Evidence map›Paper›PMID 38103052›Full record

ArticleArchives of orthopaedic and trauma surgery2024

Injections prior to hip arthroscopy are associated with increased risk of repeat hip arthroscopy at 1 and 5 years.

Andrea H Johnson, Jane C Brennan, Alyssa Maley, Sandra B Levermore, Justin J Turcotte, Benjamin M Petre

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Article in Archives of orthopaedic and trauma surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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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

6 authors.

Andrea H JohnsonOrthopedic Research, Anne Arundel Medical Center, Annapolis, MD, USA.
Jane C BrennanOrthopedic Research, Anne Arundel Medical Center, Annapolis, MD, USA.
Alyssa MaleyOrthopedic Surgery, Anne Arundel Medical Center, Annapolis, MD, USA.
Sandra B LevermoreOrthopedic Surgery, Anne Arundel Medical Center, Annapolis, MD, USA.
Justin J TurcotteOrthopedic and Surgical Research, Anne Arundel Medical Center, 2000 Medical Parkway Suite 503, Annapolis, MD, 21401, USA. jturcotte@luminishealth.org.ORCID http://orcid.org/0000-0002-5591-8033
Benjamin M PetreOrthopedic Surgery, Anne Arundel Medical Center, Annapolis, MD, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPrevious studies have shown that intra-articular hip injections prior to hip arthroscopy (HA) can be a helpful diagnostic tool. However, local anesthetic and corticosteroid injections can be chondrotoxic and corticosteroid injections have been shown to increase the risk of infection during subsequent surgical intervention. The purpose of this study was to evaluate whether preoperative injections adversely affect outcomes of HA using a national database. MATERIALS AND

methodsThe TriNetX database was retrospectively queried. Patients undergoing HA for femoroacetabular impingement with at least 1 year of claims runout were included in the analysis. Patients were grouped by whether they had a hip injection within 1 year prior to HA. The rates of repeat HA, total hip arthroplasty (THA), infection, osteonecrosis, and new onset hip OA at 1- and 5-years postoperatively were compared between groups. Statistical significance was assessed at α = 0.05.

results6511 HA patients with previous injection and 1178 HA patients without previous injection were included. Patients with a previous injection were overall younger (32.3 vs. 34.7 years, p < 0.001), more likely to be female (69 vs. 48%, p < 0.001) and had a higher BMI (26.3 vs. 25.7 kg/m

conclusionsIntraarticular hip injections prior to hip arthroscopy, particularly corticosteroid injections, are associated with increased risk of repeat hip arthroscopy at 1 and 5 years. Additional studies are needed to elucidate this risk.

Indexed as

Femoracetabular ImpingementHip JointAdrenal Cortex HormonesAnesthetics, LocalArthroscopyFemaleHumansInjections, Intra-ArticularMaleRetrospective StudiesTreatment OutcomeAdrenal Cortex HormonesAnesthetics, LocalCorticosteroid injectionHip arthroscopyIntraarticular injectionPostoperative complications

Identifiers

PMID38103052

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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.