title: Effect of femoral anteversion on clinical outcomes after hip arthroscopy.
abstract: OBJECTIVE
  To compare the clinical outcomes after hip arthroscopy of patients with femoral retroversion, normal femoral version, and excessive femoral anteversion.
  
  
  METHODS
  Patients who underwent primary hip arthroscopy from August 2008 to April 2011 and underwent femoral anteversion measurement by magnetic resonance imaging/magnetic resonance arthrogram were included. The patients were divided into 3 groups: retroversion, normal version, and excessive anteversion. The normal-version group was considered to have a value within 1 SD of the mean femoral version value. Four patient-reported outcome scores and the visual analog pain score were prospectively collected with analysis performed retrospectively.
  
  
  RESULTS
  Two hundred seventy-eight patients met the inclusion criteria. Among these patients, mean anteversion was 8.2° ± 9.3°, creating a retroversion group defined as -2° or less and an anteversion group defined as 18° or greater. There were 25 patients in the retroversion group, 219 in the normal-version group, and 34 in the excessive-anteversion group. Most labral tears were noted in the 12- to 2-o'clock range, with the main difference at the anterior 3-o'clock position, where the excessive-anteversion group showed a lower incidence of tearing (30%) than the retroversion group (73%) and normal-anteversion group (78%). Postoperatively, there was a statistically significant improvement from preoperative scores in all 3 groups and for all scores (P < .001). When the postoperative scores were compared for the 3 groups, although all scores were higher in the retroversion group than in the other 2 groups, this was not statistically significant and there were no significant differences in scores among the 3 groups (modified Harris Hip Score, P = .104; Non-Arthritic Hip Score, P = .177; Hip Outcome Score-Activities of Daily Living, P = .152; Hip Outcome Score-Sport-Specific Subscale, P = .276; visual analog scale score, P = .508).
  
  
  CONCLUSIONS
  On the basis of patient-reported outcome scores without accounting for diagnoses and treatments, the amount of femoral anteversion does not appear to affect the clinical outcomes after hip arthroscopy.
  
  
  METHODS
  Level III, retrospective comparative study.
authors.affiliation: American Hip Institute, Chicago, Illinois, U.S.A.; Congress Medical Associates, Pasadena, California, U.S.A.
authors.forename: Timothy J
authors.initials: TJ
authors.lastname: Jackson
authors.affiliation: American Hip Institute, Chicago, Illinois, U.S.A.
authors.forename: Dror
authors.initials: D
authors.lastname: Lindner
authors.affiliation: American Hip Institute, Chicago, Illinois, U.S.A.
authors.forename: Youssef F
authors.initials: YF
authors.lastname: El-Bitar
authors.affiliation: American Hip Institute, Chicago, Illinois, U.S.A.; Hinsdale Orthopaedics, Hinsdale, Illinois, U.S.A.; Loyola University Stritch School of Medicine, Chicago, Illinois, U.S.A.. Electronic address: DrDomb@americanhipinstitute.org.
authors.forename: Benjamin G
authors.initials: BG
authors.lastname: Domb
mesh_terms: D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D000368:Aged; D001182:Arthroscopy; D060750:Bone Anteversion / Q000175:diagnosis* / Q000601:surgery; D060751:Bone Retroversion / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D005269:Femur / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000293:injuries; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D011859:Radiography; D012015:Reference Standards; D012189:Retrospective Studies; D012421:Rupture / Q000175:diagnosis / Q000601:surgery; D016896:Treatment Outcome; D055815:Young Adult