PMID- 27896294
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220330
IS  - 2325-9671 (Print)
IS  - 2325-9671 (Electronic)
IS  - 2325-9671 (Linking)
VI  - 4
IP  - 11
DP  - 2016 Nov
TI  - A Qualitative Assessment of Return to Sport After Hip Arthroscopy for 
      Femoroacetabular Impingement.
PG  - 2325967116671940
LID - 2325967116671940
AB  - BACKGROUND: Hip arthroscopy for femoroacetabular impingement (FAI) is known to 
      produce excellent outcomes, yet some patients do not return to their preinjury 
      level of sport participation. Much literature on return to sport has revolved 
      around anterior cruciate ligament reconstruction and even shoulder instability, 
      but none to date have used qualitative, semistructured patient interviews on 
      patients with hip labral tears. PURPOSE: To understand the factors influencing 
      the decision to return to sport after arthroscopic hip surgery for FAI. STUDY 
      DESIGN: Case series; Level of evidence, 4. METHODS: An experienced interviewer 
      conducted qualitative, semistructured interviews of patients aged 18 to 60 years 
      who had arthroscopic hip surgery for FAI. All had preinjury participation in 
      sport and a minimum 2-year follow-up with no revision surgery. Qualitative 
      analysis was then performed to derive codes, categories, and themes. An 
      assessment of preinjury and current sports participation by type, level of 
      competition, and frequency along with patient-reported hip function was also 
      obtained. In addition, current modified Harris Hip Score (mHHS), international 
      Hip Outcome Tool (iHOT-12), Hip Outcome Score-sports-specific subscale (HOS-SSS), 
      and a coping mechanism evaluation (Brief COPE) were also recorded. RESULTS: A 
      total of 23 patients were interviewed to reveal the overarching themes of 
      internal motivation, external encouragement, and resetting expectations as the 
      predominant factors influencing a patient's decision to return to preinjury 
      sport. Subjective outcome measurements (mHHS, iHOT-12, patient satisfaction) 
      showed significant differences between patients who did and did not return to 
      sport. Interestingly, the adaptive and maladaptive coping mechanisms matched and 
      supported our themes in those patients who described fear and self-motivation as 
      defining features influencing their cessation of or return to play, respectively. 
      CONCLUSION: Self-motivation, aging, pain, encouragement from others, and adapting 
      to physical limitations can largely affect a patient's decision to return to 
      sport after arthroscopic hip surgery for FAI. Innate coping mechanisms may also 
      help to predict the course of and subsequently aid in a patient's postoperative 
      recovery.
FAU - Tjong, Vehniah K
AU  - Tjong VK
AD  - Department of Orthopaedic Surgery, Northwestern University Feinberg School of 
      Medicine, Chicago, Illinois, USA.
FAU - Cogan, Charles J
AU  - Cogan CJ
AD  - Department of Orthopaedic Surgery, Northwestern University Feinberg School of 
      Medicine, Chicago, Illinois, USA.
FAU - Riederman, Brett D
AU  - Riederman BD
AD  - Department of Orthopaedic Surgery, Northwestern University Feinberg School of 
      Medicine, Chicago, Illinois, USA.
FAU - Terry, Michael A
AU  - Terry MA
AD  - Department of Orthopaedic Surgery, Northwestern University Feinberg School of 
      Medicine, Chicago, Illinois, USA.
LA  - eng
GR  - UL1 TR001422/TR/NCATS NIH HHS/United States
PT  - Journal Article
DEP - 20161117
PL  - United States
TA  - Orthop J Sports Med
JT  - Orthopaedic journal of sports medicine
JID - 101620522
CIN - Sportverletz Sportschaden. 2017 Jan;31(1):17. PMID: 28359129
PMC - PMC5117156
OTO - NOTNLM
OT  - femoroacetabular impingement
OT  - hip arthroscopy
OT  - qualitative interview
OT  - return to sport
COIS- The authors declared that they have no conflicts of interest in the authorship 
      and publication of this contribution.
EDAT- 2016/11/30 06:00
MHDA- 2016/11/30 06:01
PMCR- 2016/11/01
CRDT- 2016/11/30 06:00
PHST- 2016/11/30 06:00 [entrez]
PHST- 2016/11/30 06:00 [pubmed]
PHST- 2016/11/30 06:01 [medline]
PHST- 2016/11/01 00:00 [pmc-release]
AID - 10.1177_2325967116671940 [pii]
AID - 10.1177/2325967116671940 [doi]
PST - epublish
SO  - Orthop J Sports Med. 2016 Nov 17;4(11):2325967116671940. doi: 
      10.1177/2325967116671940. eCollection 2016 Nov.