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Values represent mean (standard deviation).

Values represent mean (standard deviation).

score (preoperative: 49.5; postoperative: 80.1; P<0.001), and scores were improved in all eight procedures (see Table 1). For patients who had labral tears with developmental dysplasia of the hip following prior periacetabular osteotomy (n = 8), there was significant improvement in modified Harris hip score (preoperative: 51.8; postoperative: 79.8; P< 0.001) and scores were improved in six of eight procedures (see Table 1). For the 2 patients who had Outerbridge grade 4 degenerative changes (full-thickness chondral loss), scores were not improved. For patients who had inflammatory arthritis (n=3), there was significant improvement in modified Harris hip score (preoperative: 54.8; postoperative: 81.3; P<0.001) and scores were improved in all three procedures (see Table 1). Preoperative and postoperative modified Harris hip scores for patients who had spondyloepiphyseal dysplasia (n = 2), avascular necrosis (n = 1), slipped femoral capital epiphysis (n = 1), and osteochondral fracture (n = 1) are shown in Table 1.

Complications included transient pudendal nerve palsy (n = 3), instrument breakage (n = 1), and recurrent labral tear (n = 3). All three patients who had pudendal nerve palsies had paresthesia in the groin and scrotal/labial region that resolved spontaneously by 3 months postoperative. The case of instrument breakage involved shearing off of a flexible guide wire by a cannulated obturator upon insertion. The broken guide wire was retrieved arthroscopically. Two patients who had isolated labral tears and one patient who had developmental dysplasia of the hip following prior periacetabular osteotomy who had undergone arthroscopic debridement had recurrent labral tears (recurrent labral tear rate: 3/41 = 7.3%). All three patients had demonstrated improvement after their initial arthroscopic debridement, with recurrent symptoms developing 3 to 21 months after their index procedure. All three patients improved after repeat arthroscopy and labral tear debridement.

Thus, in reviewing the authors' results of hip arthroscopy in children and adolescents for a variety of diagnoses, it appears that hip arthroscopy was a safe procedure with few complications, and that it was efficacious in the short term for certain indications.

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Arthritis Joint Pain

Arthritis Joint Pain

Arthritis is a general term which is commonly associated with a number of painful conditions affecting the joints and bones. The term arthritis literally translates to joint inflammation.

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