Division of Sports Medicine, Department of Orthopaedic Surgery, NYU Langone Health, New York, New York, U.S.A..
Division of Sports Medicine, Department of Orthopaedic Surgery, NYU Langone Health, New York, New York, U.S.A.
Arthroscopy. 2022 Aug;38(8):2451-2458. doi: 10.1016/j.arthro.2022.02.015. Epub 2022 Feb 25.
To determine whether increased joint hypermobility, quantified by the Beighton score, is associated with a greater incidence of iliopsoas tendinitis (IPT) in postoperative hip arthroscopy patients treated for femoroacetabular impingement (FAI).
We conducted a retrospective chart review of patients who underwent hip arthroscopy for labral repair and FAI from 2016 to 2020 for whom at least 12 months of follow-up data were available. The Beighton score was measured by a blinded, independent reviewer. IPT was clinically diagnosed by a sports medicine fellowship-trained orthopaedic surgeon through physical examination. Patients with a diagnosis of IPT were matched at a 1:1 ratio to controls based on age, sex, and body mass index. Demographic characteristics, radiographs and advanced imaging, surgical characteristics, and corticosteroid injection therapy data were obtained via chart review. Statistical analysis was conducted using Mann-Whitney testing and binary logistic regression.
Forty patients in whom postoperative IPT developed were identified and matched to 40 control patients in whom postoperative tendinitis did not develop. Increased joint hypermobility, quantified by the Beighton score, was associated with an increased risk of IPT. For each 1-point increase in the Beighton score, there was a 1.69 (95% confidence interval, 1.25-2.29; P < .001) increased odds of IPT development postoperatively. A high (≥4) versus low (<4) Beighton score was associated with an increased likelihood of tendinitis (odds ratio, 9.82; 95% confidence interval, 2.79-34.58; P < .001). However, there was no association between greater Beighton scores and patients' likelihood of receiving a corticosteroid injection (P = .173).
Increased joint hypermobility, quantified by the Beighton score, is associated with an increased risk of IPT developing in the hip arthroscopy postoperative period in patients treated for FAI and labral pathology.
Level III, retrospective cohort study.
确定 Beighton 评分（一种衡量关节过度活动的方法）增加是否与髋关节镜术后接受股骨髋臼撞击症（FAI）治疗的患者中更常见的髂腰肌肌腱炎（IPT）的发生率相关。
我们对 2016 年至 2020 年期间因盂唇修复和 FAI 接受髋关节镜手术且至少有 12 个月随访数据的患者进行了回顾性图表审查。Beighton 评分由一名经过盲法、独立评估者进行测量。IPT 通过运动医学研究员培训的骨科医生通过体格检查进行临床诊断。根据年龄、性别和体重指数，将患有 IPT 诊断的患者与对照组以 1:1 的比例进行匹配。通过图表审查获得人口统计学特征、射线照相和高级成像、手术特征以及皮质类固醇注射治疗数据。使用 Mann-Whitney 检验和二项逻辑回归进行统计分析。
确定了 40 例术后发生 IPT 的患者，并与 40 例术后未发生肌腱炎的对照组患者进行了匹配。Beighton 评分（一种衡量关节过度活动的方法）增加与 IPT 的发生风险增加相关。Beighton 评分每增加 1 分，术后发生 IPT 的风险就会增加 1.69（95%置信区间，1.25-2.29；P<.001）。高（≥4）与低（<4）Beighton 评分与肌腱炎的发生几率增加相关（优势比，9.82；95%置信区间，2.79-34.58；P<.001）。然而，Beighton 评分较高与患者接受皮质类固醇注射的可能性之间没有关联（P=.173）。
Beighton 评分（一种衡量关节过度活动的方法）增加与接受 FAI 和盂唇病变治疗的髋关节镜术后患者中 IPT 发生风险增加相关。
三级，回顾性队列研究。
