FP15.5 Which hip joint morphologies undergo surgery? an overview of 6648 hip arthroscopies from 2012-2024 and their associations with cartilage injuries

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ID: 331299
2026
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Abstract
Abstract ICLB15 - The Preservation Scorecard: Fundamentals of Tracking Outcomes and Standardizing Recovery, Session Room 12 (BMCC Level 3), October 9, 2026, 14:00 - 16:00 Introduction Hip arthroscopy is effective for treating hip joint-related pain. We aimed to classify bony morphologies in patients undergoing hip arthroscopy and investigate surgical trends and corresponding cartilage injuries from 2012 to 2024. Materials and Method In total, 6648 hip arthroscopies were identified in a national hip arthroscopy registry. Six classifications were made: normal; cam; pincer; borderline dysplasia; cam and pincer; cam and borderline dysplasia. These were defined based on alpha angle (AA) (normal [AA <60] or cam [AA ≥60°]) and lateral center-edge angle (LCEA) (normal [25≤ LCEA ≤39°], pincer [LCEA >39°], or borderline dysplasia [LCEA <25°]). Cartilage injuries were rated during surgery as none-to-mild and moderate-to-severe for both the femoral head and the acetabulum. Results In total, 5787 hips could be classified, and of those 71.7% had bony morphologies: cam (56.1%); cam and pincer (4.1%); cam and borderline dysplasia (6.0%); pincer (2.7%); borderline dysplasia (2.8%). Remaining patients (28.3%), all without deviant bony morphologies, were classified as normal. Patients with cam morphology had the highest proportion of moderate-to-severe acetabular cartilage injuries: cam and borderline dysplasia (57.1%); cam (47.5%); cam and pincer (44.5%). Hip arthroscopies in patients with normal morphology showed a gradual increase from 13.4% in 2012 to a plateau of 30% in 2017-2024. Conclusion Data on hip arthroscopies in Denmark show that cam is the most prevalent morphology and is associated with the highest proportion of grade 3-4 cartilage injuries. Surgical rates on patients with normal morphology have increased from 2012, and now constitute up to 30% of surgeries.
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Authors
Journal Journal of hip preservation surgery
Year 2026
DOI
10.1093/jhps/hnag043.117
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