Return-to-Play and Performance Outcomes of Professional Athletes in North America After Hip Arthroscopy From 1999 to 2016

Schallmo, Michael S.; Fitzpatrick, Thomas H.; Yancey, Hunter B; Marquez-Lara, Alejandro; Luo, T. David; Stubbs, Allston J.

doi:10.1177/0363546518773080

Cited by 48 publications

(80 citation statements)

References 34 publications

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“…Similar studies using publicly available sources for data collection have yielded different results, indicating that these data sets may not be ideal sources from which to draw worthy conclusions. 2 As stated in the limitations of their study, the data used by Christian et al 1 do not give information regarding diagnosis, concomitant pathology, surgical procedure, postoperative rehabilitation, or prior interventions. However, this information is vital to understanding which patients will benefit from surgical intervention and is needed to effectively counsel patients on postoperative recovery and return to sport.…”

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confidence: 94%

“…In concordance with previous literature, this study supports a high rate of return (88.7%) for professional athletes after hip arthroscopy. [1][2][3] We would like to commend the authors for taking this topic 1 step further by looking at performance-based outcomes because return to sport and "meaningful" return to sport are 2 different concepts for the athlete.…”

Section: See Related Article On Page 837mentioning

confidence: 99%

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Editorial Commentary: Hip Arthroscopy in the Professional Athlete…Back in the Game

Sahota¹,

Kelly²

2019

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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With improved outcomes and expanding indications, the rate of hip arthroscopy for treatment of numerous pathologies has increased. There is significant interest from patients and providers alike regarding return to meaningful play after surgical intervention, particularly for the professional athlete. Although each athlete and each sport have unique obstacles, the literature suggests hip arthroscopy has a high success rate and allows for elite athletes to return to play without significant differences in postoperative performance scores.

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Section: See Related Article On Page 837mentioning

confidence: 94%

Section: See Related Article On Page 837mentioning

confidence: 99%

Editorial Commentary: Hip Arthroscopy in the Professional Athlete…Back in the Game

Sahota¹,

Kelly²

2019

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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“…A number of studies have focused on postoperative performance outcomes in athletes. 20,22,31 While many of those have demonstrated high rates of return to play, there appears to be no consensus as to its definition-whether to include practices, preseason games, and so on. 20,31 This, in turn, limits the ability of providers to inform the postoperative expectations of athletes as they weigh their options and determine whether hip arthroscopy is the optimal treatment.…”

mentioning

confidence: 99%

“…20,22,31 While many of those have demonstrated high rates of return to play, there appears to be no consensus as to its definition-whether to include practices, preseason games, and so on. 20,31 This, in turn, limits the ability of providers to inform the postoperative expectations of athletes as they weigh their options and determine whether hip arthroscopy is the optimal treatment. The aim of the present study was therefore to review and critically evaluate the various definitions of return to sport used in the literature, with the goal of establishing a single standard to enable comparison of outcomes in future studies.…”

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confidence: 99%

Definitions of Return to Sport After Hip Arthroscopy: Are We Speaking the Same Language and Are We Measuring the Right Outcome?

Chona

Bonano

Ayeni

et al. 2020

Orthopaedic Journal of Sports Medicine

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Background: Return to sport is a commonly studied outcome of hip arthroscopy that is relevant to both patients and providers. There exists substantial variability in criteria used to define successful return to sport. Purpose: To review and evaluate the definitions used in the literature so as to establish a single standard to enable comparison of outcomes in future studies. Study Design: Systematic review; Level of evidence, 4. Methods: The PubMed, MEDLINE, and Embase databases were searched from inception to June 1, 2019, for studies relating to hip arthroscopy and return to sport. Articles included were those that met the following criteria: (1) contained 2 or more patients, (2) studied patients 18 years of age and older, (3) reported postoperative outcomes after hip arthroscopy, (4) clearly defined return to play, and (5) were written in English. Excluded articles (1) reported outcomes for nonoperative or open treatments, (2) did not clearly define return to play, or (3) were review articles, meta-analyses, or survey-based studies. Return-to-play definitions and additional metrics of postoperative performance and outcome were recorded. Results: A total of 185 articles were identified, and 28 articles were included in the final review, of which 18 involved elite athletes and 10 involved recreational athletes. Of articles studying elite athletes, 6 (33%) defined return to play as participation in regular or postseason competition, 3 (17%) extended the criteria to the preseason, and 2 (11%) used participation in sport-related activities and training. The remaining 7 (39%) reported rates of return to the preoperative level of competition but did not specify preseason versus regular season. All 10 articles evaluating recreational athletes defined return to play based on patient-reported outcomes. Four (40%) did so qualitatively, while 6 (60%) did so quantitatively. Conclusion: There exists significant variability in criteria used to define successful return to sport after hip arthroscopy, and these criteria differ among elite and recreational athletes. For elite athletes, return to the preoperative level of competition is most commonly used, but there exists no consensus on what type of competition—regular season, preseason, or training—is most appropriate. For recreational athletes, patient-reported data are most commonly employed, although there are clear differences between authors on the ways in which these are being used as well.

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“…These findings are consistent with existing literature, which supports high return to sport and good performance in professional athletes following hip arthroscopy. [2][3][4][5][6] In The Outliers, Malcolm Gladwell asserts that it takes 10,000 hours of practice to become an expert in any field. 7 Professional athletes possess an unparalleled amount of determination, will, and resilience, which not only place them in the elite few, but also keep them at the highest level year after year.…”

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confidence: 99%

Editorial Commentary: Returning to High-Impact Sports After Hip Arthroscopy: Are We Shooting Ourselves in the Hip?

Rosinsky

Chen

Domb

2019

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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There is a clear consensus in the literature that professional athletes exhibit high rates of return to sport following hip arthroscopy. As orthopaedic surgeons, we are well equipped to guide athletes back to the field after intraarticular hip injuries. However, returning to high-impact sports and playing through the pain can have implications on long-term health. Literature suggests that former elite athletes are at greater risk for reinjury and developing hip osteoarthritis compared with non-athletes. While it is incumbent upon us as orthopaedic surgeons to inform and advise our patients regarding the long-term consequences of return to sport after a hip injury, we recognize and enthusiastically support the passion that many athletes feel for the game and the vast benefits that they can derive from returning to the sport they love.

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Return-to-Play and Performance Outcomes of Professional Athletes in North America After Hip Arthroscopy From 1999 to 2016

Abstract: This study supports the hypothesis that hip arthroscopy in professional athletes is associated with excellent rates of return at the professional level. However, postoperative performance outcomes varied based on sport and position.

Cited by 48 publications

References 34 publications

Editorial Commentary: Hip Arthroscopy in the Professional Athlete…Back in the Game

Editorial Commentary: Hip Arthroscopy in the Professional Athlete…Back in the Game

Definitions of Return to Sport After Hip Arthroscopy: Are We Speaking the Same Language and Are We Measuring the Right Outcome?

Editorial Commentary: Returning to High-Impact Sports After Hip Arthroscopy: Are We Shooting Ourselves in the Hip?

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