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Patient-reported outcome and muscle-tendon pain after periacetabular osteotomy are related: 1-year follow-up in 82 patients with hip dysplasia

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Jacobsen, Julie Sandell ; Søballe, Kjeld ; Thorborg, Kristian ; Bolvig, Lars ; Storgaard Jakobsen, Stig ; Hölmich, Per ; Mechlenburg, Inger. / Patient-reported outcome and muscle-tendon pain after periacetabular osteotomy are related : 1-year follow-up in 82 patients with hip dysplasia. In: Acta Orthopaedica (Print Edition). 2019 ; Vol. 90, No. 1. pp. 40-45.

Bibtex

@article{1b5293dd4d0c48aea3aafc7da9bf02bf,
title = "Patient-reported outcome and muscle-tendon pain after periacetabular osteotomy are related: 1-year follow-up in 82 patients with hip dysplasia",
abstract = "Background and purpose - Larger prospective studies investigating periacetabular osteotomy (PAO) with patient-reported outcome measures developed for young patients are lacking. We investigated changes in patient-reported outcome (PRO), changes in muscle-tendon pain, and any associations between them from before to 1 year after PAO. Patients and methods - Outcome after PAO was investigated in 82 patients. PRO was investigated with the Copenhagen Hip and Groin Outcome Score (HAGOS). Muscle-tendon pain in the hip and groin region was identified with standardized clinical tests, and any associations between them were analyzed with multivariable linear regressions. Results - HAGOS subscales improved statistically significantly from before to 1 year after PAO with effect sizes ranging from medium to very large (0.66-1.37). Muscle-tendon pain in the hip and groin region showed a large decrease in prevalence from 74{\%} (95{\%} CI 64-83) before PAO to 35{\%} (95{\%} CI 25-47) 1 year after PAO. Statistically significant associations were observed between changes in HAGOS and change in the sum of muscle-tendon pain, ranging from -4.7 (95{\%} CI -8.4 to -1.0) to -8.2 (95{\%} CI -13 to -3.3) HAGOS points per extra painful entity across all subscales from before to 1 year after PAO. Interpretation - Patients with hip dysplasia experience medium to very large improvements in PRO 1 year after PAO, associated with decreased muscle-tendon pain. The understanding of hip dysplasia as solely a joint disease should be reconsidered since muscle-tendon pain seems to play an important role in relation to the outcome after PAO.",
author = "Jacobsen, {Julie Sandell} and Kjeld S{\o}balle and Kristian Thorborg and Lars Bolvig and {Storgaard Jakobsen}, Stig and Per H{\"o}lmich and Inger Mechlenburg",
year = "2019",
month = "2",
day = "4",
doi = "10.1080/17453674.2018.1555637",
language = "English",
volume = "90",
pages = "40--45",
journal = "Acta Orthopaedica (Print Edition)",
issn = "1745-3674",
publisher = "Taylor & Francis Ltd",
number = "1",

}

RIS

TY - JOUR

T1 - Patient-reported outcome and muscle-tendon pain after periacetabular osteotomy are related

T2 - 1-year follow-up in 82 patients with hip dysplasia

AU - Jacobsen, Julie Sandell

AU - Søballe, Kjeld

AU - Thorborg, Kristian

AU - Bolvig, Lars

AU - Storgaard Jakobsen, Stig

AU - Hölmich, Per

AU - Mechlenburg, Inger

PY - 2019/2/4

Y1 - 2019/2/4

N2 - Background and purpose - Larger prospective studies investigating periacetabular osteotomy (PAO) with patient-reported outcome measures developed for young patients are lacking. We investigated changes in patient-reported outcome (PRO), changes in muscle-tendon pain, and any associations between them from before to 1 year after PAO. Patients and methods - Outcome after PAO was investigated in 82 patients. PRO was investigated with the Copenhagen Hip and Groin Outcome Score (HAGOS). Muscle-tendon pain in the hip and groin region was identified with standardized clinical tests, and any associations between them were analyzed with multivariable linear regressions. Results - HAGOS subscales improved statistically significantly from before to 1 year after PAO with effect sizes ranging from medium to very large (0.66-1.37). Muscle-tendon pain in the hip and groin region showed a large decrease in prevalence from 74% (95% CI 64-83) before PAO to 35% (95% CI 25-47) 1 year after PAO. Statistically significant associations were observed between changes in HAGOS and change in the sum of muscle-tendon pain, ranging from -4.7 (95% CI -8.4 to -1.0) to -8.2 (95% CI -13 to -3.3) HAGOS points per extra painful entity across all subscales from before to 1 year after PAO. Interpretation - Patients with hip dysplasia experience medium to very large improvements in PRO 1 year after PAO, associated with decreased muscle-tendon pain. The understanding of hip dysplasia as solely a joint disease should be reconsidered since muscle-tendon pain seems to play an important role in relation to the outcome after PAO.

AB - Background and purpose - Larger prospective studies investigating periacetabular osteotomy (PAO) with patient-reported outcome measures developed for young patients are lacking. We investigated changes in patient-reported outcome (PRO), changes in muscle-tendon pain, and any associations between them from before to 1 year after PAO. Patients and methods - Outcome after PAO was investigated in 82 patients. PRO was investigated with the Copenhagen Hip and Groin Outcome Score (HAGOS). Muscle-tendon pain in the hip and groin region was identified with standardized clinical tests, and any associations between them were analyzed with multivariable linear regressions. Results - HAGOS subscales improved statistically significantly from before to 1 year after PAO with effect sizes ranging from medium to very large (0.66-1.37). Muscle-tendon pain in the hip and groin region showed a large decrease in prevalence from 74% (95% CI 64-83) before PAO to 35% (95% CI 25-47) 1 year after PAO. Statistically significant associations were observed between changes in HAGOS and change in the sum of muscle-tendon pain, ranging from -4.7 (95% CI -8.4 to -1.0) to -8.2 (95% CI -13 to -3.3) HAGOS points per extra painful entity across all subscales from before to 1 year after PAO. Interpretation - Patients with hip dysplasia experience medium to very large improvements in PRO 1 year after PAO, associated with decreased muscle-tendon pain. The understanding of hip dysplasia as solely a joint disease should be reconsidered since muscle-tendon pain seems to play an important role in relation to the outcome after PAO.

UR - http://www.scopus.com/inward/record.url?scp=85061038880&partnerID=8YFLogxK

U2 - 10.1080/17453674.2018.1555637

DO - 10.1080/17453674.2018.1555637

M3 - Journal article

VL - 90

SP - 40

EP - 45

JO - Acta Orthopaedica (Print Edition)

JF - Acta Orthopaedica (Print Edition)

SN - 1745-3674

IS - 1

ER -

ID: 56478518