Radiographic and Clinical Outcomes of Adolescents With Acetabular Retroversion Treated Arthroscopically
Authors: Litrenta J, Mu B, Chen AW, Ortiz-Declet V, Perets I, Domb BG
DOI: 10.1097/BPO.0000000000001063
Background
Acetabular retroversion, a form of pincer-type FAI, is traditionally addressed with periacetabular osteotomy (PAO) in skeletally immature patients. However, arthroscopic techniques are increasingly used in selected adolescent cases.
Methods
- This retrospective case series included patients under 18 years with radiographic acetabular retroversion treated arthroscopically.
- Radiographic parameters and clinical outcomes (pain, function, satisfaction) were analyzed at minimum 2-year follow-up.
Key Findings
- Patients demonstrated statistically significant improvements in PROs at 2 years.
- No patients required PAO, and only a small number underwent revision arthroscopy.
- The procedure was well tolerated with no major complications reported.
Conclusions
Hip arthroscopy is a safe and effective option for managing symptomatic acetabular retroversion in adolescents, with favorable short- to mid-term outcomes and the potential to avoid open reorientation procedures.
What Does This Mean for Providers?
- For carefully selected adolescent patients with stable retroversion and minimal dysplasia, hip arthroscopy can be considered as an alternative to PAO.
- Radiographic screening and comprehensive pre-op evaluation are essential to exclude patients who may ultimately require structural correction.
- This less invasive approach may help reduce surgical morbidity and recovery time, provided appropriate indications are met and long-term follow-up is ensured.