Featured Publications
Athletes Undergoing Concomitant Hip Arthroscopy and Periacetabular Osteotomy Demonstrate Greater Than 80% Return-to-Sport Rate at 2-Year Minimum Follow-Up
Jimenez AE, Lee MS, Owens JS, Maldonado DR, LaReau JM, Domb BG. Athletes Undergoing Concomitant Hip Arthroscopy and Periacetabular Osteotomy Demonstrate Greater Than 80% Return-to-Sport Rate at 2-Year Minimum Follow-Up. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2022, 38: 2649-2658. PMID: 35257741, DOI: 10.1016/j.arthro.2022.02.017.Peer-Reviewed Original ResearchConceptsNonarthritic Hip ScoreConcomitant hip arthroscopyPatient-reported outcomesHip arthroscopyPeriacetabular osteotomyHOS-SSSHip scoreSport ratesAcetabular dysplasiaHip Outcome Score-SportPercentage of patientsHarris hip scorePrimary hip arthroscopyRetrospective case seriesBody mass indexIntra-articular pathologyMean followMinimum followPostoperative scoresCase seriesConsecutive athletesMass indexRTS rateCam deformityLabral tears
2023
Low Rates of 5-Year Secondary Surgery and Postoperative Complications After Primary Hip Arthroscopy in More Than 30,000 Patients
Gillinov S, Kim D, Moran J, Lee M, Fong S, Mahatme R, Simington J, Owens J, McLaughlin W, Grauer J, Jimenez A. Low Rates of 5-Year Secondary Surgery and Postoperative Complications After Primary Hip Arthroscopy in More Than 30,000 Patients. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2023, 39: 1639-1648. PMID: 37286283, DOI: 10.1016/j.arthro.2023.01.100.Peer-Reviewed Original ResearchConceptsPrimary hip arthroscopySecondary surgery rateMultivariate logistic regressionSecondary surgeryHip arthroscopySurgery ratesRisk factorsFemale sexLabral tearsTenth RevisionHip arthroplastyLabral repairInternational ClassificationClass II/III obesityLogistic regressionPrevious hip arthroscopyClass I obesityPostoperative complication rateRate of complicationsFive-year ratesDay of surgeryFrequent surgical procedureKaplan-Meier analysisTotal hip arthroplastyLarge national datasetBorderline Dysplasia After Primary Hip Arthroscopy with Capsular Plication and Labral Preservation
Domb B, Owens J, Glein R, Jimenez A, Maldonado D. Borderline Dysplasia After Primary Hip Arthroscopy with Capsular Plication and Labral Preservation. Journal Of Bone And Joint Surgery 2023, 105: 687-699. PMID: 37083686, DOI: 10.2106/jbjs.22.00340.Peer-Reviewed Original ResearchConceptsHip Outcome Score-Sports Specific SubscalePatient-reported outcome measuresBorderline hip dysplasiaPrimary hip arthroscopyNonarthritic Hip ScoreBody mass indexVisual analog scaleHip arthroscopyLabral preservationCapsular plicationVAS painHip scoreCompensation statusMean patient body mass indexControl groupPrior ipsilateral hip surgeryPatient body mass indexIpsilateral hip surgeryMCID achievement ratesPropensity-matched comparisonMean patient ageWorkers' compensation statusHarris hip scoreLong-term followPrevious hip conditions
2022
Over One-Third of Patients With Multiligament Knee Injuries and an Intact Anterior Cruciate Ligament Demonstrate Medial Meniscal Ramp Lesions on Magnetic Resonance Imaging
Moran J, Schneble C, Katz L, Jimenez A, McLaughlin W, Vasavada K, Wang A, Kunze K, Chahla J, LaPrade R, Alaia M, Medvecky M. Over One-Third of Patients With Multiligament Knee Injuries and an Intact Anterior Cruciate Ligament Demonstrate Medial Meniscal Ramp Lesions on Magnetic Resonance Imaging. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2022, 39: 592-599. PMID: 36575108, DOI: 10.1016/j.arthro.2022.10.022.Peer-Reviewed Original ResearchConceptsMedial meniscus ramp lesionsIntact anterior cruciate ligamentMultiligament knee injuriesAnterior cruciate ligamentMagnetic resonance imagingRamp lesionsBone bruiseBone bruisingKnee injuriesCruciate ligamentMedial meniscal ramp lesionsResonance imagingPreoperative magnetic resonance imagingMeniscal ramp lesionsRetrospective case seriesPosterior cruciate ligamentOne-thirdIntraclass correlation coefficientConsecutive patientsRetrospective reviewCase seriesLigament reconstructionOperative reportsLevel IVLevel IElite Female Athletes Demonstrate a Comparable Improvement in Midterm Patient-Reported Outcome Scores and Rate of Return to Sport Compared With Elite Male Athletes After Hip Arthroscopic Surgery: A Sex-Based Comparison in Professional and Collegiate Athletes
Owens JS, Lee MS, Jimenez AE, Maldonado DR, Lall AC, Domb BG. Elite Female Athletes Demonstrate a Comparable Improvement in Midterm Patient-Reported Outcome Scores and Rate of Return to Sport Compared With Elite Male Athletes After Hip Arthroscopic Surgery: A Sex-Based Comparison in Professional and Collegiate Athletes. The American Journal Of Sports Medicine 2022, 50: 3600-3609. PMID: 36197056, DOI: 10.1177/03635465221123060.Peer-Reviewed Original ResearchConceptsMaximum outcome improvement satisfaction thresholdPrimary hip arthroscopic surgeryPatient acceptable symptom stateHip arthroscopic surgeryFemoroacetabular impingement syndromePRO scoresArthroscopic surgeryElite female athletesElite male athletesMale athletesFemale athletesHip scoreOutcome scoresInclusion criteriaHip Outcome Score-Sports Specific SubscaleControl groupLower preoperative PRO scoresPropensity-matched control groupPatient-reported outcome scoresPostoperative PRO scoresPreoperative PRO scoresAcceptable symptom stateHarris hip scoreNonarthritic Hip ScoreVisual analog scaleDetermining Clinically Meaningful Thresholds for the Hip Outcome Score Sport-Specific Subscale in Athletes Undergoing Hip Arthroscopy for Femoroacetabular Impingement Syndrome
Owens JS, Jimenez AE, Lee MS, George T, Maldonado DR, Domb BG. Determining Clinically Meaningful Thresholds for the Hip Outcome Score Sport-Specific Subscale in Athletes Undergoing Hip Arthroscopy for Femoroacetabular Impingement Syndrome. The American Journal Of Sports Medicine 2022, 50: 3009-3018. PMID: 35971944, DOI: 10.1177/03635465221114400.Peer-Reviewed Original ResearchConceptsHip Outcome Score-Sports Specific SubscalePatient acceptable symptom stateNon-Arthritic Hip ScoreFemoroacetabular impingement syndromePrimary hip arthroscopySubstantial clinical benefitVisual analog scaleSport-Specific SubscaleHip arthroscopyHip scoreAnchor questionImpingement syndromeMaximum outcome improvement satisfaction thresholdPrevious ipsilateral hip surgeryChange scoresIpsilateral hip surgeryAcceptable symptom stateHarris hip scoreBody mass indexStandard deviation ageLevel of evidenceSatisfaction thresholdCohort studyDeviation ageTönnis gradePredictors of Achieving the Maximal Outcome Improvement Threshold for Willingness to Undergo Revision Hip Arthroscopy
Maldonado DR, Kyin C, Owens JS, Rosinsky PJ, Jimenez AE, Lee MS, Domb BG. Predictors of Achieving the Maximal Outcome Improvement Threshold for Willingness to Undergo Revision Hip Arthroscopy. The American Journal Of Sports Medicine 2022, 50: 2174-2180. PMID: 35612846, DOI: 10.1177/03635465221096872.Peer-Reviewed Original ResearchConceptsNonarthritic Hip ScoreVisual analog scaleRevision hip arthroscopyHip arthroscopyHip scoreAnchor questionRevision surgeryImprovement thresholdMean patient ageHarris hip scorePrevious hip conditionsMultivariate logistic regressionCase-control studyLevel of evidenceCam-type morphologyFemoroacetabular impingement morphologyIntraoperative predictorsAverage followPatient ageTönnis gradeAnalog scaleImpingement morphologyExclusion criteriaPatientsHip dysplasiaCompetitive Athletes Who Underwent Hip Arthroscopy With Capsular Repair Showed Greater Improvement in Patient-Reported Outcome Scores Compared With Those Who Did Not Undergo Repair
Jimenez AE, Lee MS, Owens JS, Paraschos OA, Maldonado DR, Domb BG. Competitive Athletes Who Underwent Hip Arthroscopy With Capsular Repair Showed Greater Improvement in Patient-Reported Outcome Scores Compared With Those Who Did Not Undergo Repair. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2022, 38: 3030-3040. PMID: 35561872, DOI: 10.1016/j.arthro.2022.04.010.Peer-Reviewed Original ResearchConceptsPrimary hip arthroscopyNonarthritic Hip ScoreFemoroacetabular impingement syndromeHip arthroscopyCompetitive athletesHOS-SSSAverage followHip scoreOutcome scoresImpingement syndromeMaximum outcome improvement satisfaction thresholdPostoperative patient-reported outcome scoresHip Outcome Score-SportVisual analog scale scorePatient-reported outcome scoresPropensity score-matched control groupInterportal capsulotomyConsecutive competitive athletesPrior hip surgeryAnalog scale scoreHarris hip scorePercentage of patientsPrevious hip conditionsBody mass indexComparative therapeutic trialsMinimum 2-Year Outcomes and Return to Sports of Competitive Athletes Who Undergo Subspine Decompression During Primary Hip Arthroscopy for Femoroacetabular Impingement Syndrome and Subspine Impingement: A Propensity-Matched Controlled Study
Jimenez AE, Lee MS, George T, Owens JS, Harris WT, Maldonado DR, Lall AC, Domb BG. Minimum 2-Year Outcomes and Return to Sports of Competitive Athletes Who Undergo Subspine Decompression During Primary Hip Arthroscopy for Femoroacetabular Impingement Syndrome and Subspine Impingement: A Propensity-Matched Controlled Study. The American Journal Of Sports Medicine 2022, 50: 1582-1590. PMID: 35438010, DOI: 10.1177/03635465221085664.Peer-Reviewed Original ResearchConceptsPrimary hip arthroscopyFemoroacetabular impingement syndromePatient-reported outcomesHip Outcome Score-Sports Specific SubscaleSubspine decompressionSubspine impingementHip arthroscopyControl groupCompetitive athletesHip scoreImpingement syndromeSSI groupTreatment of FAISPropensity-matched control groupSpecific SubscaleLateral center-edge angleArthroscopic subspine decompressionHigh RTS rateHarris hip scoreNonarthritic Hip ScoreTime of surgeryBody mass indexVisual analog scaleLevel of evidenceCenter-edge angleRevision Hip Arthroscopy With Labral Reconstruction for Irreparable Labral Tears in Athletes: Minimum 2-Year Outcomes With a Benchmark Control Group
Jimenez AE, Lee MS, Owens JS, George T, Paraschos OA, Maldonado DR, Lall AC, Domb BG. Revision Hip Arthroscopy With Labral Reconstruction for Irreparable Labral Tears in Athletes: Minimum 2-Year Outcomes With a Benchmark Control Group. The American Journal Of Sports Medicine 2022, 50: 1571-1581. PMID: 35438028, DOI: 10.1177/03635465221085030.Peer-Reviewed Original ResearchConceptsHip Outcome Score-Sports Specific SubscaleMaximum outcome improvement satisfaction thresholdRevision hip arthroscopyNonarthritic Hip ScoreVisual analog scalePropensity-matched control groupIrreparable labral tearsLabral repair groupRe-revision surgeryHip arthroscopyLabral reconstructionLabral repairHigh-level athletesControl groupHip scoreLabral tearsRTS rateRepair groupPatient-reported outcome scoresHarris hip scoreValid treatment optionRevision surgery ratesLevel of evidencePercentage of athletesMCID ratesPathologic Findings on Hip Arthroscopy in High-Level Athletes Competing in Flexibility Sports
Saks BR, Monahan PF, Maldonado DR, Jimenez AE, Ankem HK, Sabetian PW, Lall AC, Domb BG. Pathologic Findings on Hip Arthroscopy in High-Level Athletes Competing in Flexibility Sports. The American Journal Of Sports Medicine 2022, 50: 1028-1038. PMID: 35254862, DOI: 10.1177/03635465221077002.Peer-Reviewed Original ResearchConceptsFemoroacetabular impingement syndromeHigh-level athletesPatient-reported outcome measuresHip arthroscopyHip scoreTeres tearsOutcome measuresHip Outcome Score-Sports Specific SubscalePropensity score-matched cohortPropensity scoreCartilage lesionsSport competition levelBaseline patient characteristicsHarris hip scoreNonarthritic Hip ScorePrimary hip arthroscopySignificant clinical improvementTime of surgeryBody mass indexVisual analog scaleLigamentum teres tearsLevel of evidenceHigh rateFlexibility sportsNFS groupFemales and Males Achieved Comparable Outcomes and Clinical Benefits Following Primary Hip Arthroscopy with Labral Repair, but Age Affected Outcomes and Conversion to Total Hip Arthroplasty. A Short and Mid-Term Follow-Up Analysis with Dual Stratification
Maldonado DR, Owens JS, Go CC, Lee MS, Saks BR, Jimenez AE, Lall AC, Domb BG. Females and Males Achieved Comparable Outcomes and Clinical Benefits Following Primary Hip Arthroscopy with Labral Repair, but Age Affected Outcomes and Conversion to Total Hip Arthroplasty. A Short and Mid-Term Follow-Up Analysis with Dual Stratification. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2022, 38: 2427-2440. PMID: 35183694, DOI: 10.1016/j.arthro.2022.02.003.Peer-Reviewed Original ResearchConceptsPatient-reported outcome scoresPrimary hip arthroscopyFemoroacetabular impingement syndromeHip arthroscopyAge groupsMean ageHip arthroplastyRate of THAMid-term followPrevious hip conditionsTotal hip arthroplastyYounger age groupsRevision arthroscopyTönnis gradeOutcome scoresClinical benefitImpingement syndromeLabral treatmentComparable outcomesLarge cohortExclusion criteriaLabral repairPatientsBetter outcomesHip dysplasiaLow Body Mass Index in Females May Portend Inferior Outcomes After Primary Hip Arthroscopy: A Propensity-Matched Analysis With Minimum 2-Year Follow-up
Jimenez AE, Glein RM, Owens JS, George T, Maldonado DR, Saks BR, Lall AC, Domb BG. Low Body Mass Index in Females May Portend Inferior Outcomes After Primary Hip Arthroscopy: A Propensity-Matched Analysis With Minimum 2-Year Follow-up. The American Journal Of Sports Medicine 2022, 50: 499-506. PMID: 35049391, DOI: 10.1177/03635465211063189.Peer-Reviewed Original ResearchConceptsHip Outcome Score-Sports Specific SubscaleLower body mass indexPatient acceptable symptom stateMaximum outcome improvement satisfaction thresholdNormal body mass indexPrimary hip arthroscopyBody mass indexPropensity-matched control groupNon-Arthritic Hip ScoreFemale patientsPatient-reported outcomesVisual analog scaleFemoroacetabular impingement syndromeHip arthroscopyHip scoreControl groupAnalog scaleMass indexImpingement syndromePatient-reported outcome scoresPrevious hip arthroscopyTönnis osteoarthritis gradeAcceptable symptom stateHarris hip scorePercentage of patients
2021
Earlier Treatment Yields Superior Outcomes in Competitive Athletes Undergoing Primary Hip Arthroscopy
Jimenez AE, Monahan PF, Owens JS, Maldonado DR, Curley AJ, Domb BG. Earlier Treatment Yields Superior Outcomes in Competitive Athletes Undergoing Primary Hip Arthroscopy. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2021, 38: 2183-2191. PMID: 34915141, DOI: 10.1016/j.arthro.2021.11.053.Peer-Reviewed Original ResearchConceptsHip Outcome Score-Sports Specific SubscalePatient-reported outcome scoresVisual analog pain scaleNon-Arthritic Hip ScorePrimary hip arthroscopyPropensity-matched control groupHip arthroscopyCompetitive athletesControl groupHip scoreSymptom onsetStudy groupInternational Hip Outcome ToolAnalog pain scaleHarris hip scoreRetrospective comparative studyFemoroacetabular impingement syndromeIHOT-12Pain scalePreoperative scoresPostoperative scoresOutcome scoresRTS rateImpingement syndromeEarly treatmentEndoscopic Shelf Procedure and Ischiofemoral Decompression with Arthroscopic Acetabular Labral Reconstruction
Maldonado DR, Owens JS, Jimenez AE, Saks BR, Lall AC, Domb BG. Endoscopic Shelf Procedure and Ischiofemoral Decompression with Arthroscopic Acetabular Labral Reconstruction. JBJS Case Connector 2021, 11: e21.00329. PMID: 34762605, DOI: 10.2106/jbjs.cc.21.00329.Peer-Reviewed Case Reports and Technical NotesMeSH KeywordsAdultArthroscopyDecompressionFemaleFemoracetabular ImpingementHip JointHumansTreatment OutcomeYoung AdultConceptsCam-type morphologyIrreparable labral tearsLabral tearsLabral reconstructionIschiofemoral impingementHip endoscopyHip arthroscopyShelf procedureYoung adult patientsArthroscopic acetabular labral reconstructionAcetabular labral reconstructionAdult patientsFemale patientsCase reportFavorable outcomeRight hipIFI diagnosisHip dysplasiaPatientsTearsDecompressionDysplasiaEndoscopyArthroscopyDiagnosisMinimum 2-Year Outcomes Following Arthroscopic Hip Labral Reconstruction in Adolescents and Young Adults
Maldonado DR, Glein RM, Saks BR, Jimenez AE, Sabetian PW, Lall AC, Domb BG. Minimum 2-Year Outcomes Following Arthroscopic Hip Labral Reconstruction in Adolescents and Young Adults. Journal Of Pediatric Orthopaedics 2021, 42: 83-89. PMID: 34657092, DOI: 10.1097/bpo.0000000000001984.Peer-Reviewed Original ResearchConceptsPatient-reported outcome measuresIrreparable labral tearsHigh patient satisfactionArthroscopic labral reconstructionLabral reconstructionPatient satisfactionLabral tearsYoung adultsArthroscopic hip labral reconstructionPrimary labral reconstructionFemoroacetabular impingement syndromeArthroscopic acetabular labral reconstructionHip labral reconstructionAcetabular labral reconstructionTönnis gradeImpingement syndromeMean ageRevision reconstructionFavorable outcomeHip arthroscopyHigher achievement rateInclusion criteriaOutcome measuresLevel IVLabral repairPostoperative Alpha Angle Is Predictive of Return to Sport in Athletes Undergoing Hip Arthroscopy for Femoroacetabular Impingement
Monahan PF, Jimenez AE, Owens JS, Lee MS, Maldonado DR, Saks BR, Lall AC, Domb BG. Postoperative Alpha Angle Is Predictive of Return to Sport in Athletes Undergoing Hip Arthroscopy for Femoroacetabular Impingement. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2021, 38: 1204-1214. PMID: 34571180, DOI: 10.1016/j.arthro.2021.09.015.Peer-Reviewed Original ResearchConceptsPostoperative alpha angleHip Outcome Score-Sport SpecificAlpha angleHip scoreHip arthroscopyPostoperative patient-reported outcome scoresPostoperative patient-reported outcomesPatient-reported outcome scoresMultivariate logistic regression modelHarris hip scoreNonarthritic Hip ScorePrimary hip arthroscopyPatient-reported outcomesMultivariate logistic regressionReceiver operator characteristic curveSignificant predictorsReceiver operator characteristic analysisOperator characteristic curveOperator characteristic analysisHigh rateLogistic regression modelsHigh school athletesOutcome scoresMean ageRadiographic factors