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

Frank, Rachel M.; Ukwuani, Gift; Clapp, Ian M.; Chahla, Jorge; Nho, Shane J.

doi:10.1177/1941738117747851

Cited by 37 publications

(51 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…13 We believe that labral repair is the gold standard for labral tear treatment, as studies have shown excellent outcomes and high rates of return to sport after labral repair. 19,24,31,33,34,40 However, in cases of irreparable, nonviable, or calcified labra, labral reconstruction has recently emerged as a viable procedure. Literature shows that in these cases, labral reconstruction can restore labral function and is preferred over debridement or excision.…”

Section: The Orthopaedic Journal Of Sports Medicinementioning

confidence: 99%

“…Literature shows favorable VAS, patient satisfaction, and return to sport after labral repair. 4,19,31,33 Furthermore, labral reconstruction is among the most challenging procedures in hip arthroscopy, as evidenced by the handful of surgeons currently performing labral reconstructions. 18,35,36,44,46 This study has several strengths.…”

Section: The Orthopaedic Journal Of Sports Medicinementioning

confidence: 99%

See 1 more Smart Citation

Return to Sport and Athletic Function in an Active Population After Primary Arthroscopic Labral Reconstruction of the Hip

Maldonado

Chen

Yelton

et al. 2020

Orthopaedic Journal of Sports Medicine

View full text Add to dashboard Cite

Background: Labral reconstruction has been advocated as an alternative to debridement for the treatment of irreparable labral tears, showing favorable short-term results. However, literature is scarce regarding outcomes and return to sport in the nonelite athletic population. Purpose: To report minimum 1-year clinical outcomes and the rate of return to sport in athletic patients who underwent primary hip arthroscopy with labral reconstruction in the setting of femoroacetabular impingement syndrome and irreparable labral tears. Study Design: Case series; Level of evidence, 4. Methods: Data were prospectively collected and retrospectively analyzed for patients who underwent an arthroscopic labral reconstruction between August 2012 and December 2017. Patients were included if they identified as an athlete (high school, college, recreational, or amateur); had follow-up on the following patient-reported outcomes (PROs): modified Harris Hip Score (mHHS), Nonarthritic Hip Score (NAHS), Hip Outcome Score–Sport Specific Subscale (HOS-SSS), and visual analog scale (VAS); and completed a return-to-sport survey at 1 year postoperatively. Patients were excluded if they underwent any previous ipsilateral hip surgery, had dysplasia, or had prior hip conditions. The proportions of patients who achieved the minimal clinically important difference (MCID) and patient acceptable symptomatic state (PASS) for mHHS and HOS-SSS were calculated. Statistical significance was set at P = .05. Results: There were 32 (14 females) athletes who underwent primary arthroscopic labral reconstruction during the study period. The mean age and body mass index of the group were 40.3 years (range, 15.5-58.7 years) and 27.9 kg/m2 (range, 19.6-40.1 kg/m2), respectively. The mean follow-up was 26.4 months (range, 12-64.2 months). All patients demonstrated significant improvement in mHHS, NAHS, HOS-SSS, and VAS ( P < .001) at latest follow-up. Additionally, 84.4% achieved MCID and 81.3% achieved PASS for mHHS, and 87.5% achieved MCID and 75% achieved PASS for HOS-SSS. VAS pain scores decreased from 4.4 to 1.8, and the satisfaction with surgery was 7.9 out of 10. The rate of return to sport was 78%. Conclusion: At minimum 1-year follow-up, primary arthroscopic labral reconstruction, in the setting of femoroacetabular impingement syndrome and irreparable labral tears, was associated with significant improvement in PROs in athletic populations. Return to sport within 1 year of surgery was 78%.

show abstract

Section: The Orthopaedic Journal Of Sports Medicinementioning

confidence: 99%

Section: The Orthopaedic Journal Of Sports Medicinementioning

confidence: 99%

Return to Sport and Athletic Function in an Active Population After Primary Arthroscopic Labral Reconstruction of the Hip

Maldonado

Chen

Yelton

et al. 2020

Orthopaedic Journal of Sports Medicine

View full text Add to dashboard Cite

show abstract

“…2,10,30 The arthroscopic approach further yields excellent outcomes for returning to activity and sport following surgery. 9,13,24,26,32 Cvetanovich et al 9 found that 89.2% of patients returned to activities at or above their preoperative participation levels at 2-year follow-up. Additionally, studies of outcomes after FAI treatment have begun to measure improvement based on the minimal clinically important difference (MCID) by evaluating change in pre- and postoperative patient-reported outcome (PRO) scores.…”

mentioning

confidence: 99%

When Do Patients Improve After Hip Arthroscopy for Femoroacetabular Impingement? A Prospective Cohort Analysis

et al. 2018

View full text Add to dashboard Cite

show abstract

“…Thus, hip arthroscopy possibly provides good clinical outcomes for cycling athlete with FAI. 2 There are similar reports of coxarthrosis caused by unicycling. 3,4 However, no epidemiological studies on the relationship between unicycling and groin pain are available in the literature.…”

Section: Introductionmentioning

confidence: 73%

“…In addition, it should be considered that in unicyclists with groin pain, they need to take rest period or reduce time on training. Journal of Orthopaedic Surgery 28 (2)…”

Section: Resultsmentioning

confidence: 99%

Prevalence of groin pain in unicycle athletes: A nationwide questionnaire survey

Kobayashi

Oishi

et al. 2020

J Orthop Surg (Hong Kong)

View full text Add to dashboard Cite

Background and purpose: This nationwide questionnaire survey was performed to clarify the prevalence of groin pain in unicycle athletes and to reveal the relationship between groin pain and factors such as age or athletic career. Patients and methods: To evaluate the prevalence of groin pain, the questionnaire was sent to 1304 unicyclists belonging to the Japan Unicycle Association. All subjects aged 6 years or older at the time they answered the questionnaire. Results: Overall, 17% of unicyclists complained of groin pain. Pain was more common in those aged 13–19 years and in those with a career lasting more than 6 years. Conclusion: The incidence of groin pain (17%) among unicyclists is higher than that among athletes participating in other sports. Unicyclists aged between 13 and 19 years old and those with an athletic career of more than 6 years often suffer from groin pain.

show abstract

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

Abstract: Cyclists return to sport 97% of the time at an average of 4.5 months after hip arthroscopy for FAIS.

Cited by 37 publications

References 38 publications

Return to Sport and Athletic Function in an Active Population After Primary Arthroscopic Labral Reconstruction of the Hip

Return to Sport and Athletic Function in an Active Population After Primary Arthroscopic Labral Reconstruction of the Hip

When Do Patients Improve After Hip Arthroscopy for Femoroacetabular Impingement? A Prospective Cohort Analysis

Prevalence of groin pain in unicycle athletes: A nationwide questionnaire survey

Contact Info

Product

Resources

About