Hip & pelvis

  • 제34권1호
  • /
  • Pages.45-55
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  • 2022
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  • 2287-3260(pISSN)
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  • 2287-3279(eISSN)
대한고관절학회 (The Korean Hip Society)
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The Short-term Outcomes of Physiotherapy for Patients with Acetabular Labral Tears: An Analysis according to Severity of Injury in Magnetic Resonance Imaging

  • Makoto Kawai (Department of Rehabilitation, Sapporo Medical University Hospital) ;
  • Kenji Tateda (Department of Orthopaedic Surgery, Sapporo Medical University School of Medicine) ;
  • Yuma Ikeda (Department of Rehabilitation, Sapporo Medical University Hospital) ;
  • Ima Kosukegawa (Department of Orthopaedic Surgery, Sapporo Medical University School of Medicine) ;
  • Satoshi Nagoya (Department of Musculoskeletal Biomechanics and Surgical Development, Sapporo Medical University) ;
  • Masaki Katayose (Department of Rehabilitation, Sapporo Medical University Hospital)
  • 투고 : 2021.03.19
  • 심사 : 2021.06.25
  • 발행 : 2022.03.31
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초록

Purpose: The aim of this study was to evaluate the short-term outcome of physiotherapy in patients with acetabular labral tears and to assess the effectiveness of physiotherapy according to the severity of the labral tear. Materials and Methods: Thirty-five patients who underwent physiotherapy for treatment of symptomatic acetabular labral tears were enrolled. We evaluated the severity of the acetabular labral tears, which were classified based on the Czerny classification system using 3-T MRI. Clinical findings of microinstability and extra-articular pathologies of the hip joint were also examined. The International Hip Outcome Tool 12 (iHOT12) was use for evaluation of outcome scores pre- and post-intervention. Results: The mean iHOT12 score showed significant improvement from 44.0 to 73.6 in 4.7 months. Compared with pre-intervention scores, significantly higher post-intervention iHOT12 scores were observed for Czerny stages I and II tears (all P<0.01). However, no significant difference was observed between pre-intervention and post-intervention iHOT12 scores for stage III tears (P=0.061). In addition, seven patients (20.0%) had positive microinstability findings and 22 patients (62.9%) had findings of extra-articular pathologies. Of the 35 patients, eight patients (22.9%) underwent surgical treatment after failure of conservative management; four of these patients had Czerny stage III tears. Conclusion: The iHOT12 score of patients with acetabular labral tears was significantly improved by physiotherapy in the short-term period. Improvement of the clinical score by physiotherapy may be poor in patients with severe acetabular labral tears. Determining the severity of acetabular labral tears can be useful in determining treatment strategies.

키워드

과제정보

This study was supported by a grant from the Japan Society for the Promotion of Science (grant No. 20K19380). We are grateful for support from Mitsunori Kaya, PhD, on supporting the diagnosis and Ryosuke Motomura, PT, on performing functional evaluations and physiotherapy for patients.

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