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 conditionsIs there value in the routine practice of discarding the incision scalpel from the surgical field to prevent deep wound contamination with Cutibacterium acnes? An update
Shroff J, Hanna P, Levy B, Jimenez A, Grimm N, Cote M, Mazzocca A. Is there value in the routine practice of discarding the incision scalpel from the surgical field to prevent deep wound contamination with Cutibacterium acnes? An update. Journal Of Shoulder And Elbow Surgery 2023, 32: 1924-1928. PMID: 36967056, DOI: 10.1016/j.jse.2023.02.130.Peer-Reviewed Original ResearchConceptsInitial skin incisionC acnesShoulder arthroplastyMedical comorbiditiesSkin incisionSingle fellowship-trained surgeonCutibacterium acnesReverse total shoulder arthroplastyPositive culture findingsTertiary referral hospitalBody mass indexConsecutive case seriesFellowship-trained surgeonsSkin preparation protocolTotal shoulder arthroplastyDevelopment of infectionTime of incisionPrevious pilot studyMale patientsPostoperative infectionReferral hospitalCase seriesMass indexPatient cohortPeriprosthetic infectionTelemedicine: An Effective Tool for Patient-Physician Communication.
Sabetian P, Ouyang V, Fox J, Jimenez A, Ankem H, Saks B, Maldonado D, Lall A, Domb B. Telemedicine: An Effective Tool for Patient-Physician Communication. Orthopedics 2023, 46: e173-e178. PMID: 36623281, DOI: 10.3928/01477447-20230104-07.Peer-Reviewed Original ResearchConceptsTelemedicine visitsPatient-physician communicationPresurgical groupConservative treatmentSurgical treatmentPerson visitsFurther medical assessmentSurgical indicationsPostsurgical groupImaging reviewMean ageTelemedicine appointmentsHip clinicSurgery dateHip proceduresPatientsMedical assessmentVisitsMonthsCOVID-19 pandemicTreatmentGroupIndicationsClinicCohort
2022
Patients Who Underwent Primary Hip Arthroscopy for Femoroacetabular Impingement with Acetabular Microfracture Show 77% Survivorship at 10-Year Follow-Up
Domb B, Lee M, Annin S, Owens J, Jimenez A, Sabetian P, Maldonado D. Patients Who Underwent Primary Hip Arthroscopy for Femoroacetabular Impingement with Acetabular Microfracture Show 77% Survivorship at 10-Year Follow-Up. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2022, 39: 1185-1194. PMID: 36628692, DOI: 10.1016/j.arthro.2022.11.018.Peer-Reviewed Original ResearchConceptsPatient-reported outcome scoresMinimal clinical important differencePrimary hip arthroscopyNonarthritic Hip ScoreVisual analog scaleFemoroacetabular impingement syndromeAcetabular microfractureHip arthroscopyHip scoreTreatment of FAISHip Outcome Score-SportAcetabular cartilage lesionsAverage patient ageHarris hip scoreTime of surgeryClinical important differenceCase series studyAcetabular chondral lesionsTHA conversionPatient ageIntraoperative findingsAnalog scaleImpingement syndromeOutcome scoresFemoroacetabular impingementOver 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 gradePropensity-Matched Patients Undergoing Revision Hip Arthroscopy Older Than the Age of 40 Years Had Greater Risk of Conversion to Total Hip Arthroplasty Compared With Their Primary Counterparts
Maldonado DR, Diulus SC, Lee MS, Owens JS, Jimenez AE, Perez-Padilla PA, Domb BG. Propensity-Matched Patients Undergoing Revision Hip Arthroscopy Older Than the Age of 40 Years Had Greater Risk of Conversion to Total Hip Arthroplasty Compared With Their Primary Counterparts. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2022, 39: 54-63. PMID: 35764206, DOI: 10.1016/j.arthro.2022.06.014.Peer-Reviewed Original ResearchConceptsPatient-reported outcomesRevision hip arthroscopyHip Outcome Score-Sports Specific SubscaleHarris hip scoreNonarthritic Hip ScoreBody mass indexHip scoreHip arthroscopyRevision groupHip arthroplastyControl groupMass indexPropensity-matched control groupSpecific SubscalePropensity-matched patientsTime of surgeryPrevious hip conditionsVisual analog scaleTotal hip arthroplastyYears of ageAnalog scaleMean agePrimary hipRelative riskRevision hipOutcomes After Primary Hip Arthroscopy in Athletes Older Than 40 Years Compared With Nonathletes
Saks BR, Monahan PF, Hawkins GC, Maldonado DR, Jimenez AE, Sabetian PW, Lall AC, Domb BG. Outcomes After Primary Hip Arthroscopy in Athletes Older Than 40 Years Compared With Nonathletes. The American Journal Of Sports Medicine 2022, 50: 2181-2189. PMID: 35666110, DOI: 10.1177/03635465221096843.Peer-Reviewed Original ResearchConceptsPrimary hip arthroscopyPatient-reported outcome measuresHip arthroscopyControl groupMaster athletesSecondary arthroscopyHip scoreIntraoperative findingsPROM scoresHip arthroplastyHip Outcome Score-Sports Specific SubscaleMaximum outcome improvement satisfaction thresholdPostoperative patient-reported outcome measuresMeaningful improvementsVisual analog scale scorePropensity score-matched control groupHarris hip scoreAnalog scale scoreNonarthritic Hip ScoreArthroscopic hip surgeryLevel of evidenceLower ratesHigh rateNonathlete control groupNA patientsPredictors 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
Patients With Concomitant Painful External Snapping Hip and Femoroacetabular Impingement Syndromes Reported Complete Snapping Resolution With Release of the Gluteus Maximus and Iliotibial Band, and Comparable Minimum 2-Year Outcomes to a Propensity-Matched Control Group
Maldonado DR, Glein RM, Lee MS, Annin S, Owens JS, Jimenez AE, Saks BR, Sabetian PW, Lall AC, Domb BG. Patients With Concomitant Painful External Snapping Hip and Femoroacetabular Impingement Syndromes Reported Complete Snapping Resolution With Release of the Gluteus Maximus and Iliotibial Band, and Comparable Minimum 2-Year Outcomes to a Propensity-Matched Control Group. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2021, 38: 1890-1899. PMID: 34920010, DOI: 10.1016/j.arthro.2021.11.048.Peer-Reviewed Original ResearchConceptsPatient-reported outcome measuresFemoroacetabular impingement syndromePrimary hip arthroscopyBody mass indexPropensity-matched control groupControl groupIliotibial band releaseHip arthroscopyGluteus maximusHip scoreTönnis gradeImpingement syndromeBand releaseHip Outcome Score-Sports Specific SubscaleExternal Snapping HipHarris hip scoreNonarthritic Hip ScorePrevious hip conditionsRate of resolutionRetrospective comparative studyVisual analog scaleTwo-year followTwo yearsAnalog scaleMass indexEarlier 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 treatment