2026-09-22T15:33:27Zhttps://gupea.ub.gu.se/server/oai/requestoai:gupea.ub.gu.se:2077/415512016-03-30T01:30:52Zcom_2077_284com_2077_17com_2077_10556col_2077_305col_2077_310col_2077_10557
Mikael, Sansone
2016-03-29T09:20:35Z
2016-03-29T09:20:35Z
2016-03-29
978-91-628-9704-8 (print)
978-91-628-9705-5 (e-pub)
http://hdl.handle.net/2077/41551
Hip and groin problems are common, especially
among athletes. The treatment of hip
and groin problems has undergone rapid
change during the latest 15 years, mainly
due to our understanding of femoro-acetabular
impingement (FAI). FAI consists of
skeletal changes of the hip, which lead to a
mismatch between the femoral head and
pelvic socket, leading to collision and impingement.
These changes are called cam
when placed on the femoral side and pincer
on the pelvic side. Technical advances
have led to arthroscopic treatment as a
standard procedure for treating FAI. The
results after this treatment have, however,
not been well investigated.
This thesis aims to investigate the results
after arthroscopic treatment for FAI. A
clinical register was created in order to
evaluate and follow this patient category
over time.
A long-term follow-up was made of patients
who had undergone tenotomy in
the groin region. This study showed that
three out of four patients experienced
good results after surgery. The patients
with a poorer outcome had a significantly
higher prevalence of FAI.
A database was created with the aim of
evaluating patients treated arthroscopically
for FAI. In an assessment of the first 606
patients in the database, it was seen that,
when measured with modern and validated
outcome measures, these patients reported
substantial clinical symptoms.
A one-year follow-up of 85 elite athletes
after arthroscopic treatment revealed
good results, including less pain, improved
function, quality of life and return
to sports. A two-year follow-up of 289
patients with FAI treated arthroscopically
showed significant improvements in
terms of pain, function and quality of life.
A two-year follow-up of 75 patients with
FAI and concomitant mild to moderate osteoarthritis
of the hip showed significant
improvements in terms of pain, function
and quality of life.
In a case report of two cases of total hip
dislocation after hip arthroscopy and psoas
tenotomy referred to us, the importance
of dynamic and static stabilisers of the hip
was highlighted.
A study of different outcomes used to
evaluate patients with FAI reported on the
use of composite outcomes to better evaluate
this patient category.
eng
I. Sansone M, Ahldén M, Jónasson P,
Swärd L, Thomeé C, Thomeé R, Baranto A,
Karlsson J (2013). A Swedish hip arthroscopy
registry - demographics and development.
Knee Surg Sports Traumatol Arthrosc
22(4):774-780 ::doi::10.1007/s00167-014-2840-9
II. Sansone M, Ahldén M, Jónasson P,
Thomeé C, Swärd L, Öhlin A, Baranto A,
Karlsson J, Thomeé R (2016). Outcomes
after hip arthroscopy for femoroacetabular
impingement in 289 patients with
minimum 2 years follow up. Scand Journal
of Medicine and Science in Sports 2016 Jan 21 ::doi:: 10.1111/sms.12641
III. Sansone M, Ahldén M, Jónasson P,
Thomeé C, Swärd L, Baranto A, Karlsson
J, Thomeé R (2015). Good Results After
Hip Arthroscopy for Femoroacetabular
Impingement in Top-Level Athletes.
Orthopaedic Journal Sports Medicine 3
(2):2325967115569691 ::doi::10.1177/2325967115569691
IV. Sansone M, Ahldén M, Jónasson P,
Thomeé C, Swärd L, Baranto A, Collin D,
Karlsson J, Thomeé R (2015). Outcome of
hip arthroscopy in patients with mild to
moderate osteoarthritis A prospective
study. Journal of Hip Preservation Surgery
::doi::10.1093/jhps/hnv079
V. Sansone M, Ahldén M, Jónasson P,
Thomeé R, Falk A, Swärd L, Karlsson J
(2014). Can hip impingement be mistaken
for tendon pain in the groin? A long-term
follow-up of tenotomy for groin pain in
athletes. Knee Surg Sports Traumatol Arthrosc
22(4):786-792 ::doi::10.1007/s00167-013-2738-y
VI. Sansone M, Ahldén M, Jónasson P,
Swärd L, Eriksson T, Karlsson J (2013).
Total dislocation of the hip joint after
arthroscopy and ileopsoas tenotomy.
Knee Surg Sports Traumatol Arthrosc 21
(2):420-423 ::doi::10.1007/s00167-012-2300-3
VII. Ayeni OR, Sansone M, de Sa D, Simunovic
N, Bedi A, Kelly BT, Farrokhyar
F, Karlsson J (2015). Femoro-acetabular
impingement clinical research: is a composite
outcome the answer? Knee Surg
Sports Traumatol Arthrosc. 2016 Jan;24
(1):295-301 ::doi::10.1007/s00167-014-3500-9
hip joint
hip arthroscopy
register
PROM
femoro-acetabular impingement
athlete
cam
outcome
Outcomes of arthroscopic hip surgery in patients with Femoro-acetabular Impingement
text
Doctoral thesis
Doctor of Philosophy (Medicine)
mikael.sansone@gmail.com
University of Gothenburg. Sahlgrenska Academy
Institute of Clincial Sciences. Department of Orthopaedics
Fredagen den 15 april 2016, kl. 9.00, Hörsal Arvid Carlsson, Academicum, Medicinaregatan 3, Göteborg
2016-04-15
SA
open.access