Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association
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To quantify the effect of saline solution injections on patient-reported outcome measures (PROMs) and to determine whether this effect is clinically relevant by comparing it with minimal clinically important difference (MCID) criteria. ⋯ Level II, meta-analysis of Level I and II randomized controlled trials.
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Comparative Study
Midterm Outcomes Following Repair of Capsulotomy Versus Nonrepair in Patients Undergoing Hip Arthroscopy for Femoroacetabular Impingement With Labral Repair.
The purpose of this study was to compare the midterm outcomes and conversion to total hip arthroplasty (THA) rate in patients who had repair of the capsulotomy versus nonrepair following arthroscopic hip labral repair and correction of femoroacetabular impingement (FAI). ⋯ Level III, retrospective comparative study.
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Editorial Comment
Editorial Commentary: If You Can't See It, You Can't Treat It: Proper Hip Radiographic Views Are Critical.
Hip arthroscopy has become a common surgical treatment for femoroacetabular impingement syndrome and hip labral tears. In addition to being a complex procedure with a steep learning curve, understanding the required imaging to provide a comprehensive view of femoral cam deformities can be challenging. Because of the 3-dimensional anatomy of the hip joint, 2-dimensional imaging with plain radiographs may miss areas of pathomorphology that are not in the plane of the specific radiographic view.
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The purpose of this study was to establish minimal clinically important difference (MCID), substantial clinical benefit (SCB), and patient-acceptable symptom state (PASS) after meniscectomy and factors associated with achieving these goals. ⋯ Clinically meaningful outcomes were established by patient self-assessment. Variables associated with achieving these outcomes include preoperative score (positively correlated with MCID/SCB, negatively correlated with PASS); workers' compensation; degenerative, medial-sided tears; and root tears (remaining negatively correlated with MCID/SCB/PASS). These variables should be accordingly measured for confounding in future outcome reporting.