髋关节微不稳定关节镜和非手术治疗的多中心前瞻性队列研究方案。
Protocol for a multicenter prospective cohort study evaluating arthroscopic and non-surgical treatment for microinstability of the hip joint.
机构信息
Department of Orthopaedics, University of Gothenburg, Gothenburg, Sweden.
Department of Health and Rehabilitation, University of Gothenburg, Gothenburg, Sweden.
出版信息
BMC Musculoskelet Disord. 2022 Mar 31;23(1):309. doi: 10.1186/s12891-022-05269-x.
BACKGROUND
Microinstability of the hip joint is a proposed cause of hip pain and reduced function in young individuals. The underlying mechanism is thought to be extraphysiological hip motion due to bony deficiency and/or soft tissue deficiency or decreased soft tissue function. Recently, the condition has gained increased attention, and despite the fact that treatment today includes both non-surgical and surgical approaches, there is limited evidence on diagnostic specificity and treatment effects. The aim of this study is to evaluate clinical outcomes of both non-surgical and surgical treatment for microinstability of the hip joint.
METHODS
A multicenter prospective cohort study is planned to evaluating the outcome of physical therapy aimed at stabilizing the hip joint, as well as arthroscopic plication of the hip joint capsule, if the physical therapy fails. Outcomes will be evaluated using hip-specific patient-reported outcome measures: the short version of the International Hip Outcome Tool and the Copenhagen Hip and Groin Outcome Score, strength and function tests, health-related quality of life as determined using the European Quality of Life-5 Dimensions and the European Quality of Life-Visual Analog Scale, sports activity levels according to the Hip Sport Activity Scale, and reported complications. Patients will be evaluated at 6, 12 and 24 months after each treatment.
DISCUSSION
It is important to evaluate the clinical outcomes of both non-surgical and surgical treatment for suspected microinstability of the hip joint, and the planned prospective evaluation will contribute to the understanding of non-surgical as well as surgical treatment outcomes, including complications.
TRIAL REGISTRATION
Clinicaltrials.gov: NCT04934462 . Registered June 22 2021.
背景
髋关节微不稳被认为是导致年轻人髋关节疼痛和功能下降的原因。其潜在机制被认为是由于骨骼和/或软组织缺陷或软组织功能下降导致髋关节出现超生理运动。最近，这种情况受到了越来越多的关注。尽管目前的治疗方法包括非手术和手术治疗，但对于诊断特异性和治疗效果的证据有限。本研究旨在评估髋关节微不稳的非手术和手术治疗的临床结果。
方法
计划进行一项多中心前瞻性队列研究，评估旨在稳定髋关节的物理治疗以及如果物理治疗失败则进行髋关节囊关节镜折叠术的效果。将使用髋关节特异性患者报告结局测量工具（国际髋关节结局工具简表和哥本哈根髋关节和腹股沟结局评分）、力量和功能测试、健康相关生活质量（欧洲生活质量-5 维度和欧洲生活质量-视觉模拟量表）、根据髋关节运动活动量表评估的运动活动水平以及报告的并发症来评估结局。将在每次治疗后 6、12 和 24 个月对患者进行评估。
讨论
评估疑似髋关节微不稳的非手术和手术治疗的临床结果非常重要，计划进行的前瞻性评估将有助于了解非手术和手术治疗的结果，包括并发症。
试验注册
Clinicaltrials.gov：NCT04934462。2021 年 6 月 22 日注册。
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