Career Length and Performance Among Professional Baseball Players Returning to Play After Hip Arthroscopy

Frangiamore, Salvatore J.; Mannava, Sandeep; Briggs, Karen K.; McNamara, Shannen; Philippon, Marc J.

doi:10.1177/0363546518775420

Cited by 45 publications

(64 citation statements)

References 33 publications

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“…Excellent short-term outcomes have been described in athletes with return to sport for recreational and high school or college athletes being 94% and 88% respectively [27]. Additionally there is high rate of return to sport for professional baseball, football, and basketball players [28][29][30]. Even in workers' compensation patients, nearly 70% are able to return to work without restrictions and demonstrated similar magnitude of improvement in outcome scores to a control cohort [31].…”

Section: Repairmentioning

confidence: 98%

Surgical Treatment of Labral Tears: Debridement, Repair, Reconstruction

Woyski

Mather

2019

Curr Rev Musculoskelet Med

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Purpose of Review With the rapid growth of hip arthroscopy over the past decade, new treatment paradigms as well as recognition of new disease states have sprung forth. The ability to perform complex arthroscopic procedures of the hip such as labral augmentation and reconstruction is essential for hip arthroscopists in the revision setting, with patient selection and indications for various labral treatments the key driver for improved short-and mid-term clinical outcomes. Recent Findings Current techniques have been developed to address disease states where the labrum is either unstable, torn, deficient, or otherwise incompetent. Many early reports focused on the description of these techniques with new literature reporting short-and mid-term outcomes. A few of these have demonstrated improved outcomes with a contemporary arthroscopy with emphasis on capsule preservation and repair. Summary Studies have demonstrated that labral repair has improved outcomes over labral debridement, with results of labral reconstruction in a revision approaching those of labral repair. In addition, newer reports have shown significantly improved outcomes and survivorship with capsule repair and therefore should be included in every hip arthroscopy.

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Section: Repairmentioning

confidence: 98%

Surgical Treatment of Labral Tears: Debridement, Repair, Reconstruction

Woyski

Mather

2019

Curr Rev Musculoskelet Med

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“…Professional, collegiate, and international athletes typically have performance outcomes recorded in public databases, while there exist little comparable data on the performance of recreational athletes. 1,2,5,11,33 Other potential differences must also be considered. The motivation to return to competition is likely to differ between patients whose financial livelihoods depend on performance and those participating for social, physical, and mental benefits alone.…”

Section: The Orthopaedic Journal Of Sports Medicinementioning

confidence: 99%

Definitions of Return to Sport After Hip Arthroscopy: Are We Speaking the Same Language and Are We Measuring the Right Outcome?

Chona

Bonano

Ayeni

et al. 2020

Orthopaedic Journal of Sports Medicine

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Background: Return to sport is a commonly studied outcome of hip arthroscopy that is relevant to both patients and providers. There exists substantial variability in criteria used to define successful return to sport. Purpose: To review and evaluate the definitions used in the literature so as to establish a single standard to enable comparison of outcomes in future studies. Study Design: Systematic review; Level of evidence, 4. Methods: The PubMed, MEDLINE, and Embase databases were searched from inception to June 1, 2019, for studies relating to hip arthroscopy and return to sport. Articles included were those that met the following criteria: (1) contained 2 or more patients, (2) studied patients 18 years of age and older, (3) reported postoperative outcomes after hip arthroscopy, (4) clearly defined return to play, and (5) were written in English. Excluded articles (1) reported outcomes for nonoperative or open treatments, (2) did not clearly define return to play, or (3) were review articles, meta-analyses, or survey-based studies. Return-to-play definitions and additional metrics of postoperative performance and outcome were recorded. Results: A total of 185 articles were identified, and 28 articles were included in the final review, of which 18 involved elite athletes and 10 involved recreational athletes. Of articles studying elite athletes, 6 (33%) defined return to play as participation in regular or postseason competition, 3 (17%) extended the criteria to the preseason, and 2 (11%) used participation in sport-related activities and training. The remaining 7 (39%) reported rates of return to the preoperative level of competition but did not specify preseason versus regular season. All 10 articles evaluating recreational athletes defined return to play based on patient-reported outcomes. Four (40%) did so qualitatively, while 6 (60%) did so quantitatively. Conclusion: There exists significant variability in criteria used to define successful return to sport after hip arthroscopy, and these criteria differ among elite and recreational athletes. For elite athletes, return to the preoperative level of competition is most commonly used, but there exists no consensus on what type of competition—regular season, preseason, or training—is most appropriate. For recreational athletes, patient-reported data are most commonly employed, although there are clear differences between authors on the ways in which these are being used as well.

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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.…”

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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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Career Length and Performance Among Professional Baseball Players Returning to Play After Hip Arthroscopy

Cited by 45 publications

References 33 publications

Surgical Treatment of Labral Tears: Debridement, Repair, Reconstruction

Surgical Treatment of Labral Tears: Debridement, Repair, Reconstruction

Definitions of Return to Sport After Hip Arthroscopy: Are We Speaking the Same Language and Are We Measuring the Right Outcome?

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

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