Specially designed and well-validated outcome measures, reported by patients, should be used to evaluate the treatment of ISP syndrome. The international Hip Outcome Tool (iHOT), Hip and Groin Outcome Score (HAGOS) and Hip Outcome Score (HOS) are recommended. We agreed that morphology could be better characterized by cross-sectional imaging, i.e. CT or MRI21, 54 This is particularly important when an operation is being considered. MR arthrography is generally more accurate than simple MRI to assess labrum and joint cartilage.55,56 MRI can also identify other soft tissue lesions that can cause pain in the hip or groin. When making a cross-sectional image of the hip in IAF syndrome, limited images of distal femoral condyles are used to assess thigh torsion, while 3D reformatting of TD or radial MRI can be used to assess focal morphological abnormalities, particularly proximal feminizer.57 Degree of concordance: average 9.8 (95% CI 9.6 to 10). All available prospective cohort studies show a link between cam morphology and hip osteoarthritis.73-76 These studies have not found a similar link between tong morphology and osteoarthritis. We cannot say whether ISP syndrome is associated with a higher risk of osteoarthritis than the morphology of the isolated cam, but the panel felt it was likely. There is no evidence that treatment for ISP syndrome changes the risk of subsequent osteoarthritis. What is the appropriate treatment for ISP syndrome?9,22-28 How to diagnose ISP syndrome?8,11,18-21 that there is a difference between patients with ISP syndrome and patients with cam or tweezer morphology, but no clinical disorder, the panel recommends using certain terminologies, while we cease to use other terms considered confusing (see Table 1). It is not known which people have symptoms of cam or tong morphology, and therefore ISP syndrome. Preventive measures may play a role in higher-risk populations, but it is rarely appropriate to offer surgery to these individuals.
ISP syndrome can be treated with conservative care, rehabilitation or surgery. Conservative care can include education, vigilant waiting, lifestyle and changes in activity. Physiotherapeutic rehabilitation aims to improve hip stability, neuromuscular control, strength, movement and movement patterns.
- Posted by wbase
- On 20 diciembre, 2020
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