PMID- 28506616
OWN - NLM
STAT- MEDLINE
DCOM- 20180327
LR  - 20220409
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
VI  - 33
IP  - 8
DP  - 2017 Aug
TI  - Outcomes of Hip Arthroscopy in Competitive Athletes.
PG  - 1521-1529
LID - S0749-8063(17)30250-5 [pii]
LID - 10.1016/j.arthro.2017.03.006 [doi]
AB  - PURPOSE: To evaluate the minimum 2-year postoperative clinical outcomes and the 
      rate of return to sports in athletes who underwent capsular plication for the 
      treatment of ligamentous laxity and/or borderline dysplasia during hip 
      arthroscopy for the treatment of femoroacetabular impingement and labral 
      pathology. METHODS: Since 2008, data were prospectively collected on patients who 
      underwent hip arthroscopy for the treatment of femoroacetabular impingement 
      and/or labral tears. Inclusion criteria were as follows: athlete at the high 
      school, collegiate, or professional levels preoperatively, underwent capsular 
      plication, and preoperatively recorded patient-reported outcome scores including 
      modified Harris hip score (mHHS), nonarthritic athletic hip score (NAHS), hip 
      outcome score-sports-specific subscale (HOS-SSS), and visual analog scale (VAS). 
      Exclusion criteria were as follows: <16 years old, preoperative Tonnis grade >1, 
      and previous hip conditions. Sports activity and competitive levels were 
      collected at a minimum of 2 years postoperatively. RESULTS: Fifty-one hips (49 
      patients) met the inclusion criteria, and 41 hips (39 patients) had minimum 
      2-year follow-up (80.4% follow-up). Mean mHHS increased from 67.1 preoperatively 
      to 83.5 (P < .0001). Mean NAHS increased from 66.8 to 88.8 (P < .0001). Mean 
      HOS-SSS improved from 46.8 to 80.1 (P < .0001). Mean VAS decreased from 5.1 to 
      1.7 (P < .0001). Thirty-five (85.4%) hip arthroscopies allowed the patients to 
      return to sports at follow-up. Thirty-four (82.9%) hip arthroscopies allowed the 
      patients to maintain their competitive physical abilities at follow-up. 
      CONCLUSIONS: Patient-reported outcomes and VAS in athletes significantly improved 
      at a minimum of 2 years after capsular plication as a part of hip arthroscopy 
      addressing varying pathologies. In addition, most patients returned to sports at 
      similar or higher competitive levels. These results suggest that capsular 
      plication is a favorable treatment option in athletes with ligamentous laxity 
      and/or borderline dysplasia. LEVEL OF EVIDENCE: Level IV, therapeutic case 
      series.
CI  - Copyright (c) 2017 Arthroscopy Association of North America. Published by Elsevier 
      Inc. All rights reserved.
FAU - Perets, Itay
AU  - Perets I
AD  - American Hip Institute, Westmont, Illinois, U.S.A.
FAU - Hartigan, David E
AU  - Hartigan DE
AD  - Mayo Clinic Arizona, Phoenix, Arizona, U.S.A.
FAU - Chaharbakhshi, Edwin O
AU  - Chaharbakhshi EO
AD  - American Hip Institute, Westmont, Illinois, U.S.A.; Stritch School of Medicine, 
      Loyola University Chicago, Chicago, Illinois, U.S.A.
FAU - Ashberg, Lyall
AU  - Ashberg L
AD  - Atlantis Orthopaedics, Palm Beach Gardens, Florida, U.S.A.
FAU - Ortiz-Declet, Victor
AU  - Ortiz-Declet V
AD  - American Hip Institute, Westmont, Illinois, U.S.A.
FAU - Domb, Benjamin G
AU  - Domb BG
AD  - American Hip Institute, Westmont, Illinois, U.S.A.; Hinsdale Orthopaedics, 
      Westmont, Illinois, U.S.A.. Electronic address: DrDomb@americanhipinstitute.org.
LA  - eng
PT  - Journal Article
DEP - 20170512
PL  - United States
TA  - Arthroscopy
JT  - Arthroscopy : the journal of arthroscopic & related surgery : official 
      publication of the Arthroscopy Association of North America and the International 
      Arthroscopy Association
JID - 8506498
SB  - IM
MH  - Adolescent
MH  - Arthroscopy/methods
MH  - Athletic Injuries/diagnostic imaging/physiopathology/rehabilitation/*surgery
MH  - Female
MH  - Femoracetabular Impingement/diagnostic 
      imaging/physiopathology/rehabilitation/*surgery
MH  - Femur Head/diagnostic imaging/physiopathology/*surgery
MH  - Humans
MH  - Joint Instability/physiopathology/surgery
MH  - Male
MH  - Recovery of Function
MH  - *Sports
MH  - Treatment Outcome
MH  - Visual Analog Scale
MH  - Young Adult
EDAT- 2017/05/17 06:00
MHDA- 2018/03/28 06:00
CRDT- 2017/05/17 06:00
PHST- 2016/05/28 00:00 [received]
PHST- 2017/02/15 00:00 [revised]
PHST- 2017/03/02 00:00 [accepted]
PHST- 2017/05/17 06:00 [pubmed]
PHST- 2018/03/28 06:00 [medline]
PHST- 2017/05/17 06:00 [entrez]
AID - S0749-8063(17)30250-5 [pii]
AID - 10.1016/j.arthro.2017.03.006 [doi]
PST - ppublish
SO  - Arthroscopy. 2017 Aug;33(8):1521-1529. doi: 10.1016/j.arthro.2017.03.006. Epub 
      2017 May 12.