Outcomes of Hip Arthroscopy in Adolescents: A Comparison of Acute Versus Chronic Presentation. Two-Year Minimum Follow-up
Authors: Ashberg L, Walsh JP, Yuen LC, Perets I, Chaharbakhshi EO, Domb BG
Journal: J Pediatr Orthop. 2018 Feb;38(2):e50–e56
DOI: 10.1097/BPO.0000000000001094
Background
The impact of symptom timing (acute vs. chronic onset) on hip arthroscopy outcomes in adolescents with labral tears is not well established.
Methods
This study included 194 adolescent patients undergoing hip arthroscopy, stratified by acute or chronic symptom onset. Outcomes were assessed using mHHS, NAHS, HOS-SSS, and VAS, with a minimum of 2 years follow-up.
Key Findings
- Both acute and chronic groups showed significant improvements in all PROs.
- The acute group had worse preoperative pain but similar final outcomes.
- The acute group demonstrated a slightly higher revision rate.
Conclusions
Hip arthroscopy provides effective symptom relief and functional improvement in adolescents regardless of symptom duration or onset type.
What Does This Mean for Providers?
Providers can counsel adolescent patients that both acute and chronic presentations respond well to arthroscopic treatment. Awareness of a potentially higher revision risk in acute cases should inform follow-up and management strategies.