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The Rapidly Assessed Predictor of Intraoperative Damage (RAPID) Score of Hevesi et al

Description

Hevesi et al reported a score for evaluating patients undergoing a primary hip arthroscopic procedure. This can help to identify a patient who is at increased risk for a high-grade acetabular chondrolabral disruption. The authors are from the Mayo Clinic.


Patient selection: prior to a primary hip arthroscopic procedure

 

Outcome: presence of Grade 3 or 4 acetabular labrum articular disruption (ALAD)

 

Parameters:

(1) sex

(2) Tonnis grade

(3) cam morphology (alpha angle > 55° on the Dunn view)

 

Parameter

Finding

Points

sex

female

0

 

male

1

Tonnis grade

Grade 0

0

 

Grade 1

2

 

Grade 2

3

cam morphology

absent

0

 

present

1

 

total score =

= SUM(points for all 3 parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 5

 

Score

Percent with High-Grade Delamination

0

10.5%

1

27%

2

36.6%

3

45.9%

4

73.7%

5

88%

 

Performance:

• The area under the ROC curve is 0.75.


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