{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T05:57:48Z","timestamp":1778133468857,"version":"3.51.4"},"reference-count":19,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2018,11,2]],"date-time":"2018-11-02T00:00:00Z","timestamp":1541116800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2018,11,2]],"date-time":"2018-11-02T00:00:00Z","timestamp":1541116800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2018,11,2]],"date-time":"2018-11-02T00:00:00Z","timestamp":1541116800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"funder":[{"DOI":"10.13039\/100007821","name":"AlloSource","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007821","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007307","name":"Arthrex","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007307","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Athletico"},{"name":"DJ Orthopaedics"},{"name":"Linvatec"},{"name":"Miomed"},{"DOI":"10.13039\/100009026","name":"Smith and Nephew","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009026","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008894","name":"Stryker","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008894","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Springer"}],"content-domain":{"domain":["clinicalkey.jp","clinicalkey.com","clinicalkey.es","arthroscopyjournal.org","clinicalkey.fr","clinicalkey.com.au","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To determine whether patients who have pain in other major joints or the spine have poorer postsurgical outcomes than patients without comorbid orthopaedic pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a review of a prospectively maintained institutional surgical registry of patients who underwent hip arthroscopy between January 1, 2012, and July 16, 2015, by a single surgeon, with a minimum of 2\u00a0years of postoperative follow\u2010up. A musculoskeletal morbidity (MSM) score was assigned to each patient preoperatively based on the presence of pain in other joints and the spine (grade 1, hip only; grade 2, hip and other major joints without spine; grade 3, hip with spine; and grade 4, hip and other major joints with spine). Preoperatively and at 2\u00a0years postoperatively, functional outcomes were measured using the Hip Outcome Score\u2013Activities of Daily Living (HOS\u2010ADL), and the percentages of patients achieving a minimal clinically important difference (MCID) and patient\u2010acceptable symptom state (PASS) were calculated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In total, 821 patients were\u00a0identified, of whom 700 (85.3%) completed 2\u2010year follow\u2010up. Preoperatively, MSM grade 1 patients had a higher HOS\u2010ADL than grade 2 patients (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .02), but there was no difference between grade 1 and grade 3 patients (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .63) or between grade 1 and grade 4 patients (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .14). Likewise, there was no difference in the preoperative HOS\u2010ADL among grades 2, 3, and 4. Patients with MSM grades 1 and 2 were younger than those with grades 3 and 4. At 2\u00a0years postoperatively, MSM grade 1 patients had higher HOS\u2010ADL values than grade 3 (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .01) and grade 4 (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .02) but not grade 2 (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .07) patients. Overall, 84% of patients showed an MCID and 72% of patients achieved a PASS with regard to the\u00a0HOS\u2010ADL. There were no statistically significant differences among MSM grades in terms of the MCID or PASS.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Overall, 84% of patients improved with hip arthroscopy by MCID criteria for the HOS\u2010ADL. Patients with no pain in other joints (MSM grade 1) had better 2\u2010year postoperative HOS\u2010ADL values after hip arthroscopy than patients with spine pain (grades 3 and 4). However, there were no significant differences in the MCID or PASS among patients with regard to MSM grade. A total of 40.5% of patients who underwent hip arthroscopy had pain in another joint. A limitation, however, is that there is potential for a type II error, in that there may not have been a sufficient number of patients studied to detect a significant difference in outcome among patients with different grades of musculoskeletal comorbidity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, therapeutic case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2018.07.020","type":"journal-article","created":{"date-parts":[[2018,11,2]],"date-time":"2018-11-02T20:08:33Z","timestamp":1541189313000},"page":"3196-3201","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":43,"title":["The Influence of Pain in Other Major Joints and the Spine on 2\u2010Year Outcomes After Hip Arthroscopy"],"prefix":"10.1002","volume":"34","author":[{"given":"Natalie L.","family":"Leong","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ian M.","family":"Clapp","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William H.","family":"Neal","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edward","family":"Beck","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles A.","family":"Bush\u2010Joseph","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Rush University Medical Center Chicago Illinois U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shane J.","family":"Nho","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Rush University Medical Center Chicago Illinois 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