Femoroacetabular Impingement in Professional Football Players: Return to Play and Predictors of Career Length After Hip Arthroscopy

Menge, Travis J.; Bhatia, Sanjeev; McNamara, Shannen; Briggs, Karen K.; Philippon, Marc J.

doi:10.1177/0363546517700118

Cited by 60 publications

(83 citation statements)

References 21 publications

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“…In current study it was found that there is no statistically significant difference in the outcomes within the follow up period of the study between patients who needed debridement of intra-articular cartilage lesions at the time of the arthroscopy and those who didn't have cartilage lesions at the time of the arthroscopy. Menge et al 11 in their study about the return to play in professional footballers following arthroscopic treatment of FAI reported that there is no significant difference in return to play rate between athletes who underwent microfracture and those who did not (25% vs 38%, P = .698). In current study it was found that 3 patients (7.50%) had their arthritis progressed during the follow up with development of radiographic evidence of hip osteoarthritis and failure of non-operative management.…”

Section: Discussionmentioning

confidence: 94%

Results of arthroscopic treatment of femroacetabular impingement (FAI)

Ragab

Elkhadrawe

Housden

et al. 2018

Alexandria Journal of Medicine

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Introduction: Femoroacetabular impingement (FAI) has been suggested as an important etiology of pain in the groin region in young adults especially athletes and there are theories connecting it to early onset osteoarthritis. Aim: To assess the results of arthroscopic treatment of FAI. Patients: Forty patients had been managed arthroscopically for their FAI in both El-Hadra university hospital and William Harvey Hospital. Methods: Results of arthroscopic treatment of FAI in 40 consecutive patients had been evaluated using patients reported outcomes (modified Harris Hip Score and international Hip Outcome Tool-12) and clinical measures of improvement of range of motion in both flexion and internal rotation in 90°of hip flexion. Results: The average of the outcome scores showed statistically significant improvement following the arthroscopic intervention. Conclusion: Femroacetabular impingement is an important etiology of groin pain in young adults, nevertheless the athletes. Diagnosis of this condition is primarily a clinical one to be supported with relevant imaging. Hip arthroscopy is an effective approach to treat and correct the underlying bony abnormalities of FAI. Younger age of patients predicts better improvement in i-HOT-12 score.

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Section: Discussionmentioning

confidence: 94%

Results of arthroscopic treatment of femroacetabular impingement (FAI)

Ragab

Elkhadrawe

Housden

et al. 2018

Alexandria Journal of Medicine

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“…Professional athletes have been shown to return to sport at higher levels than recreational athletes. (32,35) Return to sport appears to be highly influenced by factors such as self-motivation, aging, pain, encouragement, and adaptation to physical limitations. (38,39) These factors as well as monetary incentives and the limited window to play at the elite level motivate professional athletes to return to play.…”

Section: Discussionmentioning

confidence: 99%

Return to Play After Hip Arthroscopy Among Tennis Players: Outcomes with Minimum Five-Year Follow-up

Maldonado

Yelton

Rosinsky

et al. 2019

Preprint

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Background: Playing tennis is associated with various movements that can lead to labral injuries and may require arthroscopic surgery. While hip arthroscopies have demonstrated good outcomes in athletes, there is limited literature reporting Patient Reported Outcomes (PROs) and return to play in competitive or recreational tennis players after hip arthroscopic surgery. Therefore, the purpose of the present study was to (1) report minimum five-year PROs and return to sport in tennis players who underwent hip arthroscopic surgery and (2) compare outcomes between recreational and competitive tennis players. Methods: Data for patients who underwent hip arthroscopy surgery in the setting of femoroacetabular impingement (FAI) and labral tears between March 2009 and January 2014 and who played tennis at any level within one-year of surgery were retrospectively reviewed. Patients with preoperative and minimum five-year postoperative scores for the following PROs were included: modified Harris Hip Score (mHHS), Non-Arthritic Hip Score (NAHS), Hip Outcome Score-Sport Specific Subscale (HOS-SSS), and visual analog scale (VAS) for pain. Patients with preoperative Tönnis osteoarthritis Grade >1, Workers’ Compensation claims, age > 60 years old, or previous ipsilateral hip surgeries or conditions were excluded. Patient Acceptable Symptomatic State (PASS) and Minimal Clinically Important Difference (MCID) for mHHS and HOS-SSS were calculated. Results: Of 28 patients, 31 hips met all inclusion and exclusion criteria of which 28 (90.3%) had minimum 5-year follow-up (mean: 72.8 ± 13.9 months). There were 3 professional, 3 collegiate, 2 high school, 2 organized amateur, and 18 recreational level tennis players. All PROs significantly improved at latest follow-up: mHHS from 67.0 to 86.7 (P < 0.001), NAHS from 65.9 to 87.2 (P < 0.001), HOS-SSS from 50.0 to 77.9 (P = 0.009), and VAS from 5.4 to 1.8 (P < 0.001). There was a 75.0% return to sport rate. Additionally, 66.7% of patients achieved MCID and 83.3% achieved PASS for mHHS, and 63.6% achieved MCID and 58.3% achieved PASS for HOS-SSS. Conclusion: Regardless of the level of participation, tennis players who underwent hip arthroscopic surgery reported statistically significant PRO improvements. A favorable rate of return to sport was also achieved.

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“…These findings are consistent with existing literature, which supports high return to sport and good performance in professional athletes following hip arthroscopy. [2][3][4][5][6] In The Outliers, Malcolm Gladwell asserts that it takes 10,000 hours of practice to become an expert in any field. 7 Professional athletes possess an unparalleled amount of determination, will, and resilience, which not only place them in the elite few, but also keep them at the highest level year after year.…”

mentioning

confidence: 99%

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

Rosinsky

Chen

Domb

2019

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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There is a clear consensus in the literature that professional athletes exhibit high rates of return to sport following hip arthroscopy. As orthopaedic surgeons, we are well equipped to guide athletes back to the field after intraarticular hip injuries. However, returning to high-impact sports and playing through the pain can have implications on long-term health. Literature suggests that former elite athletes are at greater risk for reinjury and developing hip osteoarthritis compared with non-athletes. While it is incumbent upon us as orthopaedic surgeons to inform and advise our patients regarding the long-term consequences of return to sport after a hip injury, we recognize and enthusiastically support the passion that many athletes feel for the game and the vast benefits that they can derive from returning to the sport they love.

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Femoroacetabular Impingement in Professional Football Players: Return to Play and Predictors of Career Length After Hip Arthroscopy

Cited by 60 publications

References 21 publications

Results of arthroscopic treatment of femroacetabular impingement (FAI)

Results of arthroscopic treatment of femroacetabular impingement (FAI)

Return to Play After Hip Arthroscopy Among Tennis Players: Outcomes with Minimum Five-Year Follow-up

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

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