Casey Tingle , 2025-05-09 16:33:00
Key takeaways:
- Patients with and without generalized ligamentous laxity had comparable outcomes 5 years after hip arthroscopy.
- Survivorship at 5-year follow-up was 98.3%.
WASHINGTON — Hip arthroscopy may yield favorable outcomes in patients with generalized ligamentous laxity, with a high percentage of patients able to return to and continue playing sports at 5 years, according to results presented here.
“In this study, we see in this particular population, which is primarily females all with generalized ligamentous laxity [and] all athletes, a high rate of positive functional outcomes and a high rate of return to sport, and, importantly, at midterm follow-up, a high rate of continued participation in sport,” Benjamin G. Domb, MD, medical director of the American Hip Institute, told Healio about results presented at the Arthroscopy Association of North America Annual Meeting.
Data derived from Quesada-Jimenez R, et al. Midterm outcomes and return-to-sport after hip arthroscopy in patients with ligamentous laxity. Presented at: Arthroscopy Association of North America Annual Meeting; May 8-10, 2025; Washington, D.C.
Domb, Roger Quesada-Jimenez, MD, and colleagues retrospectively reviewed prospectively collected data of patients who underwent hip arthroscopy between 2008 and 2019. Researchers matched patients with generalized ligamentous laxity, or GLL (n = 116), defined as a Beighton score of 4 or greater, to patients without GLL (n = 116). Researchers also identified whether patients met minimally clinically important difference (MCID) and patient acceptable symptom state (PASS) and collected rates of return to sport and secondary surgery.
“Both groups showed comparable outcomes at 5-year follow-up,” Quesada-Jimenez, a fellow at the American Hip Institute, said in his presentation at the meeting. “Achieving MCID and PASS was similar between the two groups.”
Quesada-Jimenez said 83% of patients with GLL and 84.4% of patients without GLL were able to return to sport. Although a higher percentage of patients without GLL continued playing sport out to 5 years follow-up compared with patients with GLL (85% vs. 75%), Quesada-Jimenez said the trend was not statistically significant.
According to Quesada-Jimenez, 6% of patients with GLL underwent revision arthroscopy compared with 8.5% of patients without GLL. He also said survivorship at 5 years was 98.3%.
“I hope that this study draws attention to the uniqueness of this population of patients. Those with ligamentous laxity and instability of the hip can be treated successfully but need to be treated differently than a patient with a primary etiology of [femoroacetabular impingement] in their hip,” Domb said.
For more information:
Benjamin G. Domb, MD, can be reached at drdomb@americanhipinstitute.org.
Sources/Disclosures
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Quesada-Jimenez R, et al. Midterm outcomes and return-to-sport after hip arthroscopy in patients with ligamentous laxity. Presented at: Arthroscopy Association of North America Annual Meeting; May 8-10, 2025; Washington, D.C.
Disclosures:
Domb and Quesada-Jimenez report no relevant financial disclosures.
