Study Finds Hip Arthroscopy Effective Treatment for Hip Impingement

    A new study by surgeons from Midwest Orthopaedics at Rush (MOR) has found that male and female patients do well after having arthroscopic surgery for painful hip impingement, but outcomes varied slightly depending on patient age and sex.

    This research, published in The Journal of Bone and Joint Surgery, showed that while all groups fared better following hip arthroscopy for femoroacetabular impingement (FAI), patients under age 45 had better overall results and fewer complications than those over 45. The study also found female patients older than 45 had lower outcome scores than their male counterparts.

    The study, co-authored by Shane Nho, MD, MD, and Charles Bush-Joseph MD, from MOR, included 150 male and female patients of varying ages who underwent hip arthroscopy performed by a fellowship-trained surgeon to treat FAI.

    Patients were divided into groups depending on age and sex and were evaluated according to the results of 3 tests – the Hip Outcome Score Activities of Daily Living Subscale (HOS-ADL), the Hip Outcome Score Sport-Specific Subscale (HOS-Sport), and the modified Harris hip score (mHHS) – and clinical improvement at follow-up.

    “The research showed arthroscopy to be extremely effective in treating FAI in both male and female patients of all ages,” said Dr. Nho, a hip arthroscopy specialist. “Findings also showed some of these patients older than 45 may have very early arthritis barely detectable on X-ray.

    Since patients over 45, especially females, didn’t fare quite as well, we may need to consider additional treatment modalities for that age group. It is apparent that an individualized approach to treatment is best to optimize outcomes for all FAI patients.”