Ghent University Academic Bibliography

Advanced

Hip arthroscopy in patients with painful hip following resurfacing arthroplasty

Christophe Pattyn UGent, René Verdonk UGent and Emmanuel Audenaert UGent (2011) KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY. 19(9). p.1514-1520
abstract
Purpose Determining the etiology of persistent groin pain after hip resurfacing arthroplasty (HRA) can be very challenging, even for the experienced surgeon. The purpose of the present study was to evaluate the use of hip arthroscopy as a diagnostic and therapeutic tool for the painful hip following resurfacing arthroplasty. Methods In the present paper, the indications for arthroscopy and the arthroscopic findings in 15 patients with persistent and incapacitating groin pain following HRA are described. In all patients, nonsurgical diagnostic investigations such as ultrasound and radiography, blood sample analysis, and technetium and leukocyte-labeled scanning were inconclusive so that a definite diagnosis could not be established. Results In seven patients, synovial biopsies were taken arthroscopically to rule out metal sensitivity, low-grade infection, or excessive metal wear. A definite diagnosis from histological evaluation could be made in 5 out of the 7 patients. Five patients were clinical suspicious of iliopsoas tendinitis. Diagnostic arthroscopy and histological analysis of the synovial samples provided an alternative diagnosis in 2 out of the 5 patients. Three patients underwent femoral osteoplasty for impingement due to reduced anterior femoral offset with subsequent symptom relief. Conclusion Hip arthroscopy after HRA is a valuable diagnostic alternative to open procedures in case of persistent groin pain, when noninvasive investigations fail to explain the symptoms. Multiple tissue samples should always be taken for histological examination and culture, as they are crucial in the final identification of the origin of the complaints. Level of evidence IV.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
MOTION, RANGE, Impingement, Metal sensitivity, Hip resurfacing, Hip arthroscopy, IMPINGEMENT, REPLACEMENT
journal title
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
Knee Surg. Sports Traumatol. Arthrosc.
volume
19
issue
9
pages
1514 - 1520
Web of Science type
Article
Web of Science id
000294183400015
JCR category
SPORT SCIENCES
JCR impact factor
2.209 (2011)
JCR rank
17/83 (2011)
JCR quartile
1 (2011)
ISSN
0942-2056
DOI
10.1007/s00167-011-1463-7
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
1900483
handle
http://hdl.handle.net/1854/LU-1900483
date created
2011-09-13 13:58:19
date last changed
2011-09-14 10:32:40
@article{1900483,
  abstract     = {Purpose Determining the etiology of persistent groin pain after hip resurfacing arthroplasty (HRA) can be very challenging, even for the experienced surgeon. The purpose of the present study was to evaluate the use of hip arthroscopy as a diagnostic and therapeutic tool for the painful hip following resurfacing arthroplasty. 
Methods In the present paper, the indications for arthroscopy and the arthroscopic findings in 15 patients with persistent and incapacitating groin pain following HRA are described. In all patients, nonsurgical diagnostic investigations such as ultrasound and radiography, blood sample analysis, and technetium and leukocyte-labeled scanning were inconclusive so that a definite diagnosis could not be established. 
Results In seven patients, synovial biopsies were taken arthroscopically to rule out metal sensitivity, low-grade infection, or excessive metal wear. A definite diagnosis from histological evaluation could be made in 5 out of the 7 patients. Five patients were clinical suspicious of iliopsoas tendinitis. Diagnostic arthroscopy and histological analysis of the synovial samples provided an alternative diagnosis in 2 out of the 5 patients. Three patients underwent femoral osteoplasty for impingement due to reduced anterior femoral offset with subsequent symptom relief. 
Conclusion Hip arthroscopy after HRA is a valuable diagnostic alternative to open procedures in case of persistent groin pain, when noninvasive investigations fail to explain the symptoms. Multiple tissue samples should always be taken for histological examination and culture, as they are crucial in the final identification of the origin of the complaints. 
Level of evidence IV.},
  author       = {Pattyn, Christophe and Verdonk, Ren{\'e} and Audenaert, Emmanuel},
  issn         = {0942-2056},
  journal      = {KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY},
  keyword      = {MOTION,RANGE,Impingement,Metal sensitivity,Hip resurfacing,Hip arthroscopy,IMPINGEMENT,REPLACEMENT},
  language     = {eng},
  number       = {9},
  pages        = {1514--1520},
  title        = {Hip arthroscopy in patients with painful hip following resurfacing arthroplasty},
  url          = {http://dx.doi.org/10.1007/s00167-011-1463-7},
  volume       = {19},
  year         = {2011},
}

Chicago
Pattyn, Christophe, René Verdonk, and Emmanuel Audenaert. 2011. “Hip Arthroscopy in Patients with Painful Hip Following Resurfacing Arthroplasty.” Knee Surgery Sports Traumatology Arthroscopy 19 (9): 1514–1520.
APA
Pattyn, C., Verdonk, R., & Audenaert, E. (2011). Hip arthroscopy in patients with painful hip following resurfacing arthroplasty. KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 19(9), 1514–1520.
Vancouver
1.
Pattyn C, Verdonk R, Audenaert E. Hip arthroscopy in patients with painful hip following resurfacing arthroplasty. KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY. 2011;19(9):1514–20.
MLA
Pattyn, Christophe, René Verdonk, and Emmanuel Audenaert. “Hip Arthroscopy in Patients with Painful Hip Following Resurfacing Arthroplasty.” KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY 19.9 (2011): 1514–1520. Print.