Hip Arthroscopy in High-Level Baseball Players

Byrd, J. W. Thomas; Jones, Kay S.

doi:10.1016/j.arthro.2015.03.002

Cited by 46 publications

(35 citation statements)

References 23 publications

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“…Thus, post-operative protocols are left to the discretion of the surgeon and are widely based on clinician experience and opinion [4–8]. The return to running and impact sports after hip arthroscopy is often delayed for 3–6 months post-operatively [9, 10]. However, return to sports protocols may vary significantly based on the procedures performed, the needs of the athlete and the clinical course of the patients’ rehabilitation [9–11].…”

Section: Introductionmentioning

confidence: 99%

“…The return to running and impact sports after hip arthroscopy is often delayed for 3–6 months post-operatively [9, 10]. However, return to sports protocols may vary significantly based on the procedures performed, the needs of the athlete and the clinical course of the patients’ rehabilitation [9–11]. The design of this study was intended to collect the expert opinions of high volume hip arthroscopy surgeons regarding weight-bearing limitations and their post-operative rehabilitation protocols for various hip preservation procedures.…”

Section: Introductionmentioning

confidence: 99%

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Hip arthroscopy protocol: expert opinions on post-operative weight bearing and return to sports guidelines

Rath

Sharfman

Paret

et al. 2017

Journal of Hip Preservation Surgery

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The objectives of this study are to survey the weight-bearing limitation practices and delay for returning to running and impact sports of high volume hip arthroscopy orthopedic surgeons. The study was designed in the form of expert survey questionnaire. Evidence-based data are scares regarding hip arthroscopy post-operative weight-bearing protocols. An international cross-sectional anonymous Internet survey of 26 high-volume hip arthroscopy specialized surgeons was conducted to report their weight-bearing limitations and rehabilitation protocols after various arthroscopic hip procedures. The International Society of Hip Arthroscopy invited this study. The results were examined in the context of supporting literature to inform the studies suggestions. Four surgeons always allow immediate weight bearing and five never offer immediate weight bearing. Seventeen surgeons provide weight bearing depending on the procedures performed: 17 surgeons allowed immediate weight bearing after labral resection, 10 after labral repair and 8 after labral reconstruction. Sixteen surgeons allow immediate weight bearing after psoas tenotomy. Twenty-one respondents restrict weight bearing after microfracture procedures for 3–8 weeks post-operatively. Return to running and impact sports were shorter for labral procedures and bony procedures and longer for cartilaginous and capsular procedures. Marked variability exists in the post-operative weight-bearing practices of hip arthroscopy surgeons. This study suggests that most surgeons allow immediate weight bearing as tolerated after labral resection, acetabular osteoplasty, chondroplasty and psoas tenotomy. For cartilage defect procedures, 6 weeks or more non-weight bearing is suggested depending on the area of the defect and lateral central edge angle. Delayed return to sports activities is suggested after microfracture procedures. The level of evidence was Level V expert opinions.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Hip arthroscopy protocol: expert opinions on post-operative weight bearing and return to sports guidelines

Rath

Sharfman

Paret

et al. 2017

Journal of Hip Preservation Surgery

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“…Traditionally, imprecise generic scoring systems have been used to determine outcome after the treatment of sports injuries. 13 More recently, research at our institution [13][14][15] and other centers [16][17][18][19][20] has employed sport-specific scoring systems and metrics to better assess the true outcomes of our nonoperative and operative interventions. Dugas et al 7 in the current study are commended as they have moved from those less precise tools to a more specific return to prior level of play evaluation.…”

mentioning

confidence: 99%

Editorial Commentary: Anterior Cruciate Ligament Injury and Our National Pastime

Ciccotti

2016

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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“…3). Byrd et al recently reported his mid-term results (average follow-up 45 months) of 41 intercollegiate or professional baseball players undergoing hip arthroscopy for treatment of FAI [28]. Ninety percent of these athletes returned to their previous level of competition at a mean of 4.3 months with no complications, but three players required revision hip arthroscopy.…”

Section: Femoroacetabular Impingementmentioning

confidence: 99%

Hip and Groin Injuries in Baseball Players

Mlynarek

Coleman

2018

Curr Rev Musculoskelet Med

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(a) Limitations in throwing velocity, pitch control, and bat swing speed may be secondary to decreased mobility and strength within the proximal kinetic chain, which must harness power from the lower extremities and core. (b) Approximately 5.5% of all baseball injuries per year involve the hip/groin and may lead to a significant amount of time spent on the disabled list. Injuries involving the hip and groin are relatively common in baseball players. Our knowledge of the mechanics of overhead throwing continues to evolve, as does our understanding of the contribution of power from the lower extremities and core. It is paramount that the team physician be able to accurately diagnose and treat injuries involving the hip/groin, as they may lead to significant disability and inability to return to elite levels of play. This review focuses on hip- and groin-related injuries in the baseball player, including femoroacetabular impingement, core muscle injury, and osteitis pubis.

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Hip Arthroscopy in High-Level Baseball Players

Cited by 46 publications

References 23 publications

Hip arthroscopy protocol: expert opinions on post-operative weight bearing and return to sports guidelines

Hip arthroscopy protocol: expert opinions on post-operative weight bearing and return to sports guidelines

Editorial Commentary: Anterior Cruciate Ligament Injury and Our National Pastime

Hip and Groin Injuries in Baseball Players

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