Pre-operative comparisons for a return to running protocol in recreational athletes following hip arthroscopy

Abstract

The purpose of the current study was to present pre-operative comparisons for recreational athletes attempting a return to running following hip arthroscopy, and the return to running progression protocol used to guide them. A prospective, non-randomized cohort study was conducted to evaluate recreational athletes that returned to running following hip arthroscopy. Return to running was the primary outcome measure and defined as the ability to run at least one mile three times weekly while maintaining patient-reported relief of pre-operative symptoms. Patients included were correlated with the following pre-operative patient-reported outcome measures: hip outcome score (HOS), 12-item international outcome tool (iHOT-12), visual analog scale for pain (VAS) and the Short-Form Health Survey (SF-12). Of the 99 included patients, 94 (95%) returned to running successfully with an average return of 4.8 months. There was no statistical difference in pre-operative comparisons between patients that returned to running and did not return to running (P ≥ 0.154). Evaluation of pre-operative clinical outcomes demonstrated no statistical difference between individuals that returned and did not return to running (P ≥ 0.177), but a large difference between the two groups was identified for HOS-ADL (64.8 versus 53.7, returned versus did not return), iHOT-12 (33.8 versus 25.4) and VAS (58.6 versus 69.3). Patients who returned to running demonstrated similar intraoperative procedures as those that did not return to running (P ≥ 0.214). The current study successfully establishes a management plan and progression protocol for patients identifying a return to recreational running following hip arthroscopy. Level of evidence: 3.

A High Rate of Return to Running Is Seen After Both Arthroscopic and Open Shoulder Surgery

“…Although the shoulder joint is not a direct load-bearing joint during running, running imparts loads on the shoulder that require coordinated contraction of the dynamic stabilizers of the glenohumeral joint to maintain concentric reduction of the glenohumeral joint. Although prior studies have reported on return to running after knee and hip surgery, 1 , 2 little is known regarding return to running after shoulder surgery. Numerous studies have reported on RTS after arthroscopic and open shoulder surgery with a common timeline of 5 to 6 months.…”