Does Duration of Symptoms Affect Clinical Outcome After Hip Arthroscopy for Labral Tears? Analysis of Prospectively Collected Outcomes With Minimum 2-Year Follow-up
Authors: Dierckman BD, Ni J, Hohn EA, Domb BG
Journal: J Hip Preserv Surg. 2017 Jun;4(4):308–317
DOI: 10.1093/jhps/hnx023
Background
The influence of symptom duration on outcomes after hip arthroscopy for labral tears has been uncertain.
Methods
Prospective study of 680 patients with labral tears and minimum 2-year follow-up, excluding cases with dysplasia, workers’ compensation claims, and prior hip surgeries. The relationship between symptom duration and patient-reported outcomes (PROs) was analyzed.
Key Findings
- Longer symptom duration significantly predicted worse pain, satisfaction, and functional outcomes post-arthroscopy.
- Additional negative predictors included increased age, BMI, and trauma history.
Conclusions
Delaying surgical intervention for labral tears may reduce the clinical benefit achieved by hip arthroscopy.
What Does This Mean for Providers?
Providers should weigh the risks of prolonged symptom duration when considering surgery. Early identification and timely surgical referral may optimize patient outcomes after labral repair.