Arthroscopic Labral Repair and Treatment of Femoroacetabular Impingement in Professional Hockey Players

Philippon, Marc J.; Weiss, Douglass R.; Kuppersmith, David A.; Briggs, Karen K.; Hay, Connor J.

doi:10.1177/0363546509346393

Cited by 294 publications

(291 citation statements)

References 28 publications

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“…In a recent systematic review of patients with FAI in athletes considering open surgical dislocation apart from hip arthroscopic intervention, rate of return to sports was 92% with 88% returning to the preinjury level of sports [1]. Philippon et al [26] reported a high patient satisfaction rate with a return to sports at a mean of 3.4 months ( Table 2). In a separate report on 45 professional athletes, Philippon et al [25] also found that 78% remained in active professional sport at a mean of 1.6 years after surgery.…”

Section: Resultsmentioning

confidence: 99%

“…Labral repair with osteochondroplasty for femoroacetabular impingement (FAI) in a professional sportsperson can lead to a high patient satisfaction rate and prompt return to sports [1,10,25,26]. In the general population, arthroscopic management of FAI leads to pain and preoperative scores in Each author certifies that he or she, or a member of his or her immediate family, has no funding or commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article.…”

Section: Introductionmentioning

confidence: 99%

“…Although there is no evidence surgery prevents osteoarthritis, Ellis et al in a review conclude that by resolving bony impingement, prevention of further labral and chondral damage is possible, and the progression of osteoarthritis may be delayed [13]. Most studies of the sporting population have been retrospective in nature or in a small series of patients ranging from 10 to 45 patients [21,[24][25][26][27]29]. Furthermore, when it is reported that a patient has returned to sport after surgery, what does this mean?…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Do Professional Athletes Perform Better Than Recreational Athletes After Arthroscopy for Femoroacetabular Impingement?

Malviya

Paliobeis

Villar

2013

Clinical Orthopaedics &Amp; Related Research

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Background Although a large number of athletes' returns to sports after hip arthroscopic surgery for femoroacetabular impingement (FAI), it is not clear if they do so to the preinjury level and whether professional athletes (PA) are more likely to return to the preinjury level compared with recreational athletes (RA). Questions/purposes We therefore compared (1) the time taken to return to the preinjury level of sport between professional and recreational athletes; (2) the degree of improvement in time spent in training and competitive activities after arthroscopic surgery for FAI; and (3) the difference in trend of improvement in hip scores. Methods We prospectively followed 80 athletes (PA = 40, RA = 40; mean age, 35.7 years; males = 50, females = 30; mean followup, 1.4 years; range, 1-1.8 years) who underwent hip arthroscopy for FAI. We measured the time to return to sports; training time and time in competition; and the modified Harris hip score and the nonarthritic hip score.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Do Professional Athletes Perform Better Than Recreational Athletes After Arthroscopy for Femoroacetabular Impingement?

Malviya

Paliobeis

Villar

2013

Clinical Orthopaedics &Amp; Related Research

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“…Philippon et al [29] found the acetabulum touched the ilioischial line in 27% of hockey players treated with arthroscopy for FAI. Weir et al [36] reported radiographic coxa profunda in 23 of 68 (34%) hips in their study of patients with groin pain.…”

Section: Discussionmentioning

confidence: 99%

Coxa Profunda: Is the Deep Acetabulum Overcovered?

Anderson

Kapron

Aoki

et al. 2012

Clinical Orthopaedics &Amp; Related Research

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Background Coxa profunda, or a deep acetabular socket, is often used to diagnose pincer femoroacetabular impingement (FAI). Radiographically, coxa profunda is the finding of an acetabular fossa medial to the ilioischial line. However, the relative position of the acetabular fossa to the pelvis may not be indicative of acetabular coverage. Questions/purposes We therefore determined the incidence of coxa profunda and evaluated associations between coxa profunda and other radiographic parameters of acetabular coverage commonly used to diagnose pincer FAI and acetabular dysplasia.Methods We evaluated the radiographs of three cohorts for coxa profunda, lateral center edge (LCE) angle, acetabular index, posterior wall sign, and crossover sign. Data from 67 collegiate football players were collected prospectively (Cohort 1). We identified two patient cohorts Results In all three cohorts, we detected no difference in the LCE angle or acetabular index between hips with and without coxa profunda. Coxa profunda existed in hips representing the spectrum of acetabular coverage measured by LCE angle (À18°to 60°) and acetabular orientation determined by the crossover sign. Conclusions Coxa profunda was a common radiographic finding in both symptomatic patients and asymptomatic football players. Coxa profunda existed in hips representing the spectrum of acetabular coverage and was not associated with an overcovered acetabulum. We conclude coxa profunda is unrelated to overcoverage and suggest its use in diagnosis of pincer FAI be abandoned in favor of other determinants of focal or general overcoverage. Level of Evidence Level III, diagnostic study. See Instructions for Authors for a complete description of levels of evidence.

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“…Although research on clinical outcomes of labral repair continues to show benefits, [15][16][17][18]29,31,32 the best method is yet to be determined. Several techniques reattaching the labrum to the bony acetabulum via various fixation devices have been described (e.g., suture anchors, screw anchors, and extra-articular sutures).…”

Section: Discussionmentioning

confidence: 99%

Anatomic Labral Repair in the Hip Using a Knotless Tensionable Suture Anchor

Suárez-Ahedo

Martin

Walsh

et al. 2016

Arthroscopy Techniques

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To perform a proper labral repair, most surgeons use anchors to secure the labrum to the acetabular bone. We aim to describe a technique for labral repair with a knotless tensionable suture anchor. This technique uses a looped suture configuration, allowing selective tensioning of the repair to maintain the anatomic suction seal of the hip. The use of this technique is easily reproducible and reduces the surgical time compared with previous techniques.

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Arthroscopic Labral Repair and Treatment of Femoroacetabular Impingement in Professional Hockey Players

Abstract: Treatment of femoroacetabular impingement and labral lesions in professional hockey players resulted in successful outcomes, with high patient satisfaction and prompt return to sport.

Cited by 294 publications

References 28 publications

Do Professional Athletes Perform Better Than Recreational Athletes After Arthroscopy for Femoroacetabular Impingement?

Do Professional Athletes Perform Better Than Recreational Athletes After Arthroscopy for Femoroacetabular Impingement?

Coxa Profunda: Is the Deep Acetabulum Overcovered?

Anatomic Labral Repair in the Hip Using a Knotless Tensionable Suture Anchor

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