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Asymptomatic gluteal tendinosis does not influence outcome in arthroscopic treatment of femoroacetabular impingement syndrome

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Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Purpose

To compare outcomes after arthroscopy in FAIS patients with preoperative asymptomatic gluteal tendinosis (GT) to a control group with no gluteal tendinosis.

Methods

A retrospective analysis was performed using data from FAIS patients who had arthroscopy between 2016 and 2018. Asymptomatic GT was diagnosed using hip MRI without clinical symptoms. Patients with asymptomatic GT were 1:1 propensity-score matched to patients without GT. Patient-reported outcomes (HOS-ADL, iHOT-12, mHHS), VAS scores, radiographic measures, performed procedures, complications, and revision surgery were compared and analyzed for both groups.

Results

A total of 105 asymptomatic GT hips and 105 hips without GT were found using propensity-score matching. When compared to preoperative levels, both groups demonstrated significant improvements in PROs and VAS scores at the final follow-up. Besides, there were no significant differences in preoperative scores, final outcome scores, or score improvements between the groups. Patients in the GT group were significantly less likely to achieve the MCID for the VAS score (72.4% vs 83.8%, p = 0.045). However, there were no other differences in the rate of meeting the PASS and MCID between the study and the control groups.

Conclusion

It was demonstrated in this study that FAIS patients with asymptomatic gluteal tendinosis can expect to experience similar good short-term patients-reported outcomes as compared with patients without gluteal tendinosis.

Level of evidence

III.

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Funding

This work was supported by grants from the National Natural Science Foundation of China (Grant No. 82072403, 81902205). We thank senior radiologist Wen Chen for her help in MRI measurement.

Author information

Author notes

  1. Fan Yang and Maihemuti·Maimaitimin contributed equally to this paper.

  2. Hongjie Huang and Jianquan Wang contributed equally to this paper.

Authors and Affiliations

  1. Beijing Key Laboratory of Sports Injuries, Department of Sports Medicine, Peking University Third Hospital, Institute of Sports Medicine of Peking University, Beijing, China

    Fan Yang, Maihemuti Maimaitimin, Xin Zhang, Yan Xu, Hongjie Huang & Jianquan Wang

Authors
  1. Fan Yang
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  2. Maihemuti Maimaitimin
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  3. Xin Zhang
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  4. Yan Xu
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  5. Hongjie Huang
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  6. Jianquan Wang
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Corresponding authors

Correspondence to Hongjie Huang or Jianquan Wang.

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Conflict of interest

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Ethical approval

Approval for the study was granted through the Peking University Third Hospital review board IRB (Number: M2019193).

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Yang, F., Maimaitimin, M., Zhang, X. et al. Asymptomatic gluteal tendinosis does not influence outcome in arthroscopic treatment of femoroacetabular impingement syndrome. Knee Surg Sports Traumatol Arthrosc 30, 2174–2180 (2022). https://doi.org/10.1007/s00167-021-06792-5

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  • DOI: https://doi.org/10.1007/s00167-021-06792-5

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