Dancers Show Significant Improvement in Outcomes and Favorable Return-to-Dance Rates After Primary Hip Arthroscopy With Femoral Head Cartilage Status Being a Predictor of Secondary Surgical Procedures at Mid-Term Follow-Up

Maldonado, David R.; Lee, Michael S.; Saeed, Sheema K.; Bruning, Rachel E.; Curley, Andrew J.; Domb, Benjamin G.

doi:10.1016/j.arthro.2023.07.027

Cited by 2 publications

(1 citation statement)

References 44 publications

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“…Within the whole cohort, we found that patients with a high-grade chondral defect were significantly more likely to undergo a secondary surgery than patients without a high-grade chondral defect (28.6% vs 4.2%; P = .006). This finding is supported by Maldonado et al, 34 who showed that higher Outerbridge cartilage defect grades significantly predicted the need for secondary surgery in a similar flexibility sport athlete population (OR, 6.75; P = .045). Together, these findings emphasize the strong relationship between cartilage status and reoperation-free survivorship of hip arthroscopy in flexibility sport athletes.…”

Section: Discussionsupporting

confidence: 57%

Outcomes of Flexibility Sport Athletes With Borderline Hip Dysplasia After Hip Arthroscopy for Femoroacetabular Impingement Syndrome: A Propensity-Matched Analysis at Minimum 2-Year Follow-up

Jan,

Vogel,

Alvero

et al. 2024

Am J Sports Med

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Background: Hip arthroscopy has proved successful in treating femoroacetabular impingement syndrome (FAIS) in patients with and without borderline hip dysplasia (BHD). Despite a high prevalence of BHD in patients who participate in sports with high flexibility requirements, a paucity of literature evaluates the efficacy of hip arthroscopy in treating FAIS in flexibility sport athletes with BHD. Purpose: To compare minimum 2-year patient-reported outcomes (PROs) and achievement of clinically significant outcomes in flexibility sport athletes with BHD undergoing primary hip arthroscopy for FAIS with capsular plication with results in flexibility sport athletes without dysplasia. Study Design: Cohort study; Level of evidence, 3. Methods: Data were prospectively collected for patients undergoing primary hip arthroscopy for FAIS with BHD, defined as a lateral center-edge angle of 18° to 25°, who reported participation in a sport with a high flexibility requirement, including dance, gymnastics, figure skating, yoga, cheerleading, and martial arts, according to previous literature. These patients were matched 1:2 to flexibility sport athletes without dysplasia, controlling for age, sex, and body mass index. Preoperative and minimum 2-year postoperative PROs were collected and compared between groups. Cohort-specific minimal clinically important difference and patient acceptable symptom state achievement was compared between groups. Results: In total, 52 flexibility sport athletes with BHD were matched to 104 flexibility sport athletes without BHD. Both groups showed similar sport participation ( P = .874) and a similar level of competition ( P = .877). Preoperative lateral center-edge angle (22.2°± 1.6° vs 31.5°± 3.9°; P < .001) and Tönnis angle (10.9°± 3.7° vs 5.8°± 4.4°; P < .001) differed between groups. Capsular plication was performed in all cases. Both groups achieved significant improvement in all PROs ( P < .001) with no differences in postoperative PROs between groups ( P≥ .147). High minimal clinically important difference (BHD group: 95.7%; control group: 94.8%) and patient acceptable symptom state (BHD group: 71.7%; control group: 72.2%) achievement for any PRO was observed with no differences between groups ( P≥ .835). Conclusion: Flexibility sport athletes with BHD achieved similar outcomes as those of flexibility sport athletes without BHD after hip arthroscopy for FAIS with capsular plication.

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Section: Discussionsupporting

confidence: 57%