Prognosis Following Hip Arthroscopy Varies in Professional Athletes Based on Sport

Christian, Robert A.; Lubbe, Ryan; Chun, Danielle S.; Selley, Ryan S.; Terry, Michael A.; Hsu, Wellington K.

doi:10.1016/j.arthro.2018.10.113

Cited by 26 publications

(43 citation statements)

References 23 publications

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“…In addition to hip symptoms, dedication to sport and economic factors can influence return to sport in elite athletes. 13 We believe that labral repair is the gold standard for labral tear treatment, as studies have shown excellent outcomes and high rates of return to sport after labral repair. 19,24,31,33,34,40 However, in cases of irreparable, nonviable, or calcified labra, labral reconstruction has recently emerged as a viable procedure.…”

Section: The Orthopaedic Journal Of Sports Medicinementioning

confidence: 98%

Return to Sport and Athletic Function in an Active Population After Primary Arthroscopic Labral Reconstruction of the Hip

Maldonado

Chen

Yelton

et al. 2020

Orthopaedic Journal of Sports Medicine

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Background: Labral reconstruction has been advocated as an alternative to debridement for the treatment of irreparable labral tears, showing favorable short-term results. However, literature is scarce regarding outcomes and return to sport in the nonelite athletic population. Purpose: To report minimum 1-year clinical outcomes and the rate of return to sport in athletic patients who underwent primary hip arthroscopy with labral reconstruction in the setting of femoroacetabular impingement syndrome and irreparable labral tears. Study Design: Case series; Level of evidence, 4. Methods: Data were prospectively collected and retrospectively analyzed for patients who underwent an arthroscopic labral reconstruction between August 2012 and December 2017. Patients were included if they identified as an athlete (high school, college, recreational, or amateur); had follow-up on the following patient-reported outcomes (PROs): modified Harris Hip Score (mHHS), Nonarthritic Hip Score (NAHS), Hip Outcome Score–Sport Specific Subscale (HOS-SSS), and visual analog scale (VAS); and completed a return-to-sport survey at 1 year postoperatively. Patients were excluded if they underwent any previous ipsilateral hip surgery, had dysplasia, or had prior hip conditions. The proportions of patients who achieved the minimal clinically important difference (MCID) and patient acceptable symptomatic state (PASS) for mHHS and HOS-SSS were calculated. Statistical significance was set at P = .05. Results: There were 32 (14 females) athletes who underwent primary arthroscopic labral reconstruction during the study period. The mean age and body mass index of the group were 40.3 years (range, 15.5-58.7 years) and 27.9 kg/m2 (range, 19.6-40.1 kg/m2), respectively. The mean follow-up was 26.4 months (range, 12-64.2 months). All patients demonstrated significant improvement in mHHS, NAHS, HOS-SSS, and VAS ( P < .001) at latest follow-up. Additionally, 84.4% achieved MCID and 81.3% achieved PASS for mHHS, and 87.5% achieved MCID and 75% achieved PASS for HOS-SSS. VAS pain scores decreased from 4.4 to 1.8, and the satisfaction with surgery was 7.9 out of 10. The rate of return to sport was 78%. Conclusion: At minimum 1-year follow-up, primary arthroscopic labral reconstruction, in the setting of femoroacetabular impingement syndrome and irreparable labral tears, was associated with significant improvement in PROs in athletic populations. Return to sport within 1 year of surgery was 78%.

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Section: The Orthopaedic Journal Of Sports Medicinementioning

confidence: 98%

Return to Sport and Athletic Function in an Active Population After Primary Arthroscopic Labral Reconstruction of the Hip

Maldonado

Chen

Yelton

et al. 2020

Orthopaedic Journal of Sports Medicine

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“…Similar studies using publicly available sources for data collection have yielded different results, indicating that these data sets may not be ideal sources from which to draw worthy conclusions. 2 As stated in the limitations of their study, the data used by Christian et al 1 do not give information regarding diagnosis, concomitant pathology, surgical procedure, postoperative rehabilitation, or prior interventions. However, this information is vital to understanding which patients will benefit from surgical intervention and is needed to effectively counsel patients on postoperative recovery and return to sport.…”

Section: See Related Article On Page 837mentioning

confidence: 94%

“…In concordance with previous literature, this study supports a high rate of return (88.7%) for professional athletes after hip arthroscopy. [1][2][3] We would like to commend the authors for taking this topic 1 step further by looking at performance-based outcomes because return to sport and "meaningful" return to sport are 2 different concepts for the athlete.…”

Section: See Related Article On Page 837mentioning

confidence: 99%

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Editorial Commentary: Hip Arthroscopy in the Professional Athlete…Back in the Game

Sahota¹,

Kelly²

2019

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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With improved outcomes and expanding indications, the rate of hip arthroscopy for treatment of numerous pathologies has increased. There is significant interest from patients and providers alike regarding return to meaningful play after surgical intervention, particularly for the professional athlete. Although each athlete and each sport have unique obstacles, the literature suggests hip arthroscopy has a high success rate and allows for elite athletes to return to play without significant differences in postoperative performance scores.

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“…3,4 Two series have shown no significant difference in the rates of return to sport between professional football, basketball, hockey, and baseball players, although both series showed that professional hockey players had a shorter postarthroscopy career. 5,6 Shibata et al 7 stated that there was no difference in the rate of return to sport between male and female patients. However, in many series, including the current article, return to sport was based on the patient's self-report with no independent objective confirmation of performance.…”

Section: See Related Article On Page 2834mentioning

confidence: 99%

Editorial Commentary: How Do We Measure Return-to-Sport “Success” After Hip Arthroscopy for Femoroacetabular Impingement?

Miller¹

2019

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Hip arthroscopy for femoroacetabular impingement has generally been considered to enjoy a high rate of success. These patients tend to be young and active. One measure of "success" has been return to sport. However, much of the literature has used subjective return criteria and reported on diverse groups in terms of skill levels, sports, and sexes, as well as small numbers, thus limiting specific recommendations.

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Prognosis Following Hip Arthroscopy Varies in Professional Athletes Based on Sport

Cited by 26 publications

References 23 publications

Return to Sport and Athletic Function in an Active Population After Primary Arthroscopic Labral Reconstruction of the Hip

Return to Sport and Athletic Function in an Active Population After Primary Arthroscopic Labral Reconstruction of the Hip

Editorial Commentary: Hip Arthroscopy in the Professional Athlete…Back in the Game

Editorial Commentary: How Do We Measure Return-to-Sport “Success” After Hip Arthroscopy for Femoroacetabular Impingement?

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