Patient reported outcomes for patients who returned to sport compared with those who did not after hip arthroscopy: minimum 2-year follow-up

Domb, Benjamin G.; Dunne, Kevin; Martin, Timothy J.; Gui, Chengcheng; Finch, Nathan A.; Vemula, S. Pavan; Redmond, John M.

doi:10.1093/jhps/hnv078

Cited by 36 publications

(36 citation statements)

References 17 publications

(25 reference statements)

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“…The outcomes of this study are comparable to previously reported studies with significant functional improvement as well as high return to sport/activity. [4][5][6][7]13,14,[18][19][20] This studies results suggest that accelerated weight bearing and early ROM can assist in attaining positive outcomes in terms of early improvements in rehabilitation while minimizing potential adverse effects, a concept that is supported in the literature. 18 Likewise, there were no observed failures related to early weight bearing to include catastrophic failures such as femoral neck fracture or hip instability.…”

Section: Discussionmentioning

confidence: 60%

Functional Outcomes of Hip Arthroscopy in an Active Duty Military Population Utilizing a Criterion-Based Early Weight Bearing Progression

Shaw

Jacobs

Evanson

et al. 2017

Intl J Sports Phys Ther

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Introduction: Hip arthroscopy allows surgeons to address intra-articular pathology of the hip while avoiding more invasive open surgical dislocation. However the post-operative rehabilitation protocols have varied greatly in the literature, with many having prolonged periods of limited motion and weight bearing. Purpose: The purpose of this study was to describe a criterion-based early weight bearing protocol following hip arthroscopy and investigate functional outcomes in the subjects who were active duty military. Methods: Active duty personnel undergoing hip arthroscopy for symptomatic femoroacetabular impingement were prospectively assessed in a controlled environment for the ability to incorporate early postoperative weight-bearing with the following criteria: no increased pain complaint with weight bearing and normalized gait pattern. Modified Harris Hip (HHS) and Hip Outcome score (HOS) were performed preoperatively and at six months post-op. Participants were progressed with a standard hip arthroscopy protocol. Hip flexion was limited to not exceed 90 degrees for the first three weeks post-op, with progression back to running beginning at three months. Final discharge was dependent upon the ability to run two miles at military specified pace and do a single leg broad jump within six inches of the contralateral leg without an increase in pain. Results: Eleven participants met inclusion criteria over the study period. Crutch use was discontinued at an average of five days following surgery based on established weight bearing criteria. Only one participant required continued crutch use at 15 days. Participants' functional outcome was improved postoperatively, as demonstrated by significant increases in HOS and HHS. At the six month follow up, eight of 11 participants were able to take and complete a full Army Physical Fitness Test. Conclusions: Following completion of the early weight bearing rehabilitation protocol, 81% of participants were able to progress to full weight bearing by four days post-operative, with normalized pain-free gait patterns. Active duty personnel utilizing an early weight bearing protocol following hip arthroscopy demonstrated significant functional improvement at six months.

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Section: Discussionmentioning

confidence: 60%

Functional Outcomes of Hip Arthroscopy in an Active Duty Military Population Utilizing a Criterion-Based Early Weight Bearing Progression

Shaw

Jacobs

Evanson

et al. 2017

Intl J Sports Phys Ther

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“…(32,35) Return to sport appears to be highly influenced by factors such as self-motivation, aging, pain, encouragement, and adaptation to physical limitations. (38,39) These factors as well as monetary incentives and the limited window to play at the elite level motivate professional athletes to return to play. In a recent systematic review, Casartelli et al reported a 87% return to sport rate in both competitive and recreational athletes.…”

Section: Discussionmentioning

confidence: 99%

Return to Play After Hip Arthroscopy Among Tennis Players: Outcomes with Minimum Five-Year Follow-up

Maldonado

Yelton

Rosinsky

et al. 2019

Preprint

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Background: Playing tennis is associated with various movements that can lead to labral injuries and may require arthroscopic surgery. While hip arthroscopies have demonstrated good outcomes in athletes, there is limited literature reporting Patient Reported Outcomes (PROs) and return to play in competitive or recreational tennis players after hip arthroscopic surgery. Therefore, the purpose of the present study was to (1) report minimum five-year PROs and return to sport in tennis players who underwent hip arthroscopic surgery and (2) compare outcomes between recreational and competitive tennis players. Methods: Data for patients who underwent hip arthroscopy surgery in the setting of femoroacetabular impingement (FAI) and labral tears between March 2009 and January 2014 and who played tennis at any level within one-year of surgery were retrospectively reviewed. Patients with preoperative and minimum five-year postoperative scores for the following PROs were included: modified Harris Hip Score (mHHS), Non-Arthritic Hip Score (NAHS), Hip Outcome Score-Sport Specific Subscale (HOS-SSS), and visual analog scale (VAS) for pain. Patients with preoperative Tönnis osteoarthritis Grade >1, Workers’ Compensation claims, age > 60 years old, or previous ipsilateral hip surgeries or conditions were excluded. Patient Acceptable Symptomatic State (PASS) and Minimal Clinically Important Difference (MCID) for mHHS and HOS-SSS were calculated. Results: Of 28 patients, 31 hips met all inclusion and exclusion criteria of which 28 (90.3%) had minimum 5-year follow-up (mean: 72.8 ± 13.9 months). There were 3 professional, 3 collegiate, 2 high school, 2 organized amateur, and 18 recreational level tennis players. All PROs significantly improved at latest follow-up: mHHS from 67.0 to 86.7 (P < 0.001), NAHS from 65.9 to 87.2 (P < 0.001), HOS-SSS from 50.0 to 77.9 (P = 0.009), and VAS from 5.4 to 1.8 (P < 0.001). There was a 75.0% return to sport rate. Additionally, 66.7% of patients achieved MCID and 83.3% achieved PASS for mHHS, and 63.6% achieved MCID and 58.3% achieved PASS for HOS-SSS. Conclusion: Regardless of the level of participation, tennis players who underwent hip arthroscopic surgery reported statistically significant PRO improvements. A favorable rate of return to sport was also achieved.

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“…With the development of this technique, associated with the discovery of predisposing factors to various arthropathies, restoration of function through minimally invasive procedures, essentially eliminating lesions and helping patients return to normal activities, was even more safe and effective [18].…”

Section: Arthroscopymentioning

confidence: 99%

“…Arthroscopy of hip-like joints offers minimally invasive surgery for procedures that would require hip dislocation, a more complicated technique. In this joint, the most commonly treated pathologies are femoroacetabular impacts, which are closely associated with demanding activities in hip flexion and internal rotation, common in sports such as golf, baseball, ice hockey, and soccer [7,18,43,54].…”

Section: Arthroscopymentioning

confidence: 99%

Macroscopic Anatomy, Histopathology, and Image Diagnosis of Joints and Synovial Cartilages

Alves¹,

Rodrigues²,

Silva³

et al. 2018

Cartilage Repair and Regeneration

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Joints are physiological connections formed by the association of two or more bones that confer mobility to the skeleton of vertebrates. Composed of several structures, these are often related to pathologies of varied origins, which determine symptomatology of varying degrees of intensity and impairment, responsible for the decrease in life expectancy and the well-being of affected populations. Most of the time, the treatment for these diseases is only symptomatic, aiming at the relief of pain and the return of the patient to daily activities. Thus, there has been an increasing interest in the search for new knowledge about the mechanisms that lead to joint disorders and effective therapeutic resources that may contribute to the fight against pain and to the definitive treatment of joint dysfunctions. To this aim, the knowledge of diagnostic methods, especially imaging methods, is of fundamental importance for the recognition of articular affections, enabling a targeted and effective treatment. Among these auxiliary exams currently used to evaluate the joints, the noninvasive ones are the first choice, where radiography, ultrasonography, magnetic resonance imaging (MRI), computed tomography, and arthroscopy are inserted.

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Patient reported outcomes for patients who returned to sport compared with those who did not after hip arthroscopy: minimum 2-year follow-up

Cited by 36 publications

References 17 publications

Functional Outcomes of Hip Arthroscopy in an Active Duty Military Population Utilizing a Criterion-Based Early Weight Bearing Progression

Functional Outcomes of Hip Arthroscopy in an Active Duty Military Population Utilizing a Criterion-Based Early Weight Bearing Progression

Return to Play After Hip Arthroscopy Among Tennis Players: Outcomes with Minimum Five-Year Follow-up

Macroscopic Anatomy, Histopathology, and Image Diagnosis of Joints and Synovial Cartilages

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