Evidence map›Paper›PMID 36502534›Full record

ArticleInternational journal of rheumatic diseases2023

Do patients with femoroacetabular impingement syndrome who undergo hip arthroscopy display improved alpha angle (magnetic resonance imaging) and radiographic hip morphology?

Aricia Jieqi Thirumaran, Nicholas J Murphy, Jillian Peta Eyles, James M Linklater, Stephan Reichenbach, Florian Schmaranzer, Till D Lerch, Venkatesha Venkatesha, Gillian Heller, John O'Donnell and 1 more

Open access · hybridAbstract read
In one paragraph

Article in International journal of rheumatic diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 35% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 7 institutions in 2 countries.

Aricia Jieqi ThirumaranFaculty of Medicine and Health, University of New South Wales, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0003-3347-6622
Nicholas J MurphySydney Musculoskeletal Health, Kolling Institute of Medical Research, University of Sydney, Camperdown, New South Wales, Australia.ORCID https://orcid.org/0000-0002-6724-3563
Jillian Peta EylesSydney Musculoskeletal Health, Kolling Institute of Medical Research, University of Sydney, Camperdown, New South Wales, Australia.ORCID https://orcid.org/0000-0002-1625-8490
James M LinklaterDepartment of Musculoskeletal Imaging, Castlereagh Imaging, St Leonards, New South Wales, Australia.
Stephan ReichenbachInstitute of Social and Preventive Medicine, University of Bern, Bern, Switzerland.
Florian SchmaranzerDepartment of Diagnostic, Interventional and Pediatric Radiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Till D LerchDepartment of Diagnostic, Interventional and Pediatric Radiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Venkatesha VenkateshaNorthern Sydney Local Health District Executive, Royal North Shore Hospital, St Leonards, New South Wales, Australia.
Gillian HellerDepartment of Statistics, Faculty of Science and Engineering, Macquarie University, Sydney, New South Wales, Australia.
John O'DonnellHip Arthroscopy Australia, Melbourne, Victoria, Australia.
David J HunterSydney Musculoskeletal Health, Kolling Institute of Medical Research, University of Sydney, Camperdown, New South Wales, Australia.ORCID https://orcid.org/0000-0003-3197-752X
The University of Sydney · AUUniversity of Bern · CHArthritis Australia · AUInstitute for Musculoskeletal Health · AUMacquarie University · AURoyal North Shore Hospital · AUUNSW Sydney · AU

Funding

Australian Hip Arthroscopy Education and Research FoundationNational Health and Medical Research Council of Australia APP1069278
6 · The paper itself

Abstract

aimsTo compare (a) the change in radiological bony morphology between participants with femoroacetabular impingement (FAI) syndrome who underwent arthroscopic hip surgery compared to physiotherapist-led non-surgical care and (b) the change in radiological bony morphology between participants with FAI syndrome who underwent arthroscopic hip surgery involving cam resection or acetabular rim trimming or combined cam resection and acetabular rim trimming.

methodsMaximum alpha angle measurements on magnetic resonance imaging and Hip

resultsArthroscopic hip surgery resulted in significant improvements to mean alpha angle measurements (decreased from 70.8° to 62.1°) (P value < .001, 95% CI -11.776, -4.772), lateral center edge angle (LCEA) (P value = .030, 95% CI -3.403, -0.180) and extrusion index (P value = 0.002, 95% CI 0.882, 3.968) compared to physiotherapist-led management. Mean maximum 1-year postoperative alpha angle was 59.0° (P value = .003, 95% CI 4.845, 18.768) for participants who underwent isolated cam resection. Measurements comparing the 3 different arthroscopic hip procedures only differed in total femoral head coverage (F[2,37] = 3.470, P = .042).

conclusionArthroscopic hip surgery resulted in statistically significant improvements to LCEA, extrusion index and alpha angle as compared to physiotherapist-led management. Measured outcomes between participants who underwent cam resection and/or acetabular rim trimming only differed in total femoral head coverage.

Indexed as

Femoracetabular ImpingementArthroscopyHip JointHumansMagnetic Resonance ImagingRadiographyRetrospective StudiesTreatment Outcomearthroscopic surgerycomputer assisted radiographic image interpretationfemoroacetabular impingementhip osteoarthritisphysiotherapy

Identifiers

PMID36502534
PMCPMC10946938
OpenAlexW4311096872

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.