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
