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Procedure

Arthroscopic Repair vs Physical Therapy for Hip Injury

N/A

Waitlist Available

Led By Scott D Martin, MD

Research Sponsored by Massachusetts General Hospital

Eligibility Criteria Checklist

Specific guidelines that determine who can or cannot participate in a clinical trial

Must have

Evidence on MRI of a tear of the acetabular labrum: documentation of acetabular labrum tear

Be older than 18 years old

Must not have

Back pain greater than hip pain or back pain associated with leg symptoms below the knee: source of pain less likely to be originating from the hip and more likely to be referred from the back/spine

Kellgren-Lawrence Grade 4 changes: classified as large osteophytes, marked narrowing of joint space, severe sclerosis, and definite deformity of bone contour; indicative of severe OA

Timeline

Screening 3 weeks

Treatment Varies

Follow Up baseline (pre-operative), 3 months, 6 months, 12 months

Awards & highlights

No Placebo-Only Group

Summary

This trial found that patients under 60 years of age with FAI and a torn labrum may benefit from arthroscopic repair.

Who is the study for?

This trial is for individuals over 40 with hip pain and MRI-confirmed acetabular labrum tears, who haven't responded to other treatments and don't have severe osteoarthritis or conditions that surgery or physical therapy can't help. They must be willing to be randomly assigned a treatment and able to consent.

What is being tested?

The study compares two approaches for treating painful hip conditions: one group will undergo arthroscopic surgery to repair the torn labrum, while the other will receive specialized physical therapy focusing on the hip area.

What are the potential side effects?

Surgery may lead to risks like infection, bleeding, nerve injury, or increased pain. Physical therapy could cause muscle soreness or strain. Each person's reaction can vary based on individual health factors.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below

Select...

My MRI shows I have a tear in the hip's labrum.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:

Select...

My back pain is worse than my hip pain, or I have leg symptoms below the knee.

Select...

My condition is severe osteoarthritis with significant joint changes.

Select...

My X-rays show severe hip arthritis, suggesting I need a hip replacement.

Select...

I have had surgery on a part of my body with complex anatomy.

Select...

My back pain is likely due to spine issues, confirmed by specific physical tests.

Select...

My hip condition is severe with major joint damage and cysts.

Select...

I cannot undergo surgery or physical therapy due to health reasons.

Select...

My hip joint is malformed.

Timeline

Screening ~ 3 weeks3 visits

Treatment ~ Varies

Follow Up ~ baseline (pre-operative), 3 months, 6 months, 12 months

Screening ~ 3 weeks

Treatment ~ Varies

Follow Up ~baseline (pre-operative), 3 months, 6 months, 12 months

This trial's timeline: 3 weeks for screening, Varies for treatment, and baseline (pre-operative), 3 months, 6 months, 12 months for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.

Primary study objectives

Change in mHHS Surveys From Preoperative to Various Postoperative Timepoints

Secondary study objectives

Change HOS Surveys From Preoperative to Various Postoperative Timepoints

Change LEFS Surveys From Preoperative to Various Postoperative Timepoints

Change NAHS Surveys From Preoperative to Various Postoperative Timepoints

+2 more

Awards & Highlights

No Placebo-Only Group

All patients enrolled in this study will receive some form of active treatment.

Trial Design

2Treatment groups

Active Control

Group I: Hip Arthroscopy Surgery with Acetabular Labral RepairActive Control1 Intervention

Hip Arthroscopy Surgery with Acetabular Labral Repair

Group II: Physical Therapy Focused on the Hip and Hemi-pelvisActive Control1 Intervention

Physical Therapy focusing on the hemipelvis strengthening, including the lower back, lower abdominal core, quadriceps, hamstrings, and gluteal muscles.

0 / 9Eligibility criteria met