Abstract
Purpose
To describe the functional results of arthroscopic treatment in patients with femoroacetabular impingement (FAI) and subspine impingement (SSI) evaluated with a 3‐dimensional (3D) dynamic study.
Methods
This was a retrospective observational study of patients with a diagnosis of FAI and SSI, evaluated with a 3D dynamic computed tomography scan with Move Forward software, who underwent hip arthroscopy between February 2015 and December 2017. Measurements of the alpha angle, femoral anteversion, acetabular anteversion, lateral center‐edge angle, and Tönnis angle were extracted from the 3D dynamic study. Functionality was evaluated using the Western Ontario McMaster Universities Osteoarthritis Index before and 12 months after surgery.
Results
We analyzed 22 hips in 17 patients (9 female and 8 male patients) with an average age of 34.6 ± 14.3 years. Of the 22 hips, 15 had cam morphology, 6 had mixed morphology, and 1 had pincer morphology. Of the hips, 11 had a type I spine, 10 had type II, and 1 had type III. The average alpha angle, Tönnis angle, femoral anteversion, and acetabular anteversion were 61.9° ± 11.1°, 2.5° ± 6.4°, 8.8° ± 6.8°, and 15.1° ± 7.1°, respectively. The median lateral center‐edge angle was 38.1° (interquartile range, 32.6°‐43.5°). At 1‐year follow‐up, a decrease in the Western Ontario McMaster Universities Osteoarthritis Index score (
P
= .001) and an increase in the flexion angle (
P
Conclusions
Arthroscopic treatment provides symptom relief and good functional results in patients with FAI and SSI.
Level of Evidence
Level IV, therapeutic case series.