Assessing long-term return to play after hip arthroscopy in football players evaluating risk factors for good prognosis

Abstract

Hip arthroscopy is a safe procedure with very good return to play results, but for optimized return to football one should consider patient age at the time of surgery, the condition of the labrum and low scores on the Harris Hip Score (mHHS) and HOS (sport version) as predictive factors for poor prognosis. Level of evidence IV.

High Rate of Return to Yoga for Athletes After Hip Arthroscopy for Femoroacetabular Impingement Syndrome

“…The authors noted that chondrolabral preservation, as opposed to labral takedown and reattachment, was associated with improved overall outcomes. 24 Similar high rates of RTS have been recently reported in professional football players, 22 professional soccer players, 1 professional golfers, 25 and runners. 18 These findings are supported by the data described in 2 previously published systematic reviews assessing RTS in both amateur and high-level athletes.…”

“…5,9,13,14,30,32,33 Given the increasing volume of hip arthroscopy procedures being performed in athletes, data on the ability of athletes to return to sport (RTS) after hip arthroscopy have become more readily available. 1,[3][4][5][6][7][10][11][12][16][17][18][19][20][21][22][23][24][25][26][28][29][30][31][32][34][35][36][37] This information is critical, particularly for counseling patients, parents, and coaches on the expected outcomes after hip arthroscopy. While many of the available studies have focused on running and other highimpact and/or contact sports, there remains a paucity of data on the ability of patients to return to lower impact sports that require extremes of hip motion, including flexion and rotational loading.…”

Five-Year Outcomes After Arthroscopic Surgery for Femoroacetabular Impingement Syndrome in Elite Athletes

“…9,33 Nevertheless, arthroscopic treatment in athletes presenting with FAIS is increasing, and studies suggest that high-level athletes will improve their hip function and have a high rate of return to preinjury activity levels. 2,4,7,8 Follow-up after hip surgery generally includes PROMs. Early PROMs, such as the modified Harris Hip Score, 16 were developed for an elderly population with osteoarthritis and are therefore not suitable for younger, more active patients.…”

High Rate of Return to Cycling After Hip Arthroscopy for Femoroacetabular Impingement Syndrome

“…Similar to the findings in the present study, the ability of athletes to return to both high- and low-impact sports after hip arthroscopy for FAIS is quite good among both recreational and professional athletes, as demonstrated by multiple prior authors. 6,18,19,23,36 Rates of RTS after arthroscopy for FAIS approach 82% to 100% in professional hockey players, 20,29 87% in professional football players, 21 96% in Australian football players, 33 100% in professional soccer players and golf athletes, 1,24 88% in competitive baseball players, 8 and 94% in runners. 17 Interestingly, rowers appear have a substantially lower rate of RTS, with Boykin et al 3 reporting an RTS rate of 56% at a mean 8 months after surgery.…”

“…4,7,11,12,27,30,31 For the athletic patient population; however, one of the more critical clinical outcomes is the ability of athletes to return to sport (RTS) after hip arthroscopy. [1][2][3][4][5][6][8][9][10]14,[16][17][18][19][20][21][22][23][24][25][26][27][28][29][30]32,33,35,36 This type of data are important for individual patients to understand their expected outcomes after hip arthroscopy, particularly for athletes participating in potentially high-risk activities such as cycling.…”