Clohisy JC, Dijkstra HP, Falvey E, Gimpel M, Hinman RS, Hölmich P, Kassarjian A, Martin HD, Martin R, Mather RC, Philippon MJ, Reiman MP, Takla A, Thorborg K, Walker S, Weir A, Bennell KL (2016) The Warwick Agreement on femoroacetabular impingement syndrome (FAI syndrome): an international consensus statement. Br J Sports Med 50:1169–1176. https://doi.org/10.1136/bjsports-2016-096743 - DOI - PubMed
    1. Harris JD, Brand JC, Cote MP, Faucett SC, Dhawan A (2017) Research pearls: the significance of statistics and perils of pooling. Part 1: clinical versus statistical significance. Arthroscopy 33:1102–1112. https://doi.org/10.1016/j.arthro.2017.01.053 - DOI - PubMed
    1. Hetsroni I, Dela Torre K, Duke G, Lyman S, Kelly BT (2013) Sex differences of hip morphology in young adults with hip pain and labral tears. Arthroscopy 29:54–63. https://doi.org/10.1016/j.arthro.2012.07.008 - DOI - PubMed

Publication types