TP7.2 Peripartum Hip Pain Necessitating Orthopadic Surgical Intervention: Clinical Outcomes with Minimum 2-Year Follow-Up

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ID: 331403
2026
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Abstract
Abstract Introduction Peripartum hip injuries resulting from a myriad of pathophysiologic occurrences ranging from ligamentous laxity of pregnancy to hyperflexion and internal rotation of the hip during delivery remain under-diagnosed and under-treated. Surgical intervention by hip arthroscopy specialists to treat these injuries can lead to favorable patient outcomes. The purpose of the present study is to report the short-term outcomes of patients with peri-partum hip pain who underwent primary hip arthroscopy. Methods Data was prospectively collected for all patients who presented to a hip specialized orthopedic practice with reported hip pain occurring while pregnant or during delivery who then underwent surgical management from 2010 through 2025. Included patients had pre-operative and minimum 2-year follow-up with at least one patient-reported outcome (PRO) measure: modified Harris Hip Score (mHHS), Non-Arthritic Hip Score (NAHS), or International Hip Outcome Tool (iHOT-12). The minimal clinically important difference (MCID) was determined by the distribution method, and the patient acceptable symptom state (PASS) was derived from previously published thresholds. Results The study included 32 patients with reported peripartum hip pain and 37 hips that underwent surgical management. All hips operated on underwent labral treatment with 27 hips (73.0%) undergoing a simple repair, 1 hip (2.7%) undergoing a combined simple and base repair, 4 hips (10.8%) undergoing a debridement, 1 hip (2.7%) undergoing a base repair, and 4 hips (10.8%) undergoing a reconstruction. Across all PRO measures, patients demonstrated significant improvement from preoperative to 2-year postoperative scores (p < 0.01). Over 55% of the patients included in the study met the MCID for all PRO scores at 2-year minimum follow up, with most outcomes above 70%. Conclusion Hip arthroscopy in patients with peripartum hip pain led to favorable outcomes, high patient satisfaction scores, and a high percentage of patients reaching clinically important thresholds. Referral to hip arthroscopy specialists should be considered for successful treatment of peripartum hip pain.
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Authors Megan E. Flynn, Keya Patel, Tyler Defort, Iben King, Benjamin Domb
Journal Journal of hip preservation surgery
Year 2026
DOI
10.1093/jhps/hnag043.169
URL
https://doi.org/10.1093/jhps/hnag043.169
Keywords Keywords not found

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