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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2020; 55(06): 722-727
DOI: 10.1055/s-0040-1713760
Artigo Original
Quadril

Subspine Hip Impingement: Clinical and Radiographic Results of its Arthroscopic Treatment[∗]

Article in several languages: português | English
Bruno Dutra Roos 
1   Serviço de Cirurgia do Quadril, Hospital Ortopédico de Passo Fundo, Passo Fundo, RS, Brasil
,
Milton Valdomiro Roos
1   Serviço de Cirurgia do Quadril, Hospital Ortopédico de Passo Fundo, Passo Fundo, RS, Brasil
,
Antero Camisa Júnior
1   Serviço de Cirurgia do Quadril, Hospital Ortopédico de Passo Fundo, Passo Fundo, RS, Brasil
,
Ezequiel Moreno Ungaretti Lima
1   Serviço de Cirurgia do Quadril, Hospital Ortopédico de Passo Fundo, Passo Fundo, RS, Brasil
,
Mariano Feraboli Fontana
1   Serviço de Cirurgia do Quadril, Hospital Ortopédico de Passo Fundo, Passo Fundo, RS, Brasil
,
Roger Pires Okamoto
1   Serviço de Cirurgia do Quadril, Hospital Ortopédico de Passo Fundo, Passo Fundo, RS, Brasil
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Abstract

Objective To evaluate the clinical and radiographic results as well as complications related to patients undergoing arthroscopic treatment of subspine hip impingement.

Methods We retrospectively evaluated 25 patients (28 hips) who underwent arthroscopic treatment of subspine impingement between January 2012 and June 2018. The mean follow-up was 29.5 months, and the patients were evaluated clinically by using the Harris hip score modified by Byrd (MHHS), the non-arthritic hip score (NAHS), and in terms of internal rotation and hip flexion. In addition, the following items were evaluated by imaging exams: the center-edge (CE) acetabular angle, the Alpha angle, the presence of a sign of the posterior wall, the degree of arthrosis, the presence of heterotopic hip ossification, and the Hetsroni classification for subspine impingement.

Results There was an average postoperative increase of 26.9 points for the MHHS, 25.4 for the NAHS (p < 0.0001), 10.5° in internal rotation (p < 0.0024), and 7.9° for hip flexion (p < 0.0001). As for the radiographic evaluation, an average reduction of 3.3° in the CE angle and of 31.6° for the Alpha angle (p < 0.0001). Eighteen cases (64.3%) were classified as grade 0 osteoarthritis of Tönnis, and 10 (35.7%) were classified as Tönnis grade 1. Two cases (7.1%) presented grade 1 ossification of Brooker. Most hips (n = 15, 53.6%) were classified as type II of Hetsroni et al.

Conclusion In the present study, patients undergoing arthroscopic treatment with subspine impingement showed improvement in clinical aspects and radiographic patterns measured postoperatively, with an average follow-up of 29.5 months.

Keywords

femoroacetabular impingement - hip joint - arthroscopy

∗ Work developed at the Department of Orthopedics and Traumatology of Hospital Ortopédico de Passo Fundo, Passo Fundo, RS, Brazil.




Publication History

Received: 05 January 2020

Accepted: 15 April 2020

Article published online:
22 September 2020

© 2020. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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