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Jochimsen, Kate, Kramer, Emilie, Van Wyngaarden, Joshua, Noehren, Brian, Samaan, Michael, Duncan, Stephen, Mattacola, Carl, Jacobs, Cale. (1403). Preoperative Temporal Summation is Associated with Impaired Recovery Following Hip Arthroscopy for Femoroacetabular Impingement Syndrome. , 12(8), 580-586. doi: 10.22038/abjs.2024.78368.3607
Kate N. Jochimsen; Emilie Kramer; Joshua Van Wyngaarden; Brian Noehren; Michael A. Samaan; Stephen T. Duncan; Carl G. Mattacola; Cale A. Jacobs. "Preoperative Temporal Summation is Associated with Impaired Recovery Following Hip Arthroscopy for Femoroacetabular Impingement Syndrome". , 12, 8, 1403, 580-586. doi: 10.22038/abjs.2024.78368.3607
Jochimsen, Kate, Kramer, Emilie, Van Wyngaarden, Joshua, Noehren, Brian, Samaan, Michael, Duncan, Stephen, Mattacola, Carl, Jacobs, Cale. (1403). 'Preoperative Temporal Summation is Associated with Impaired Recovery Following Hip Arthroscopy for Femoroacetabular Impingement Syndrome', , 12(8), pp. 580-586. doi: 10.22038/abjs.2024.78368.3607
Jochimsen, Kate, Kramer, Emilie, Van Wyngaarden, Joshua, Noehren, Brian, Samaan, Michael, Duncan, Stephen, Mattacola, Carl, Jacobs, Cale. Preoperative Temporal Summation is Associated with Impaired Recovery Following Hip Arthroscopy for Femoroacetabular Impingement Syndrome. , 1403; 12(8): 580-586. doi: 10.22038/abjs.2024.78368.3607

Preoperative Temporal Summation is Associated with Impaired Recovery Following Hip Arthroscopy for Femoroacetabular Impingement Syndrome

The Archives of Bone and Joint Surgery
مقاله 6، دوره 12، شماره 8، آبان 2024، صفحه 580-586    اصل مقاله (788.44 K)
نوع مقاله: RESEARCH PAPER
شناسه دیجیتال (DOI): 10.22038/abjs.2024.78368.3607
نویسندگان
Kate N. Jochimsen* 1؛ Emilie Kramer2؛ Joshua Van Wyngaarden3؛ Brian Noehren4؛ Michael A. Samaan4؛ Stephen T. Duncan4؛ Carl G. Mattacola5؛ Cale A. Jacobs6
1Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA
2West Virginia University School of Medicine, Morgantown, WV, USA
3Army-Baylor University DPT Program, San Antonio, TX, USA
4University of Kentucky, Lexington, KY, USA
5University of North Carolina Greensboro, Greensboro, NC, USA
6Mass General Brigham Sports Medicine, Boston, MA, USA
چکیده
Objectives: Chronic pain is a risk factor for worse outcomes following hip arthroscopy for femoroacetabular impingement syndrome (FAIS). Pain sensitization involves the central nervous system perceiving previously innocuous stimuli as noxious. Temporal summation can provide a surrogate measure of sensitization, and may be a clinical tool to identify patients at a higher risk for poor post-hip arthroscopy outcomes. Therefore, we aimed to 1) identify the prevalence of temporal summation in patients undergoing hip arthroscopy for FAIS, 2) determine if there a difference in postoperative improvement between individuals with and without preoperative temporal summation, and 3) examine preoperative predictors of poor postoperative recovery.
Methods: 51 participants undergoing hip arthroscopy for FAIS underwent preoperative temporal summation testing. Three months postoperatively, 38 participants completed the 12-item International Hip Outcome Tool (iHOT-12) and reported their overall symptomatic improvement (0% to 100%, with 100% being normal). Participants were categorized on the presence (D Numeric Pain Rating Scale; NPRS ³ 2) or absence (D NPRS < 2) of temporal summation. A Mann-Whitney U test was used to determine the difference in improvement between groups (temporal summation: TS, no temporal summation NTS), and a linear regression was used to explore predictors of improvement.
Results: 23 (45.1%) of 51 participants displayed preoperative temporal summation. In participants with postoperative data, those with temporal summation reported less improvement than those without (TS: 62.8% ± 29.7%; NTS: 82.7% ± 13.9%; p = 0.01; Cohen’s d = -0.86). Temporal summation (Beta = -0.48; 95% CI -36.6, -8.7) and mental health disorder (Beta = -0.30; 95% CI -28.0, -0.48) predicted 28.1% of the variance in postoperative improvement (p = 0.002).
Conclusion: The presence of preoperative temporal summation is common and related to worse postoperative recovery after hip arthroscopy for FAIS.
        Level of evidence: IV
کلیدواژه‌ها
Hip preservation؛ Pre-arthritic hip؛ Quantitative sensory testing
مراجع
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