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Amateur and Recreational Athletes Return to Sport at a High Rate Following Hip Arthroscopy for Femoroacetabular Impingement
- Source :
- Arthroscopy : the journal of arthroscopicrelated surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association. 33(4)
- Publication Year :
- 2016
-
Abstract
- To compare the return-to-play rates, patient-reported outcome (PRO) scores, and satisfaction between high-level amateur athletes and recreational athletes and to evaluate for differences in ability to return to sport in these groups based on patient-related and sport-related characteristics.Clinical data were retrieved for 66 (26 male/40 female) consecutive athletes undergoing hip arthroscopy for femoroacetabular impingement. Athletes were classified as high-level amateur or recreational. Athletes were also divided into 6 distinct sporting categories based on the physical demands on the hip. Preoperative and 2-year PROs including a sport-specific questionnaire, modified Harris Hip Score (MHHS), and Hip Outcome Scores with Activities of Daily Living (HOS-ADL) and Sports-Specific (HOS-SS) subscales were collected.Of the 66 patients, 49 were recreational and 17 were high-level amateur athletes (10 high school and 7 collegiate). High-level athletes were significantly younger than recreational athletes (18.4 ± 2.3 years vs 29.7 ± 6.8 years; P.001). After 2 years, all PROs had improved significantly, with no differences between the 2 athletic groups. There was a high overall rate of return for both recreational and high-level amateur athletes (94% vs 88%; P = .60). Increasing preoperative withdrawal time from sport prior to surgery was associated with decreased HOS-SS (r = 0.33; P = .04) and MHHS scores (r = 0.02; P = .02). Overall, athletes who had withdrawn from sport for greater than 8 months before surgery returned to sport significantly more slowly (P = .01). Increasing body mass index (BMI) was associated with lower improvements in HOS (r = 0.26; P = .04) and MHHS scores (r = 0.38; P.01).Recreational athletes, despite being significantly older than their high-level counterparts, return to play at a similar high rate and with comparable PROs. Increasing preoperative cessation time from sport significantly prolongs return to sport. Additionally, increasing preoperative cessation from sport and higher preoperative BMI were associated with decreased improvements in PROs.Level III, retrospective comparative study.
- Subjects :
- Adult
Male
medicine.medical_specialty
Activities of daily living
Adolescent
Body Mass Index
03 medical and health sciences
Arthroscopy
Young Adult
0302 clinical medicine
Femoracetabular Impingement
Medicine
Humans
Orthopedics and Sports Medicine
Young adult
Femoroacetabular impingement
Retrospective Studies
030222 orthopedics
biology
medicine.diagnostic_test
business.industry
Athletes
Retrospective cohort study
030229 sport sciences
biology.organism_classification
medicine.disease
Return to Sport
Physical therapy
Female
Hip Joint
Hip arthroscopy
business
human activities
Body mass index
Subjects
Details
- ISSN :
- 15263231
- Volume :
- 33
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Arthroscopy : the journal of arthroscopicrelated surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association
- Accession number :
- edsair.doi.dedup.....6f3b17c8b52a887bd6437fb225da1bb2