Patient characteristics and function among patients with femoroacetabular impingement syndrome eligible for hip arthorscopy compared to those eligible for conservative treatment
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Introduction: Femoroacetabular impingement (FAI) syndrome is recognized as a cause of hip ailments in young and middle aged adults, and the number of hip arthroscopies treating FAI syndrome has increased. There is no evidence for better results after hip arthroscopy compared to conservative treatment. There is a large heterogeneity in diagnostic criteria and criteria for hip arthroscopy treating FAI syndrome. Purpose: The purpose of this thesis was to compare patient characteristics and function among patients with FAI syndrome eligible for hip arthroscopy to those eligible for conservative treatment. Method: This is a cross sectional study including female and male participants who were diagnosed with FAI syndrome and eligible for either hip arthroscopy (N=19) or conservative treatment (N=24). Baseline data from a hip arthroscopy cohort study and a conservative pilot RCT treating FAI syndrome were used. Patient characteristics, symptoms (pain), function, clinical signs and diagnostic imaging were compared between groups. Results: We found no significant differences in patient characteristics, hip range of motion (ROM) or hip muscle strength between groups for involved leg. The arthroscopy group revealed significantly lower HOOS sport and recreational score, and performed worse on single leg hop distance. Conclusion: Patient characteristics do not differ between patients with FAI syndrome eligible for hip arthroscopy and those eligible for conservative treatment. Patients eligible for hip arthroscopy have somewhat impaired function compared to the conservative group. In order to improve knowledge of those eligible for hip arthroscopy and conservative treatment, larger studies and qualitative research need to address the differences in characteristics and function.
Masteroppgave - Norges idrettshøgskole, 2017