OP0319 DIAGNOSTIC ACCURACY OF ULTRASOUND IN CALCIUM PYROPHOSPHATE DEPOSITION DISEASE: PRELIMINARY RESULTS OF THE OMERACT US IN CPPD SUB-GROUP

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Soft tissue pathology around the hip

Snapping hip syndromes have been treated with open surgery for many years. Recently, endoscopic techniques have been developed for treatment of snapping hip syndromes with results that are at least comparable if not better than those reported for open procedures. The greater trochanteric pain syndrome is well known by orthopedic surgeons. However, deep understanding of the pathologic conditions generating pain in the greater trochanteric region and endoscopic access to it has only recently been described. Although evidence regarding endoscopic techniques for the treatment of the greater trochanteric pain syndrome is mainly anecdotal, early published reports are encouraging

The 2022 International Society for Hip Preservation (ISHA) physiotherapy agreement on assessment and treatment of greater trochanteric pain syndrome (GTPS): an international consensus statement

The 2022 International Society of Hip Preservation (ISHA) physiotherapy agreement on assessment and treatment of greater trochanteric pain syndrome (GTPS) was intended to present a physiotherapy consensus on the assessment and surgical and non-surgical physiotherapy management of patients with GTPS. The panel consisted of 15 physiotherapists and eight orthopaedic surgeons. Currently, there is a lack of high-quality literature supporting non-operative and operative physiotherapy management. Therefore, a group of physiotherapists who specialize in the treatment of non-arthritic hip pathology created this consensus statement regarding physiotherapy management of GTPS. The consensus was conducted using a modified Delphi technique to guide physiotherapy-related decisions according to the current knowledge and expertise regarding the following: (i) evaluation of GTPS, (ii) non-surgical physiotherapy management, (iii) use of corticosteroids and orthobiologics and (iv) surgical indications and post-operative physiotherapy management

Intra-abdominal fluid extravasation during hip arthroscopy : a survey of the MAHORN group

Purpose: The purpose of this study was to survey experts in the field of hip arthroscopy from the Multicenter Arthroscopy of the Hip Outcomes Research Network (MAHORN) group to determine the frequency of symptomatic intra-abdominal fluid extravasation (IAFE) after arthroscopic hip procedures, identify potential risk factors, and develop preventative measures and treatment strategies in the event of symptomatic IAFE. Methods: A survey was sent to all members of the MAHORN group. Surveys collected data on general hip arthroscopy settings, including pump pressure and frequency of different hip arthroscopies performed, as well as details on cases of symptomatic IAFE. Responses to the survey were documented and analyzed. Results: Fifteen hip arthroscopists from the MAHORN group were surveyed. A total of 25,648 hip arthroscopies between 1984 and 2010 were reviewed. Arthroscopic procedures included capsulotomies, labral reattachment after acetabuloplasty, peripheral compartment arthroscopy, and osteoplasty of the femoral head-neck junction. Of the arthroscopists, 7 (47%) had 1 or more cases of IAFE (40 cases reported). The prevalence of IAFE in this study was 0.16% (40 of 25,650). Significant risk factors associated with IAFE were higher arthroscopic fluid pump pressure (P =.004) and concomitant iliopsoas tenotomy (P <.001). In all 40 cases, the condition was successfully treated without long-term sequelae. Treatment options included observation, intravenous furosemide, and Foley catheter placement, as well as 1 case of laparotomy. Conclusions: Symptomatic IAFE after hip arthroscopy is a rare occurrence, with an approximate prevalence of 0.16%. Prevention of IAFE should include close intraoperative and postoperative monitoring of abdominal distention, core body temperature, and hemodynamic stability. Concomitant iliopsoas tenotomy and high pump pressures may be risk factors leading to symptomatic IAFE. Level of Evidence: Level IV, therapeutic case series. © 2012 Arthroscopy Association of North America

Criterion validity of ultrasound in the identification of calcium pyrophosphate crystal deposits at the knee: an OMERACT ultrasound study

none40siTo evaluate the discriminatory ability of ultrasound in calcium pyrophosphate deposition disease (CPPD), using microscopic analysis of menisci and knee hyaline cartilage (HC) as reference standard.Filippou, Georgios; Scanu, Anna; Adinolfi, Antonella; Toscano, Carmela; Gambera, Dario; Largo, Raquel; Naredo, Esperanza; Calvo, Emilio; Herrero-Beaumont, Gabriel; Zufferey, Pascal; Bonjour, Christel Madelaine; MacCarter, Daryl K; Makman, Stanley; Weber, Zachary; Figus, Fabiana; Möller, Ingrid; Gutierrez, Marwin; Pineda, Carlos; Clavijo Cornejo, Denise; Garcia, Hector; Ilizaliturri, Victor; Mendoza Torres, Jaime; Pichardo, Raul; Rodriguez Delgado, Luis Carlos; Filippucci, Emilio; Cipolletta, Edoardo; Serban, Teodora; Cirstoiu, Catalin; Vreju, Florentin Ananu; Grecu, Dan; Mouterde, Gaël; Govoni, Marcello; Punzi, Leonardo; Damjanov, Nemanja S; Keen, Helen Isobel; Bruyn, George Aw; Terslev, Lene; D'Agostino, Maria-Antonietta; Scirè, Carlo Alberto; Iagnocco, AnnamariaFilippou, Georgios; Scanu, Anna; Adinolfi, Antonella; Toscano, Carmela; Gambera, Dario; Largo, Raquel; Naredo, Esperanza; Calvo, Emilio; Herrero-Beaumont, Gabriel; Zufferey, Pascal; Bonjour, Christel Madelaine; Maccarter, Daryl K; Makman, Stanley; Weber, Zachary; Figus, Fabiana; Möller, Ingrid; Gutierrez, Marwin; Pineda, Carlos; Clavijo Cornejo, Denise; Garcia, Hector; Ilizaliturri, Victor; Mendoza Torres, Jaime; Pichardo, Raul; Rodriguez Delgado, Luis Carlos; Filippucci, Emilio; Cipolletta, Edoardo; Serban, Teodora; Cirstoiu, Catalin; Vreju, Florentin Ananu; Grecu, Dan; Mouterde, Gaël; Govoni, Marcello; Punzi, Leonardo; Damjanov, Nemanja S; Keen, Helen Isobel; Bruyn, George Aw; Terslev, Lene; D'Agostino, Maria-Antonietta; Scirè, Carlo Alberto; Iagnocco, Annamari