Anterior Electronic Hip Pain Drawings Are Helpful for Diagnosis of Intra-articular Sources of Pain: Lateral or Posterior Drawings Are Unreliable
Purpose: The purpose of this study was to determine the accuracy of electronic hip pain drawing to diagnose intra-articular source of pain in nonarthritic hips, defined by response to an intra-articular injection. Methods: A retrospective assessment was performed in consecutive patients who had an i...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-02-01
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| Series: | Arthroscopy, Sports Medicine, and Rehabilitation |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666061X22001705 |
| _version_ | 1797903336922415104 |
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| author | Richard Feng, M.P.H. Munif Hatem, M.D., M.S. Hal David Martin, D.O. |
| author_facet | Richard Feng, M.P.H. Munif Hatem, M.D., M.S. Hal David Martin, D.O. |
| author_sort | Richard Feng, M.P.H. |
| collection | DOAJ |
| description | Purpose: The purpose of this study was to determine the accuracy of electronic hip pain drawing to diagnose intra-articular source of pain in nonarthritic hips, defined by response to an intra-articular injection. Methods: A retrospective assessment was performed in consecutive patients who had an intra-articular injection completed within a 1-year period. Patients were classified as responders or nonresponders to intra-articular hip injection. A positive injection was defined as greater than 50% hip pain relief within 2 hours after injection. Electronic pain drawings collected before injection were then evaluated according to the hip region marked by the patients. Results: Eighty-three patients were studied after applying inclusion and exclusion criteria. Anterior hip pain on drawing had a sensitivity of 0.69, specificity of 0.68, positive predictive value (PPV) of 0.86, and negative predictive value (NPV) of 0.44 for intraarticular source of pain. Posterior hip pain on drawing had a sensitivity of 0.59, specificity of 0.23, PPV of 0.68, and NPV of 0.17 for intra-articular source of pain. Lateral hip pain on drawing had a sensitivity of 0.62, specificity of 0.50, PPV of 0.78, and NPV of 0.32 for intraarticular source of pain. Conclusion: Anterior hip pain on electronic drawing has a sensitivity of 0.69 and specificity of 0.68 for intra-articular source of pain in nonarthritic hips. Lateral and posterior hip pain on electronic pain drawings are not reliable to rule out intra-articular hip disease. Level of Evidence: Level III, case-control study. |
| first_indexed | 2024-04-10T09:31:16Z |
| format | Article |
| id | doaj.art-b3ac806ecd044dec8812ad88b8987c9a |
| institution | Directory Open Access Journal |
| issn | 2666-061X |
| language | English |
| last_indexed | 2024-04-10T09:31:16Z |
| publishDate | 2023-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy, Sports Medicine, and Rehabilitation |
| spelling | doaj.art-b3ac806ecd044dec8812ad88b8987c9a2023-02-19T04:27:20ZengElsevierArthroscopy, Sports Medicine, and Rehabilitation2666-061X2023-02-0151e87e92Anterior Electronic Hip Pain Drawings Are Helpful for Diagnosis of Intra-articular Sources of Pain: Lateral or Posterior Drawings Are UnreliableRichard Feng, M.P.H.0Munif Hatem, M.D., M.S.1Hal David Martin, D.O.2Texas A&M College of Medicine at Dallas, Dallas, Texas, U.S.A.; Address correspondence to Richard Feng, M.P.H., 3900 Junius St., Suite 705, Dallas, TX 75246, U.S.A.Hip Preservation Center at Baylor University Medical Center at Dallas, Dallas, Texas, U.S.A.Hip Preservation Center at Baylor University Medical Center at Dallas, Dallas, Texas, U.S.A.Purpose: The purpose of this study was to determine the accuracy of electronic hip pain drawing to diagnose intra-articular source of pain in nonarthritic hips, defined by response to an intra-articular injection. Methods: A retrospective assessment was performed in consecutive patients who had an intra-articular injection completed within a 1-year period. Patients were classified as responders or nonresponders to intra-articular hip injection. A positive injection was defined as greater than 50% hip pain relief within 2 hours after injection. Electronic pain drawings collected before injection were then evaluated according to the hip region marked by the patients. Results: Eighty-three patients were studied after applying inclusion and exclusion criteria. Anterior hip pain on drawing had a sensitivity of 0.69, specificity of 0.68, positive predictive value (PPV) of 0.86, and negative predictive value (NPV) of 0.44 for intraarticular source of pain. Posterior hip pain on drawing had a sensitivity of 0.59, specificity of 0.23, PPV of 0.68, and NPV of 0.17 for intra-articular source of pain. Lateral hip pain on drawing had a sensitivity of 0.62, specificity of 0.50, PPV of 0.78, and NPV of 0.32 for intraarticular source of pain. Conclusion: Anterior hip pain on electronic drawing has a sensitivity of 0.69 and specificity of 0.68 for intra-articular source of pain in nonarthritic hips. Lateral and posterior hip pain on electronic pain drawings are not reliable to rule out intra-articular hip disease. Level of Evidence: Level III, case-control study.http://www.sciencedirect.com/science/article/pii/S2666061X22001705 |
| spellingShingle | Richard Feng, M.P.H. Munif Hatem, M.D., M.S. Hal David Martin, D.O. Anterior Electronic Hip Pain Drawings Are Helpful for Diagnosis of Intra-articular Sources of Pain: Lateral or Posterior Drawings Are Unreliable Arthroscopy, Sports Medicine, and Rehabilitation |
| title | Anterior Electronic Hip Pain Drawings Are Helpful for Diagnosis of Intra-articular Sources of Pain: Lateral or Posterior Drawings Are Unreliable |
| title_full | Anterior Electronic Hip Pain Drawings Are Helpful for Diagnosis of Intra-articular Sources of Pain: Lateral or Posterior Drawings Are Unreliable |
| title_fullStr | Anterior Electronic Hip Pain Drawings Are Helpful for Diagnosis of Intra-articular Sources of Pain: Lateral or Posterior Drawings Are Unreliable |
| title_full_unstemmed | Anterior Electronic Hip Pain Drawings Are Helpful for Diagnosis of Intra-articular Sources of Pain: Lateral or Posterior Drawings Are Unreliable |
| title_short | Anterior Electronic Hip Pain Drawings Are Helpful for Diagnosis of Intra-articular Sources of Pain: Lateral or Posterior Drawings Are Unreliable |
| title_sort | anterior electronic hip pain drawings are helpful for diagnosis of intra articular sources of pain lateral or posterior drawings are unreliable |
| url | http://www.sciencedirect.com/science/article/pii/S2666061X22001705 |
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