Arthroscopic Treatment of Hip Pain in Adolescent Patients With Borderline Dysplasia of the Hip: Minimum 2-Year Follow-Up
Journal: Arthroscopy (2017 Aug;33(8):1530–1536)
DOI: 10.1016/j.arthro.2017.03.008
Purpose
To evaluate outcomes of arthroscopic labral repair and capsular plication in adolescents with borderline hip dysplasia (LCEA 20°–25°), compared to matched controls with normal coverage (LCEA ≥25°).
Methods
Retrospective matched cohort study of patients <18 years with minimum 2-year follow-up. PROs and pain scores were compared between groups.
Results
- Both groups showed statistically significant improvements in all measures.
- No significant difference in outcomes between borderline dysplasia and control groups.
- Arthroscopy with plication was well tolerated and effective in adolescents.
What Does This Mean for Providers?
- Adolescents with borderline dysplasia can safely undergo arthroscopic intervention with favorable outcomes.
- Capsular plication plays a key role in enhancing hip stability in this population.
- Early intervention may delay or prevent structural deterioration, provided patients are appropriately selected and stabilized.