Purpose
The primary purpose of this study was to analyze the rate, pattern, and severity of
symptoms of nerve dysfunction after hip arthroscopy (HA) by reviewing prospectively
collected data. The secondary purpose was to study whether symptoms of nerve dysfunction
were related to traction time.
Methods
From March to October 2010, 52 consecutive patients—27 male patients (mean age, 40 years;
range, 21 to 63 years) and 25 female patients (mean age, 37 years; range, 15 to 60 years),
underwent HA with labral repair, rim trimming, and osteoplasty. The patients received
a follow-up questionnaire 1 year after HA concerning symptoms of nerve dysfunction,
possible localization, and erectile dysfunction. Fifty patients participated and returned
fully completed questionnaires. Patients reporting symptoms of nerve dysfunction 1 year
after HA were re-examined.
Results
Twenty-three of 50 patients (46%) reported symptoms of nerve dysfunction during the
first week after HA; this was reduced to 14 patients (28%) after 6 weeks, 11 patients
(22%) after 26 weeks, and 9 patients (18%) after 1 year. One patient experienced temporary
erectile dysfunction. No difference in traction time between patients with symptoms
of nerve dysfunction (n = 23) and patients without (n = 27) was found (98 minutes
v 100 minutes; P = .88).
Conclusions
Forty-six percent of patients undergoing HA reported symptoms of nerve dysfunction
within the first 6 weeks after surgery. One year postoperatively, these symptoms remained
in only 18% of all patients. Traction time during surgery was not different in patients
with and those without symptoms of nerve dysfunction.
Level of Evidence
Level IV, therapeutic case series.
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Article info
Publication history
Accepted:
November 13,
2013
Received:
March 7,
2013
Footnotes
The authors report that they have no conflicts of interest in the authorship and publication of this article.
Identification
Copyright
© 2014 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.
