Hip joint motion does not change one year after arthroscopic osteochondroplasty in patients with femoroacetabular impingement evaluated with dynamic radiostereometry.
Arthroscopic osteochondroplasty
FAI
Femoroacetabular impingement
Hip
Hip biomechanics
Journal
Journal of experimental orthopaedics
ISSN: 2197-1153
Titre abrégé: J Exp Orthop
Pays: Germany
ID NLM: 101653750
Informations de publication
Date de publication:
05 Jan 2022
05 Jan 2022
Historique:
received:
30
06
2021
accepted:
10
11
2021
entrez:
5
1
2022
pubmed:
6
1
2022
medline:
6
1
2022
Statut:
epublish
Résumé
Dynamic radiostereometric analysis (dRSA) enables precise non-invasive three-dimensional motion-tracking of bones for assessment of joint kinematics. Hereby, the biomechanical effects of arthroscopic osteochondroplasty of the hip (ACH) can be evaluated in patients with femoroacetabular impingement (FAI). The aim was to investigate the pre- and postoperative range of motion (ROM) and the CT bone volume removed (BV) after ACH. We hypothesize increase in ROM 1 year after surgery. Thirteen patients (6 female) with symptomatic FAI were included prospectively. The patient's hips were CT-scanned and CT-bone models were created. Preoperative dRSA recordings were acquired during passive flexion to 90°, adduction, and internal rotation (FADIR). ACH was performed, CT and dRSA were repeated 3 months and 1 year postoperatively. Hip joint kinematics before, and 3 months and 1 year after ACH were compared pairwise. The bone volume removal was quantified and compared to change in ROM. Mean hip internal rotation, adduction and flexion were all unchanged after ACH at 1-year follow-up (p > 0.84). HAGOS scores revealed improvement of quality of life (QOL) from 32 to 60 (p = 0.02). The BV was between 406 and 1783 mm ACH surgery in FAI patients had no impact of ROM at 1-year follow-up. QOL improved significantly. This indicates that the positive clinical effects reported after ACH might be a result of reduced labral stress and cartilage pressure during end-range motion rather than increased ROM. Therapeutic prospective cohort study, level II.
Identifiants
pubmed: 34985680
doi: 10.1186/s40634-021-00427-x
pii: 10.1186/s40634-021-00427-x
pmc: PMC8733129
doi:
Types de publication
Journal Article
Langues
eng
Pagination
4Subventions
Organisme : Novo Nordisk Fonden
ID : 17576
Organisme : Gigtforeningen
ID : R141-A3998
Informations de copyright
© 2021. The Author(s).
Références
Agricola R, Waarsing JH, Arden NK, Carr AJ, Bierma-Zeinstra SMA, Thomas GE, Weinans H, Glyn-Jones S (2013) Cam impingement of the hip--a risk factor for hip osteoarthritis. Nat Rev Rheumatol 9:630–634
doi: 10.1038/nrrheum.2013.114
Beck M, Kalhor M, Leunig M, Ganz R (2005) Hip morphology influences the pattern of damage to the acetabular cartilage: femoroacetabular impingement as a cause of early osteoarthritis of the hip. J Bone Joint Surg Br 87:1012–1018
doi: 10.1302/0301-620X.87B7.15203
Bedi A, Dolan M, Hetsroni I, Magennis E, Lipman J, Buly R, Kelly BT (2011) Surgical treatment of Femoroacetabular impingement improves hip kinematics. Am J Sports Med 39:43S–49S
doi: 10.1177/0363546511414635
Bedi A, Kelly BT (2013) Femoroacetabular impingement. J Bone Joint Surg Am 95:82–92
doi: 10.2106/JBJS.K.01219
Brisson N, Lamontagne M, Kennedy MJ, Beaulé PE (2013) The effects of cam femoroacetabular impingement corrective surgery on lower-extremity gait biomechanics. Gait Posture 37:258–263
doi: 10.1016/j.gaitpost.2012.07.016
Byrd JWT (2014) Femoroacetabular impingement in athletes: current concepts. Am J Sports Med 42:737–751
doi: 10.1177/0363546513499136
Casartelli NC, Maffiuletti NA, Item-Glatthorn JF, Staehli S, Bizzini M, Impellizzeri FM, Leunig M (2011) Hip muscle weakness in patients with symptomatic femoroacetabular impingement. Osteoarthr Cartil 19:816–821
doi: 10.1016/j.joca.2011.04.001
Diamond LE, Dobson FL, Bennell KL, Wrigley TV, Hodges PW, Hinman RS (2015) Physical impairments and activity limitations in people with femoroacetabular impingement: a systematic review. Br J Sports Med 49:230–242
doi: 10.1136/bjsports-2013-093340
Diamond LE, Wrigley TV, Bennell KL, Hinman RS, O’Donnell J, Hodges PW (2015) Hip joint biomechanics during gait in people with and without symptomatic femoroacetabular impingement. Gait Posture 43:198–203 Elsevier BV
doi: 10.1016/j.gaitpost.2015.09.023
Diesel CV, Ribeiro TA, Scheidt RB, De Souza Macedo CA, Galia CR (2015) The prevalence of femoroacetabular impingement in radiographs of asymptomatic subjects: a cross-sectional study. HIP Int 25:258–263
doi: 10.5301/hipint.5000250
Dwyer T, Martin CR, Kendra R, Sermer C, Chahal J, Ogilvie-Harris D, Whelan D, Murnaghan L, Nauth A, Theodoropoulos J (2017) Reliability and validity of the arthroscopic international cartilage repair society classification system: correlation with histological assessment of depth. Arthroscopy 33:1219–1224
doi: 10.1016/j.arthro.2016.12.012
Frank JM, Harris JD, Erickson BJ, Slikker W, Bush-Joseph CA, Salata MJ, Nho SJ (2015) Prevalence of Femoroacetabular impingement imaging findings in asymptomatic volunteers: a systematic review. Arthroscopy 31:1199–1204
doi: 10.1016/j.arthro.2014.11.042
Freke MD, Kemp J, Svege I, Risberg MA, Semciw A, Crossley KM (2016) Physical impairments in symptomatic femoroacetabular impingement : a systematic review of the evidence. Br J Sports Med 50(19):1180
doi: 10.1136/bjsports-2016-096152
Ganz R, Parvizi J, Beck M, Leunig M, Nötzli H, Siebenrock KA (2003) Femoroacetabular impingement: a cause for osteoarthritis of the hip. Clin Orthop Relat Res (417):112–120
Hansen L, De Raedt S, Jørgensen PB, Mygind-Klavsen B, Kaptein B, Stilling M (2018) Marker free model-based radiostereometric analysis for evaluation of hip joint kinematics. Bone Joint Res 7:379–387
doi: 10.1302/2046-3758.76.BJR-2017-0268.R1
Hansen L, de Raedt S, Jørgensen PB, Mygind-Klavsen B, Kaptein B, Stilling M (2017) Dynamic radiostereometric analysis for evaluation of hip joint pathomechanics. J Exp Orthop 4:20–20
doi: 10.1186/s40634-017-0096-2
Hunt MA, Gunether JR, Gilbart MK (2013) Clinical biomechanics kinematic and kinetic differences during walking in patients with and without symptomatic femoroacetabular impingement. Clin Biomech 28:519–523
doi: 10.1016/j.clinbiomech.2013.05.002
Ishøi L, Thorborg K, Ørum MG, Kemp JL, Reiman MP, Hölmich P (2021) How many patients achieve an acceptable symptom state after hip arthroscopy for pemoroacetabular impingement syndrome? A cross-sectional study including PASS cutoff values for the HAGOS and iHOT-33. Orthop J Sports Med 9:232596712199526
doi: 10.1177/2325967121995267
Johnston TL, Schenker ML, Briggs KK, Philippon MJ (2008) Relationship between offset angle alpha and hip chondral injury in femeroacetabular impingement. Arthroscopy 24:669–675
doi: 10.1016/j.arthro.2008.01.010
Kapron AL, Aoki SK, Peters CL, Anderson AE (2015) In-vivo hip arthrokinematics during supine clinical exams: application to the study of femoroacetabular impingement. J Biomech 48(11):2879–2886
doi: 10.1016/j.jbiomech.2015.04.022
Kapron AL, Aoki SK, Peters CL, Maas SA, Bey MJ, Zauel R, Anderson AE (2014) Accuracy and feasibility of dual fluoroscopy and model-based tracking to quantify in vivo hip kinematics during clinical exams. J Appl Biomech 30:461–470
doi: 10.1123/jab.2013-0112
Kierkegaard S, Dalgas U, Lund B, Lipperts M, Søballe K, Mechlenburg I (2020) Despite patient-reported outcomes improve, patients with femoroacetabular impingement syndrome do not increase their objectively measured sport and physical activity level 1 year after hip arthroscopic surgery. Results from the HAFAI cohort. Knee Surg Sports Traumatol Arthrosc 28(5):1639–1647
Klein S, Staring M, Murphy K, Viergever MA, Pluim JPW (2010) Elastix: a toolbox for intensity-based medical image registration. IEEE Trans Med Imaging 29:196–205
doi: 10.1109/TMI.2009.2035616
Kowalczuk M, Yeung M, Simunovic N, Ayeni OR (2015) Does Femoroacetabular impingement contribute to the development of hip osteoarthritis? A systematic review. Sports Med Arthrosc Rev 23:174–179
doi: 10.1097/JSA.0000000000000091
Kubiak-Langer M, Tannast M, Murphy SB, Siebenrock KA, Langlotz F (2007) Range of motion in anterior femoroacetabular impingement. Clin Orthop Relat Res 458:117–124
doi: 10.1097/BLO.0b013e318031c595
Khan M, Habib A, de Sa D, Larson CM, Kelly BT, Bhandari M, Ayeni OR, Bedi A (2016) Arthroscopy Up to Date: Hip Femoroacetabular Impingement. Arthroscopy 32:177–189
Lund B, Mygind-Klavsen BNT et al (2017) Danish Hip Arthroscopy Registry (DHAR): the outcome of patients with femoroacetabular impingement (FAI). J Hip Preserv Surg 0:1–8
Nepple JJ, Larson CM, Smith MV, Kim Y-J, Zaltz I, Sierra RJ, Clohisy JC (2012) The reliability of arthroscopic classification of acetabular rim Labrochondral disease. Am J Sports Med 40:2224–2229
doi: 10.1177/0363546512457157
Nwachukwu BU, Rebolledo BJ, McCormick F, Rosas S, Harris JD, Kelly BT (2015) Arthroscopic versus open treatment of Femoroacetabular impingement: a systematic review of medium- to long-term outcomes. Am J Sports Med 44(4):1062–1068
doi: 10.1177/0363546515587719
O’Connor M, Steinl GK, Padaki AS, Duchman KR, Westermann RW, Lynch TS (2020) Outcomes of revision hip arthroscopic surgery: a systematic review and meta-analysis. Am J Sports Med 48:1254–1262
doi: 10.1177/0363546519869671
Riff AJ, Kunze KN, Movassaghi K, Hijji F, Beck EC, Harris JD, Nho SJ (2019) Systematic review of hip arthroscopy for Femoroacetabular impingement: the importance of labral repair and capsular closure. Arthroscopy 35:646–656.e3
doi: 10.1016/j.arthro.2018.09.005
Rylander J, Shu B, Favre J, Safran M, Andriacchi T (2013) Functional testing provides unique insights into the pathomechanics of femoroacetabular impingement and an objective basis for evaluating treatment outcome. J Orthop Res 31:1461–1468
doi: 10.1002/jor.22375
Rylander JH, Shu B, Andriacchi TP, Safran MR (2011) Preoperative and postoperative sagittal plane hip kinematics in patients with femoroacetabular impingement during level walking. Am J Sports Med 39(Suppl):36S–42S
doi: 10.1177/0363546511413993
de SA D, Urquhart N, Philippon M, Ye JE, Simunovic N, Ayeni OR (2014) Alpha angle correction in femoroacetabular impingement. Knee Surg Sports Traumatol Arthrosc 22:812–821
doi: 10.1007/s00167-013-2678-6
Sampson JD, Safran MR (2015) Biomechanical implications of corrective surgery for FAI: an evidence-based review. Sports Med Arthrosc 23:169–173
doi: 10.1097/JSA.0000000000000092
Taylor WR, Ehrig RM, Duda GN, Schell H, Seebeck P, Heller MO (2005) On the influence of soft tissue coverage in the determination of bone kinematics using skin markers. J Orthop Res 23:726–734
doi: 10.1016/j.orthres.2005.02.006
Thorborg K, Hölmich P, Christensen R, Petersen J, Roos EM (2011) The Copenhagen Hip and Groin Outcome Score (HAGOS): development and validation according to the COSMIN checklist. Br J Sports Med 45:478–491
doi: 10.1136/bjsm.2010.080937
Wu G, Siegler S, Allard P, Kirtley C, Leardini A, Rosenbaum D, Whittle M, D’Lima DD, Cristofolini L, Witte H, Schmid O, Stokes I (2002) ISB recommendation on definitions of joint coordinate system of various joints for the reporting of human joint motion—part I: ankle, hip, and spine. J Biomech 35:543–548
doi: 10.1016/S0021-9290(01)00222-6