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Acetabular rim lesions: arthroscopic assessment and clinical relevance

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Abstract

Purpose

The purpose of this study was to investigate whether acetabular morphology may influence both pathogenesis and prognosis of the acetabular rim lesions and to propose a new system to classify labral tears.

Methods

We assessed radiographic and arthroscopic findings in 81 patients (40 male and 41 female patients, 86 hips) aged from 16 to 74 years (median, 31 years) who underwent hip arthroscopy.

Results

Acetabular rim lesions were associated with four different hip morphologies. Eleven (32 %) of 34 patients with severe rim lesions underwent hip arthroplasty for progressive symptoms, whereas no patient with early rim lesion reported significant progression of symptoms. The strategy of treatment was changed in 33 % of the patients undergoing arthroscopy before undertaking peri-acetabular osteotomy.

Conclusions

Hip arthroscopy avoids more invasive procedures in patients with early acetabular rim lesions.

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Competing interests

The authors declare that they have no competing interests.

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Authors and Affiliations

  1. 4403 St Hubert St, Montreal, Quebec, H2J 2X1, Canada

    Pascal André Vendittoli

  2. The Melbourne Orthopaedic Group, 33 The Avenue, Windsor, 3181, Melbourne, Australia

    David Alexander Young

  3. Department of Trauma and Orthopaedics, Royal United Hospital Bath NHS Trust, Bath, England, UK

    David J. Stitson

  4. Department of Epidemiology and Preventive Medicine, Central and Eastern Clinical School, Monash University and the Alfred Hospital, Commercial Road, Prahran, Vic 3181, Australia

    Rory Wolfe

  5. Department of Orthopaedic and Trauma Surgery, Campus Biomedico University of Rome, Via Alvaro del Portillo, Rome, Italy

    Angelo Del Buono

  6. Barts and The London School of Medicine and Dentistry, Centre for Sports and Exercise Medicine, Mile End Hospital, Queen Mary University of London, 275 Bancroft Road, London, E1 4DG, England, UK

    Nicola Maffulli

Authors
  1. Pascal André Vendittoli
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  2. David Alexander Young
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  3. David J. Stitson
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  4. Rory Wolfe
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  5. Angelo Del Buono
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  6. Nicola Maffulli
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Corresponding author

Correspondence to Nicola Maffulli.

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Vendittoli, P.A., Young, D.A., Stitson, D.J. et al. Acetabular rim lesions: arthroscopic assessment and clinical relevance. International Orthopaedics (SICOT) 36, 2235–2241 (2012). https://doi.org/10.1007/s00264-012-1595-5

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  • DOI: https://doi.org/10.1007/s00264-012-1595-5

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