Good functional outcomes after endoscopic treatment for greater trochanteric pain syndrome

Good functional outcomes after endoscopic treatment for greater trochanteric pain syndrome

Purpose Greater trochanteric pain syndrome (GTPS) is a term covering different conditions generating lateral hip pain. Recalcitrant cases may require surgery but there are only a few studies evaluating endoscopic treatment. This study aimed to evaluate the outcome of endoscopically treated GTPS at m...

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Bibliographic Details
Published in:Journal of experimental orthopaedics Vol. 10; no. 1; pp. 26 - n/a
Main Authors: Karlsson, Louise, Quist, Philip, Helander, Katarina Nilsson, Snaebjörnsson, Thorkell, Stålman, Anders, Lindman, Ida, Öhlin, Axel
Format: Journal Article
Language:English
Published: Berlin/Heidelberg Springer Berlin Heidelberg 15-03-2023
Springer Nature B.V
Wiley
Subjects:
Arthroscopy
Clinical Medicine
Endoscopy
Fascia latae plasty
GTPS
iHOT-12
Klinisk medicin
Medicin och hälsovetenskap
Medicine
Medicine & Public Health
Original Paper
Orthopedics
Patient reported outcome measures
Patients
Surgery
Surgical Orthopedics
Trochanteric bursectomy
Patient reported outcome measures
GTPS
iHOT-12
Arthroscopy
Trochanteric bursectomy
Fascia latae plasty
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Summary:Purpose Greater trochanteric pain syndrome (GTPS) is a term covering different conditions generating lateral hip pain. Recalcitrant cases may require surgery but there are only a few studies evaluating endoscopic treatment. This study aimed to evaluate the outcome of endoscopically treated GTPS at minimum two years postoperatively using patient-reported outcome measures (PROMs), and to assess the complication rate associated with endoscopic surgery. Methods A total of 33 patients, mean age 43.2 years, 88% women, with a mean symptom duration of 3.5 years, were included in the study. A total of 36 operated hips were included. Pre- and at minimum two years postoperatively the patients completed questionnaires consisting of the International Hip Outcome Tool (iHOT-12) and the Hip Sports Activity scale (HSAS), the Visual analogue scale for overall hip function (VAS-OHF), the Copenhagen Hip and Groin Outcome Score (HAGOS), the EuroQoL-5 Dimension Questionnaire (EQ-5D) and the EQ-VAS. Complications were assessed using the Clavien-Dindo classification. Results Median follow-up time was 24.5 months postoperatively. Statistically significant improvements were seen for the following PROMs ( p  < 0.05); iHOT-12 (36.3 vs 54.0), HAGOS different subscores (40.8 vs 59.0, 46.5 vs 62.6, 29.9 vs 53.1, 33.5 vs 51.4, 20.7 vs 41.4, 23.4 vs 43.3), EQ-VAS (55.9 vs 63.3) and EQ-5D (0.392 vs 0.648). VAS-OHF and HSAS did not reach significance. There was a 71% satisfaction rate with the surgery. Three Clavien-Dindo grade 1 and one grade 2 complications were registered postoperatively, with 41% of patients achieving PASS for iHOT-12 at two years follow-up. Conclusion Endoscopic surgery for greater trochanteric pain syndrome improved patient-reported outcomes and the procedure was associated with low risk of complications. Level of evidence Level IV.
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ISSN:2197-1153
2197-1153
DOI:10.1186/s40634-023-00574-3