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Rev Bras Ortop. 2015 Dec 8;47(4):488-92. doi: 10.1016/S2255-4971(15)30134-8. eCollection 2012 Jul-Aug.

SURGICAL TREATMENT FOR FEMOROACETABULAR IMPINGEMENT IN A GROUP THAT PERFORMS SQUATS.

Author information

1
PhD. Assistant Professor and Head of the Hip Group, School of Medical Sciences, Santa Casa de São Paulo (FCMSCSP), São Paulo, SP, Brazil.
2
Resident in Orthopedics, School of Medical Sciences, Santa Casa de São Paulo (FCMSCSP), São Paulo, SP, Brazil.
3
Orthopedist and Attending Physician in the Hip Group, School of Medical Sciences, Santa Casa de São Paulo (FCMSCSP), São Paulo, SP, Brazil.
4
Orthopedist and former trainee in the Hip Group, School of Medical Sciences, Santa Casa de São Paulo (FCMSCSP), São Paulo, SP, Brazil.
5
MSc. Instructor-Professor and Attending Physician in the Hip Group, School of Medical Sciences, Santa Casa de São Paulo (FCMSCSP), São Paulo, SP, Brazil.
6
PhD. Teaching Instructor and Senior Member of the Hip Group, School of Medical Sciences, Santa Casa de São Paulo (FCMSCSP), São Paulo, SP, Brazil.
7
PhD. Adjunct Professor and Senior Member of the Hip Group, School of Medical Sciences, Santa Casa de São Paulo (FCMSCSP), São Paulo, SP, Brazil.

Abstract

OBJECTIVE:

Describe the results from arthroscopic surgical treatment on a group of patients who developed symptoms after repetitive physical activity of moving their hips in a position of hyperflexion, as in leg presses and squats.

METHODS:

The study group comprised 47 individuals (48 hips) who developed the onset of painful symptoms associated with hip hyperflexion exercises (leg presses or squats) and underwent arthroscopic treatment. The patients were evaluated radiographically and clinically according to the "Harris Hip Score", as modified by Byrd (MHHS), pre and postoperatively, and were asked about their return to sports activities and the surgical findings.

RESULTS:

The mean preoperative and postoperative MHHS, respectively, were 60 points (SD 11.0, range 38.5 to 92.4) and 95.9 points (SD 7.7, range 63.8 to 100), with an increase of 35.9 points (P < 0.001). Regarding physical activity, 30 individuals (71.5%) resumed sports activities after surgery, and 25 of them (83.4%) at the previous level. Six patients (12.8%) did not resume activities because of persistent pain. During arthroscopy, 48 hips (100%) presented lesions of the acetabular labrum, and 41 hips (85.4%) had acetabular chondral lesions.

CONCLUSION:

The patients with painful symptoms after hip hyperflexion exercises associated with femoroacetabular impingement presented improvements after arthroscopic treatment.

KEYWORDS:

Acetabulum; Arthroscopy; Hip Injuries; Hip Joint

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