Painful Post-Operative Hip Study
Identifying and Managing Pain Generators in Patients With Persistent Post-hip Arthroscopy Pain Using FDG PET/MRI
4 other identifiers
interventional
15
1 country
1
Brief Summary
The goal of this clinical trial is to learn if the hips of people who undergo revision hip arthroscopy look different from the hips of people whose hip pain is resolved with the first hip arthroscopy and of people who choose the steroid injection for pain management. Participants will complete one PET/MRI scan.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_2
Started Jan 2026
Shorter than P25 for phase_2
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
July 3, 2025
CompletedFirst Posted
Study publicly available on registry
July 15, 2025
CompletedStudy Start
First participant enrolled
January 21, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
November 1, 2026
February 17, 2026
February 1, 2026
9 months
July 3, 2025
February 12, 2026
Conditions
Outcome Measures
Primary Outcomes (8)
Change in number of lesions
Images will be taken using FDG PET/MRI to identify the number of lesions in the hip.
Baseline to 12 months
Change in size of lesions
Images will be taken using FDG PET/MRI to identify the size of the lesions in the hip.
Baseline to 12 months
Change in location of lesions
Images will be taken using FDG PET/MRI to identify the location of the lesions in the hip.
Baseline to 12 months
Change in pain symptoms
Participants will self-report pain level of 0-10, with 0 indicating no pain and 10 being the worst pain imaginable.
Baseline to 12 months
Change in PROMIs Global Health score
Global Health is a participant-reported outcome measure that assesses an individual's overall physical and mental health, including their perceptions of general health. It comprises 10 items, with four items assessing Global Physical Health and four assessing Global Mental Health, all based on five core PROMIS domains: physical function, pain, fatigue, emotional distress, and social health. The scores, ranging from 0 to 20, represent the individual's perception of their health, with lower scores indicating greater impairment.
Baseline to 12 months
Change in Hip Outcome Score (HOS)
The HOS is interpreted by evaluating scores on two subscales: Activities of Daily Living (ADL) and Sports. Each subscale is scored out of 100, with higher scores indicating better function. A score of 100 means no difficulty, while 0 indicates significant issues. Each item within the subscales is scored on a scale of 0 to 4, where 0 means "unable to do" and 4 means "no difficulty." The individual item scores are summed and then converted to a 0-100 scale.
Baseline to 12 months
Change in Modified Harris Hip Score (mHHS)
The mHHS is interpreted based on a 0-100 scale, with higher scores indicating better hip function. Scores below 70 are considered poor, 70-79 fair, 80-89 good, and 90-100 excellent. The mHHS focuses on patient-reported pain and function.
Baseline to 12 months
Change in International Hip Outcome Tool score (iHOT)
The iHOT is a questionnaire used to assess participant-reported outcomes related to hip conditions. It evaluates various aspects of hip health, including symptoms, functional limitations, sports and recreational activities, and social/emotional well-being. Higher scores on the iHOT generally indicate better hip function and quality of life. The iHOT-33 has 33 questions, each scored on a 100-point visual analog scale, with 0 representing the worst possible quality of life and 100 representing the best.
Baseline to 12 months
Study Arms (1)
Revision hip arthroscopy
EXPERIMENTALParticipants will have undergone a revision hip arthroscopy and will have a FDG PET/MRI
Interventions
Eligibility Criteria
You may qualify if:
- Age 18-45
- History of unilateral hip arthroscopy
- Does not have evidence of fracture, infection, or malignancy at 6 months post-hip arthroscopy
- Does not have evidence of depression or other major mental health conditions before the index hip arthroscopy
- Does not have persistent pain that requires opioid use, or does not have a history of opioid abuse
- Does not have any comorbidity results in systemic disease limiting function (ASA physical status classification \>3)
- Not currently pregnant
- Presents with persistent pain (≥4/10 on NRS) for at least 6 months post-hip arthroscopy
- Undergo a revision hip arthroscopy with no surgical history on the contralateral limb
You may not qualify if:
- No unilateral hip arthroscopy
- Evidence of fracture, infection, or malignancy at 6 months post-hip arthroscopy
- Evidence of depression or other major mental health conditions before the index hip arthroscopy
- Has persistent pain that requires opioid use, or has a history of opioid abuse
- Has any comorbidity results in systemic disease limiting function (ASA physical status classification \<3)
- Currently pregnant
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University of Wisconsin - Madison
Madison, Wisconsin, 53705, United States
Study Officials
- PRINCIPAL INVESTIGATOR
Andrea Spiker, MD
University of Wisconsin, Madison
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 3, 2025
First Posted
July 15, 2025
Study Start
January 21, 2026
Primary Completion (Estimated)
November 1, 2026
Study Completion (Estimated)
November 1, 2026
Last Updated
February 17, 2026
Record last verified: 2026-02
Data Sharing
- IPD Sharing
- Will share