14/07/2026
Title of Study: Excessive Femoral Anteversion Associated With Worse Clinical Outcomes Following Hip Arthroscopic Surgery and Higher Prevalence of Anteroinferior Labral Tears in Patients With Femoroacetabular Impingement Syndrome
Authors: Yohei Matsush*ta, Yoichi Murata, Hirotaka Nakashima, Taichi Shimizu, Shinichiro Takada, Keisuke Nakayama, Haruki Nishimura, Hokuto Fukuda, Mitsuru Saito, Akinori Sakai, Soshi Uchida
Journal Reference: Arthroscopy. Volume 42, Issue 4. April 2026. Pages 753-761
https://doi.org/10.1002/arj.70077
Retrospective cohort study
Purpose: To compare intraoperative findings associated with instability and clinical outcomes after hip arthroscopic FAI surgery in patients with normal anteversion (NA) and excessive femoral anteversion (EA).
34 hips in NA group (femoral anteversion 10°-25°) and 16 hips in EA group (femoral anteversion > 25°)
Parameters: Clinical outcomes measure (iHOT-12, HOS-ADL, HOS-SP, mHHS), PASS, MCID and intraoperative findings suggestive of instability.
Anteroinferior labral tears were significantly more prevalent in the EA group (75% vs 29.4%; P = .0051)
Postoperative PROMs at 2 years were significantly worse in the EA group.
Three reoperations occurred in patients with EA, with femoral anteversion angles of 29°, 32.5°, and 33.5°
Conclusions: Patients with EA had inferior outcomes of hip arthroscopy and a higher prevalence of anteroinferior labral tears.
Learn More ⤵️
https://arthroscopyjournals.onlinelibrary.wiley.com/doi/10.1002/arj.70077
Arthroscopy Journal | European Hip Society |