J Korean Orthop Assoc.  2010 Feb;45(1):59-64. 10.4055/jkoa.2010.45.1.59.

Arthroscopic Treatment of Painful Hip in Associated with Ankylosing Spondylitis

• Lee JB
• Hwang DS
• Kang C
• Kim BG

• KMID: 2185595
• DOI: http://doi.org/10.4055/jkoa.2010.45.1.59

Abstract

PURPOSE
To examine clinical outcomes of patients who have undergone arthroscopic treatment for hip pain in patients with ankylosing spondylitis.
MATERIALS AND METHODS
Between April 2003 and May 2008, 9 early ankylosing spondylitis patients with hip pain who underwent hip arthroscopic treatment were analyzed retrospectively. Arthroscopic synovectomy was performed on all the patients and a spur resection was performed simultaneously on any patient showing osteophytes or spurs on their radiograph. The clinical results were assessed using the pain score and Harris hip score.
RESULTS
All the patients showed normal to early arthritic changes except for 1 case in a hip simple radiograph and showed synovial hyperplasia in the arthroscopic findings. Seven patients showed specific spike-shaped spurs on the femoral head-neck junction. According to the pain score, the scores were 0.8 before surgery, 2.6 at 6 months postoperatively and 2.8 at the final follow-up. According to the Harris hip score, the scores were 47.4 before surgery, 87 at 6 months postoperatively and 91 at the final follow-up.
CONCLUSION
Arthroscopic synovectomy and spur resection is a useful treatment for young adults with ankylosing spondylitis.

Keyword

hip; ankylosing spondylitis; synovitis; arthroscopic synovectomy; arthroscopic spur resection

MeSH Terms

Follow-Up Studies
Hip
Humans
Hyperplasia
Osteophyte
Retrospective Studies
Spondylitis, Ankylosing
Synovitis
Young Adult

Figure

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  Figure 1 Preoperative simple radiographs AP, lateral and MDCT of 24 year-old female's hip who complained right hip pain for several months and later was diagnosed as ankylosing spondylitis. Simple radiograph (A) shows spike-shaped spur on femoral head-neck junction on left hip. MDCT view (B) shows more prominent spur on right femoral head and neck junction.

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  Figure 2 This picture shows arthroscopic finding of synovial hyperplasia.

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  Figure 3 These pictures show preoperative simple radiograph AP (A) and postoperative simple radiographs AP (B) of a 20 year-old male's hip who complained right hip pain for several years and was diagnosed as ankylosing spondylitis.

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