Robinson P G, Williamson T R, Murray I R, Maempel J F, MacDonald D J, Hamilton D F, Gaston P
Edinburgh Orthopaedics, Royal Infirmary of Edinburgh, Edinburgh, UK.
Edinburgh Medical School, The University of Edinburgh, 47 Little France Crescent, Edinburgh, EH16 4TJ, UK.
J Exp Orthop. 2021 Dec 4;8(1):113. doi: 10.1186/s40634-021-00431-1.
The Forgotten Joint Score (FJS-12) is a valid tool in the evaluation of patients undergoing hip arthroscopy, assessing the unique concept of joint awareness in the setting of a patient's hip pathology. The preoperative burden on patients' mental wellbeing of impaired joint function or symptoms is well established. The purpose of this study was to determine patients' awareness of their hip joint whilst awaiting hip arthroscopy for femoroacetabular impingement, to explore any association between joint awareness and mental health status, and to determine whether this relates to time spent waiting for arthroscopy preoperatively.
A prospective database of patients undergoing hip arthroscopy between January 2018 and November 2020 was analysed. All patients with a diagnosis of femoroacetabular impingement (FAI) undergoing arthroscopic treatment were included. Questionnaires included the FJS-12, twelve item international hip outcome tool (iHOT-12), EuroQol 5D-5L (EQ-5D-5L) and the Tegner activity score. Pearson's correlation coefficient was used to assess relationships between continuous variables.
Preoperative functional outcomes were completed by 81 patients (97.5%) prior to undergoing hip arthroscopy. Median preoperative FJS-12 score was 16.67 (IQR 8.33 - 29.68). Forty-four patients reported any level of anxiety/depression preoperatively (54.3%). Preoperative FJS-12 showed a significant negative correlation with worsening mental health status (r = - 0.359, p < 0.001), and a significant positive correlation with EQ-5D-5L (r = 0.445, p < 0.001). The duration of symptoms or time on the waiting list did not correlate with increased joint awareness or worsened mental health.
Joint awareness is high when awaiting hip arthroscopy for FAI. Increasing levels of joint awareness correlate with poorer mental health status and poorer quality of life measures, however these parameters do not seem to be associated with increased duration of symptoms prior to surgery or time on the waiting list for surgery.
遗忘关节评分（FJS - 12）是评估接受髋关节镜检查患者的有效工具，用于评估患者髋关节病变情况下独特的关节感知概念。关节功能受损或症状对患者术前心理健康的负担已得到充分证实。本研究的目的是确定患者在等待因股骨髋臼撞击症接受髋关节镜检查期间对其髋关节的感知，探讨关节感知与心理健康状况之间的任何关联，并确定这是否与术前等待关节镜检查的时间有关。
分析了2018年1月至2020年11月期间接受髋关节镜检查患者的前瞻性数据库。纳入所有诊断为股骨髋臼撞击症（FAI）并接受关节镜治疗的患者。问卷包括FJS - 12、十二项国际髋关节结局工具（iHOT - 12）、欧洲五维健康量表（EQ - 5D - 5L）和特格纳活动评分。使用Pearson相关系数评估连续变量之间的关系。
81例患者（97.5%）在接受髋关节镜检查前完成了术前功能结局评估。术前FJS - 12评分中位数为16.67（四分位间距8.33 - 29.68）。44例患者术前报告有任何程度的焦虑/抑郁（54.3%）。术前FJS - 12与心理健康状况恶化呈显著负相关（r = - 0.359，p < 0.001），与EQ - 5D - DL呈显著正相关（r = 0.445，p < 0.001）。症状持续时间或等待名单上的时间与关节感知增加或心理健康恶化无关。
在等待因FAI进行髋关节镜检查时，关节感知较高。关节感知水平的提高与较差的心理健康状况和较差的生活质量指标相关，然而这些参数似乎与手术前症状持续时间增加或手术等待名单上的时间无关。
