Editorial Commentary: Returning to High-Impact Sports After Hip Arthroscopy: Are We Shooting Ourselves in the Hip?

Rosinsky, Philip J.; Chen, Sarah L.; Domb, Benjamin G.

doi:10.1016/j.arthro.2019.01.007

Cited by 7 publications

(7 citation statements)

References 12 publications

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“…Nevertheless, in addition to favorable hip function, athlete passion for sport and social benefits to returning quicker motivate the athlete to RTS. 48 However, the literature does not elucidate the function at which athletes return. Approximately 74.2% to 100% of athletes who returned did so the same or greater level compared with preinjury level, whereas 0% to 25.8% returned to a lower level.…”

Section: Discussionmentioning

confidence: 99%

Patient-Reported Outcomes in Athletes Following Hip Arthroscopy for Femoroacetabular Impingement With Subanalysis on Return to Sport and Performance Level: A Systematic Review

Annin

Lall

Yelton

et al. 2021

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Section: Discussionmentioning

confidence: 99%

Patient-Reported Outcomes in Athletes Following Hip Arthroscopy for Femoroacetabular Impingement With Subanalysis on Return to Sport and Performance Level: A Systematic Review

Annin

Lall

Yelton

et al. 2021

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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“…We suggest that in addition to favorable hip function, an adolescent's passion for the sport and the vast social benefits of returning to sport motivate an adolescent athlete to return to play. 4,47 Team sports provide an incredible platform for adolescents to achieve goals, build selfesteem, and bond with their peers. A systematic review on the psychosocial benefits of sports participation found that adolescents who engaged in sports exhibited increased confidence, emotional regulation, self-knowledge, and cooperation with peers.…”

Section: Discussionmentioning

confidence: 99%

Outcomes of Hip Arthroscopic Surgery in Adolescents With a Subanalysis on Return to Sport: A Systematic Review

Chen

Maldonado

et al. 2019

Am J Sports Med

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Background: There is a plethora of literature on outcomes after hip arthroscopic surgery in the adult population; however, outcomes in the adolescent population have not been as widely reported. Additionally, as adolescents represent a very active population, it is imperative to understand their athletic activity and return to sport after hip arthroscopic surgery. Purpose: To analyze patient-reported outcomes (PROs) after hip arthroscopic surgery in adolescents (aged 10-19 years) and present a return-to-sport analysis in the athletic adolescent subgroup. Study Design: Systematic review; Level of evidence, 4. Methods: The PubMed, Embase, and Cochrane databases were searched according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines to identify articles that reported PROs after hip arthroscopic surgery in adolescents. The standardized mean difference was calculated to compare the effect size of hip arthroscopic surgery on various PROs. For the athletic subgroup, a return-to-sport summary was also provided. Results: Ten studies, with 618 adolescent hips and a collective study period of December 2004 to February 2015, were included in this systematic review. Across all studies, the mean age was 15.8 years (range, 11.0-19.9 years), and female patients composed approximately 56.7% of the entire cohort. The mean follow-up was 34.5 months (range, 12-120 months). The modified Harris Hip Score (mHHS) was reported in 9 studies, and at latest follow-up, scores were excellent in 4 studies (range, 90-95) and good in the remaining 5 studies (range, 82.1-89.6). All adolescents also showed significant improvement on the Non-Arthritic Hip Score (NAHS), the Hip Outcome Score–Activities of Daily Living (HOS-ADL), the HOS–Sport-Specific Subscale (HOS-SSS), the physical component of the 12-Item Short Form Health Survey (SF-12P), a visual analog scale for pain (VAS), and both versions of the International Hip Outcome Tool (iHOT-12 and iHOT-33) at latest follow-up ( P < .05). Further, mean improvements reported in all studies surpassed reported values of the minimal clinically important difference and patient acceptable symptomatic state for the mHHS, HOS-ADL, HOS-SSS, and iHOT-33. Finally, the collective return-to-sport rate among athletic adolescents was 84.9%. Conclusion: In the setting of labral tears and femoroacetabular impingement, hip arthroscopic surgery can safely be performed in adolescents and leads to significant functional improvement. Furthermore, athletic adolescents return to sport at high levels after hip arthroscopic surgery.

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“…10 This is likely explained by the fact that professional athletes have (1) more time to dedicate to the rehabilitation process, (2) direct and indirect financial interests, and (3) social pressure from the team. [11][12][13] In addition, it has been reported that rates of RTS after hip arthroscopy changes over time, with lower rates in the first year after surgery, probably due to the long rehabilitation process, and at follow-up longer than 3 years, likely because of persistent hip pain. 7 It was with great interest I read the article entitled "Return to Play in Amateur Soccer Players Undergoing Hip Arthroscopy: Short-to Mid-Term Follow-Up" 14 by Ortiz-Declet, Yuen, Schwarzman, Chen, Perets, and Domb.…”

Section: See Related Article On Page 442mentioning

confidence: 99%

Editorial Commentary: Return to Sport: An Ill-Defined Parameter

Robinson¹,

Casartelli²,

Leunig³

2020

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Femoroacetabular impingement syndrome (FAIS) is a common cause of hip pain and dysfunction in athletes, which can impair their ability to perform and compete in sports. Hip arthroscopy has become a popular and successful treatment option for the management of FAIS and the return to sport (RTS) of athletes. The concept of RTS has evolved in the last years. Various different factors need to be considered when evaluating RTS after hip arthroscopy for FAIS, such as (1) the definition of RTS (return to participation, RTS, return to performance), (2) the sport type (high-impact vs lowimpact) and sport level (professional vs recreational), and (3) the time to follow-up evaluation. In addition, return to high-impact sports, such as soccer, might not be the best recommendation for some patients undergoing hip arthroscopy for FAIS, as it may accelerate the degeneration of the hip joint. Future research should consider all these aspects of the RTS outcome after hip arthroscopy for FAIS. Valid RTS rates are of utmost importance to provide adequate expectations to patients and to guide decision-making of hip surgeons.

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Editorial Commentary: Returning to High-Impact Sports After Hip Arthroscopy: Are We Shooting Ourselves in the Hip?

Cited by 7 publications

References 12 publications

Patient-Reported Outcomes in Athletes Following Hip Arthroscopy for Femoroacetabular Impingement With Subanalysis on Return to Sport and Performance Level: A Systematic Review

Patient-Reported Outcomes in Athletes Following Hip Arthroscopy for Femoroacetabular Impingement With Subanalysis on Return to Sport and Performance Level: A Systematic Review

Outcomes of Hip Arthroscopic Surgery in Adolescents With a Subanalysis on Return to Sport: A Systematic Review

Editorial Commentary: Return to Sport: An Ill-Defined Parameter

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