Correlation between the presence of herniation pit and femoroacetabular impingement: a systematic review and meta-analysis
- Authors
- Kim, Chul-Ho; Han, Sangwon; Yang, Cheol-Jung; Kim, Jun Ho
- Issue Date
- Oct-2020
- Publisher
- SPRINGER
- Keywords
- Herniation pit; Femoroacetabular impingement; Correlation
- Citation
- KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, v.28, no.10, pp.3365 - 3373
- Journal Title
- KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
- Volume
- 28
- Number
- 10
- Start Page
- 3365
- End Page
- 3373
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/26452
- DOI
- 10.1007/s00167-020-05888-8
- ISSN
- 0942-2056
- Abstract
- Purpose The purpose of this systematic review and meta-analysis was to evaluate the correlation between the incidence of herniation pits (HPs) and femoroacetabular impingement (FAI)-related morphologies. Methods A systematic search of the MEDLINE, EMBASE, and Cochrane Library databases was performed for studies evaluating the relationship between the incidence of HPs and FAI-related morphologies published up to August 16, 2019. Subgroup analyses were also performed to determine the differences in the relationship between the presence/absence of hip symptoms and cam-/pincer-type FAI. Results Seven studies involving 7950 hips were included. The pooled odds ratio (OR) for the incidence of HPs in the presence of an FAI-related morphology was 1.64 (95% confidence interval [CI] = 1.09-2.46; P = 0.02). In the subgroup analyses, the ORs for the incidence of HPs in the symptomatic and asymptomatic hips were 1.00 (95% CI 0.40-2.51; P = 1.00) and 1.59 (95% CI 1.42-1.77; P < 0.0001), respectively; the ORs for the incidence of HPs in the cam- and pincer-type FAI were 1.61 (95% CI 1.43-1.81; P < 0.0001) and 1.42 (95% CI 0.77-2.61; P = n.s.), respectively. Conclusions The incidence of HPs has a significant relationship with FAI-related morphology, especially in asymptomatic patients and those with cam-type FAI morphology.
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