Adhesions in the setting of hip arthroscopy
With the growing number of primary arthroscopies performed, patients requiring revision hip arthroscopies for various issues is high including postoperative adhesion formation, a source of pain, mechanical symptoms, range of motion limitation, stiffness, and microinstability. Adhesions are a conse...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Bioscientifica
2023-11-01
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| Series: | EFORT Open Reviews |
| Subjects: | |
| Online Access: | https://eor.bioscientifica.com/view/journals/eor/8/11/EOR-21-0068.xml |
| _version_ | 1797641600771293184 |
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| author | Joseph J Ruzbarsky Rui W Soares Spencer M Comfort Justin W Arner Marc J Philippon |
| author_facet | Joseph J Ruzbarsky Rui W Soares Spencer M Comfort Justin W Arner Marc J Philippon |
| author_sort | Joseph J Ruzbarsky |
| collection | DOAJ |
| description | With the growing number of primary arthroscopies performed, patients requiring revision hip arthroscopies for various issues is high including postoperative adhesion formation, a source of pain, mechanical symptoms, range of motion limitation, stiffness, and microinstability.
Adhesions are a consequence of biological pathways that have been stimulated by injury or surgical interventions leading to an increased healing response.
Preventative efforts have included surgical adjuncts during/after primary hip arthroscopy, biologic augmentation, and postoperative rehabilitation.
Treatment options for adhesion formation includes surgical lysis of adhesions with or without placement of biologic membranes aimed at inhibiting adhesion reformation as well as systemic medications to further reduce the risk.
Postoperative rehabilitation exercises have also been demonstrated to prevent adhesions as a result of hip arthroscopy. Ongoing clinical trials are further investigating pathways and prevention of adhesion formation. |
| first_indexed | 2024-03-11T13:48:01Z |
| format | Article |
| id | doaj.art-33fa855c34944b1e97ea3cb05cbc2314 |
| institution | Directory Open Access Journal |
| issn | 2058-5241 |
| language | English |
| last_indexed | 2024-03-11T13:48:01Z |
| publishDate | 2023-11-01 |
| publisher | Bioscientifica |
| record_format | Article |
| series | EFORT Open Reviews |
| spelling | doaj.art-33fa855c34944b1e97ea3cb05cbc23142023-11-02T09:52:41ZengBioscientificaEFORT Open Reviews2058-52412023-11-01811792797https://doi.org/10.1530/EOR-21-0068Adhesions in the setting of hip arthroscopyJoseph J Ruzbarsky0Rui W Soares1Spencer M Comfort2Justin W Arner3Marc J Philippon4Steadman Philippon Research Institute, Vail, Colorado, USA; Steadman Clinic and United States Coalition for the Prevention of Illness and Injury in Sport, Vail, Colorado, USADepartment of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio, USASteadman Philippon Research Institute, Vail, Colorado, USADepartment of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USASteadman Philippon Research Institute, Vail, Colorado, USA; Steadman Clinic and United States Coalition for the Prevention of Illness and Injury in Sport, Vail, Colorado, USAWith the growing number of primary arthroscopies performed, patients requiring revision hip arthroscopies for various issues is high including postoperative adhesion formation, a source of pain, mechanical symptoms, range of motion limitation, stiffness, and microinstability. Adhesions are a consequence of biological pathways that have been stimulated by injury or surgical interventions leading to an increased healing response. Preventative efforts have included surgical adjuncts during/after primary hip arthroscopy, biologic augmentation, and postoperative rehabilitation. Treatment options for adhesion formation includes surgical lysis of adhesions with or without placement of biologic membranes aimed at inhibiting adhesion reformation as well as systemic medications to further reduce the risk. Postoperative rehabilitation exercises have also been demonstrated to prevent adhesions as a result of hip arthroscopy. Ongoing clinical trials are further investigating pathways and prevention of adhesion formation. https://eor.bioscientifica.com/view/journals/eor/8/11/EOR-21-0068.xmlhip painarthrofibrosisadhesionsstiffnesship arthroscopy |
| spellingShingle | Joseph J Ruzbarsky Rui W Soares Spencer M Comfort Justin W Arner Marc J Philippon Adhesions in the setting of hip arthroscopy EFORT Open Reviews hip pain arthrofibrosis adhesions stiffness hip arthroscopy |
| title | Adhesions in the setting of hip arthroscopy |
| title_full | Adhesions in the setting of hip arthroscopy |
| title_fullStr | Adhesions in the setting of hip arthroscopy |
| title_full_unstemmed | Adhesions in the setting of hip arthroscopy |
| title_short | Adhesions in the setting of hip arthroscopy |
| title_sort | adhesions in the setting of hip arthroscopy |
| topic | hip pain arthrofibrosis adhesions stiffness hip arthroscopy |
| url | https://eor.bioscientifica.com/view/journals/eor/8/11/EOR-21-0068.xml |
| work_keys_str_mv | AT josephjruzbarsky adhesionsinthesettingofhiparthroscopy AT ruiwsoares adhesionsinthesettingofhiparthroscopy AT spencermcomfort adhesionsinthesettingofhiparthroscopy AT justinwarner adhesionsinthesettingofhiparthroscopy AT marcjphilippon adhesionsinthesettingofhiparthroscopy |