Can Non-Contrast 3T MRI scans predict the type of labral procedure in hip arthroscopy?
Eur J Orthop Surg Traumatol
; 33(4): 1291-1297, 2023 May.
Article
em En
| MEDLINE
| ID: mdl-35612626
ABSTRACT
PURPOSE:
The study proposed a simple classification system that aimed at predicting the labral procedure during hip arthroscopy using images from unenhanced 3T MRI scans. PATENTS ANDMETHODS:
Forty patients undergoing hip arthroscopy had their MRI scans reviewed pre-operatively by one of two senior radiologists and classified into type 1 stable labrum with intra-substance degeneration (no labral repair required), type 2 unstable labrum, no intra-substance degeneration (labral repair required), or type 3 unstable labrum with intra-substance degeneration (Labral repair not feasible). Hip arthroscopy is carried out by one of two surgeons and classified accordingly while blinded to the radiologists' assessment.RESULTS:
The pre-operative radiological classification managed to predict the labral procedure in 29 cases out of 40 (72.5%). The gamma value was 0.83, and the kappa value was 0.46 denoting moderate agreement. The inter-class correlation coefficient was 0.52 indicating moderate reliability.CONCLUSION:
The proposed classification showed a moderate agreement between the radiological findings and arthroscopic findings. As we cannot accurately correlate the MRI findings with the type of surgical management, the surgeon should be prepared for all scenarios of labral procedures. LEVEL OF EVIDENCE Level IV (case series).Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Artroscopia
/
Articulação do Quadril
Tipo de estudo:
Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
En
Revista:
Eur J Orthop Surg Traumatol
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
Reino Unido