The Role of Hip Arthroscopy in the Elite Athlete

McCarthy, Joseph C.; Barsoum, Wael K.; Puri, Lalit; Lee, Jo-ann; Murphy, Steven; Cooke, Peter

doi:10.1097/00003086-200301000-00012

Cited by 97 publications

(53 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Hip arthroscopy is an established intervention for the treatment of hip disorders in the sporting and general population [1,2,6,9,15,17,[21][22][23]27]. 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].…”

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 1 more Smart Citation

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

Malviya

Paliobeis

Villar

2013

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

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.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

Malviya

Paliobeis

Villar

2013

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

show abstract

“…The occurrences of tears in the athlete's acetabular labrum have been reported in sports that place rotational demands on the hip (such as tennis, golf, and hockey) (Binningsley, 2003;Mason, 2001;McCarthy et al, 2003). Although kinematic data on the throwing motion in baseball may illustrate mechanisms of a labral tear in the shoulder (Andrews et al, 1991), there is currently no evidence of the velocities of the lead and trail hips during a full golf swing to determine if the same potential exists for labral pathology in the hip.…”

Section: Discussionmentioning

confidence: 99%

“…Recently, the occurrence of acetabular labral tears has been documented in a number of elite athletes, including professional golfers (McCarthy et al, 2003;Philipon, 2001). One suggested mechanism for these tears involves the hip experiencing torsion during combined hip external rotation (ER) and extension (Mason, 2001).…”

Section: Introductionmentioning

confidence: 99%

Hip Rotational Velocities During the Full Golf Swing

Gulgin

Armstrong

2006

Medicine & Science in Sports & Exercise

View full text Add to dashboard Cite

Since labral pathology in professional golfers has been reported, and such pathology has been associated with internal/external hip rotation, quantifying the rotational velocity of the hips during the golf swing may be helpful in understanding the mechanism involved in labral injury. Thus, the purpose of this study was to determine the peak internal/external rotational velocities of the thigh relative to the pelvis during the golf swing. Fifteen female, collegiate golfers participated in the study. Data were acquired through high-speed three dimensional (3-D) videography using a multi-segment bilateral marker set to define the segments, while the subjects completed multiple repetitions of a drive. The results indicated that the lead hip peak internal rotational velocity was significantly greater than that of the trail hip external rotational velocity (p = 0.003). It appears that the lead hip of a golfer experiences much higher rotational velocities during the downswing than that of the trail hip. In other structures, such as the shoulder, an increased risk of soft tissue injury has been associated with high levels of rotational velocity. This may indicate that, in golfers, the lead hip may be more susceptible to injury such as labral tears than that of the trailing hip.

show abstract

“…Elite athletes subject their hips to significant peak-axial and torsional stress forces based on the nature of their activities [1]. This places them at greater risk of intraarticular hip disorders such as acetabularlabral tears, ligamentumteres injuries, and traumatic injury to the articular surface, amongst others [1][2][3].…”

Section: Introductionmentioning

confidence: 99%

Hip Arthroscopy Has Acceptable Return to Sport Outcomes for the Elite Athlete

Damasena¹,

Jamieson²,

Pritchard³

2012

OJO

View full text Add to dashboard Cite

Intra-articular disorders of the hip in the elite athlete are common and potentially career threatening. Hip arthroscopy has been shown to be a safe and successful method of treating these conditions. This study examines the effectiveness of hip arthroscopy in facilitating an early return to professional level sport. We prospectively followed 65 professional athletes (mostly Australian Rules Football players) before and after hip arthroscopy using the Modified Harris Hip Score (MHS) and the Non-Arthritic Hip (NAH) Score. We followed them to the 1 year mark and recorded the time required for them to return to sport. Follow-up was achieved in 100% of patients. Intraoperative findings included femoroacetabular impingement, labral pathology and ligamentum teres injuries. Both MHS and NAH Scores showed highly statistically significant improvements up to the 1 year mark. All but 3 athletes returned to professional level sport. The mean return to sport time was 11.9 weeks. The use of arthroscopy to manage common intra-articular hip disorders in elite athletes is safe, effective and facilitates an early return to sport.

show abstract

The Role of Hip Arthroscopy in the Elite Athlete

Cited by 97 publications

References 9 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?

Hip Rotational Velocities During the Full Golf Swing

Hip Arthroscopy Has Acceptable Return to Sport Outcomes for the Elite Athlete

Contact Info

Product

Resources

About