[Outcome of arthroscopic resection of labral tears].
OBJECTIVE
Arthroscopic treatment of labral pathologies in the hip has evolved considerably in recent years. Even though it has become an accepted therapeutic method there are only a few prospective outcome studies in extended patient collectives.


METHODS
Since 9/2002 all patients undergoing hip arthroscopy in our institution have been prospectively evaluated by clinical and radiographic aspects and the use of several questionnaires (modified Harris hip score [MHHS], Larson hip score [LHS], visual analogue pain scale VAS]). In the present investigation only patients with an arthroscopically proven torn labrum and the absent of cartilage defects >I degrees according to the Outerbridge classification) with a minimum follow-up of at least 2 years postoperatively were included. Furthermore, only individuals without radiological evidence of a femoro-acetabular impingement or hip dysplasia were assessed.


RESULTS
According to the inclusion criteria 34 patients were initially enrolled in the investigation. Out of them 31 individuals (18 female, 13 male) with a mean of 29.9 years (range 14-49) could be followed up clinically and radiologically. At an average of 33.6 months (range 25.2-47.8) postoperatively we found a significant increase in the visual analogue pain scale (VAS: 6.0 vs. 2.7). Furthermore there was a significant improvement of the modified Harris hip score as well of the Larson hip score (MHHS: 63.1 P. vs. 85.9 P., LHS: 57.8 P. vs. 79.6 P.).


CONCLUSIONS
Arthroscopy of the hip can provide a significant improvement of patient satisfaction and hip function in patients with labral tears without associated cartilage or bony pathologies (dysplasia, FAI).
Streich
N A
NA
Bereich für Sportorthopädie, Orthopädische Universitätsklinik Heidelberg, Heidelberg. nikolaus.streich@ok.uni-heidelberg.de
Gotterbarm
T
T
Jung
M
M
Schmitt
H
H
D000077:Acetabulum / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D000293:Adolescent; D000328:Adult; D001182:Arthroscopy; D002358:Cartilage, Articular / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D003646:Debridement; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011446:Prospective Studies; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology