Good functional outcomes after endoscopic treatment for greater trochanteric pain syndrome

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Karlsson, Louise,1993Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics (author)

Good functional outcomes after endoscopic treatment for greater trochanteric pain syndrome

Article/chapterEnglish2023

Publisher, publication year, extent ...

2023-03-15
Springer Science and Business Media LLC,2023

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LIBRIS-ID:oai:gup.ub.gu.se/333976
https://gup.ub.gu.se/publication/333976URI
https://doi.org/10.1186/s40634-023-00574-3DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:236918447URI

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Language:English

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

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Purpose: Greater trochanteric pain syndrome (GTPS) is a term covering different conditions generating lateral hip pain. Recalcitrant cases may require surgery but there are only a few studies evaluating endoscopic treatment. This study aimed to evaluate the outcome of endoscopically treated GTPS at minimum two years postoperatively using patient-reported outcome measures (PROMs), and to assess the complication rate associated with endoscopic surgery. Methods: A total of 33 patients, mean age 43.2years, 88% women, with a mean symptom duration of 3.5years, were included in the study. A total of 36 operated hips were included. Pre- and at minimum two years postoperatively the patients completed questionnaires consisting of the International Hip Outcome Tool (iHOT-12) and the Hip Sports Activity scale (HSAS), the Visual analogue scale for overall hip function (VAS-OHF), the Copenhagen Hip and Groin Outcome Score (HAGOS), the EuroQoL-5 Dimension Questionnaire (EQ-5D) and the EQ-VAS. Complications were assessed using the Clavien-Dindo classification. Results: Median follow-up time was 24.5months postoperatively. Statistically significant improvements were seen for the following PROMs (p < 0.05); iHOT-12 (36.3 vs 54.0), HAGOS different subscores (40.8 vs 59.0, 46.5 vs 62.6, 29.9 vs 53.1, 33.5 vs 51.4, 20.7 vs 41.4, 23.4 vs 43.3), EQ-VAS (55.9 vs 63.3) and EQ-5D (0.392 vs 0.648). VAS-OHF and HSAS did not reach significance. There was a 71% satisfaction rate with the surgery. Three Clavien-Dindo grade 1 and one grade 2 complications were registered postoperatively, with 41% of patients achieving PASS for iHOT-12 at two years follow-up. Conclusion: Endoscopic surgery for greater trochanteric pain syndrome improved patient-reported outcomes and the procedure was associated with low risk of complications. Level of evidence: Level IV.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine hsv//eng
Arthroscopy
Fascia latae plasty
GTPS
iHOT-12
Patient reported outcome measures
Trochanteric bursectomy

Added entries (persons, corporate bodies, meetings, titles ...)

Quist, PhilipGothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics (author)
Nilsson-Helander, Katarina,1957Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics(Swepub:gu)xnkata (author)
Snaebjörnsson, Thorkell,1982Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics(Swepub:gu)xsnath (author)
Stålman, AndersKarolinska Institutet (author)
Lindman, IdaGothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics(Swepub:gu)xlidag (author)
Öhlin, Axel,1990Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics(Swepub:gu)xhliax (author)
Göteborgs universitetInstitutionen för kliniska vetenskaper, Avdelningen för ortopedi (creator_code:org_t)

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In:Journal of Experimental Orthopaedics: Springer Science and Business Media LLC10:12197-1153

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