PMID- 31743036
OWN - NLM
STAT- MEDLINE
DCOM- 20200908
LR  - 20200908
IS  - 1552-3365 (Electronic)
IS  - 0363-5465 (Linking)
VI  - 48
IP  - 1
DP  - 2020 Jan
TI  - Comparing Outcomes of Competitive Athletes Versus Nonathletes Undergoing Hip 
      Arthroscopy for Treatment of Femoroacetabular Impingement Syndrome.
PG  - 159-166
LID - 10.1177/0363546519885359 [doi]
AB  - BACKGROUND: A growing number of studies have examined return to sport in 
      competitive athletes after undergoing hip arthroscopy for femoroacetabular 
      impingement syndrome (FAIS); however, few have evaluated the rate of achieving 
      meaningful clinical outcomes in this group. PURPOSE: To determine if competitive 
      athletes (professional, semiprofessional, or collegiate) have better 2-year 
      patient-reported outcomes and achieve the minimal clinically important difference 
      (MCID) and substantial clinical benefit at higher rates when compared with 
      nonathletes undergoing hip arthroscopy for the treatment of FAIS. STUDY DESIGN: 
      Cohort study; Level of evidence, 3. METHODS: The study was a retrospective 
      analysis of all consecutive patients who identified as either a competitive 
      athlete or a nonathlete and had undergone hip arthroscopy for FAIS by a single 
      fellowship-trained surgeon between January 2012 and April 2017. Patients in the 2 
      groups were matched 1:2 by age, sex, and body mass index. Baseline and clinical 
      outcomes, including the Hip Outcome Score-Activities of Daily Living, Hip Outcome 
      Score-Sports Subscale (HOS-SS), modified Harris Hip Score, and international Hip 
      Outcome Tool-12, were collected preoperatively and at 2 years postoperatively and 
      compared between the groups. The MCID and substantial clinical benefit were 
      calculated for each group separately and compared using chi-square analysis. 
      RESULTS: A total of 59 competitive athletes and 118 nonathletes were included in 
      the final analysis. Most of the competitive athletes were soccer players (23.7%), 
      followed by softball players (10.2%) and runners (10.2%). Postoperative score 
      comparison between competitive athletes and nonathletes demonstrated a 
      statistically significant difference in the HOS-SS (mean +/- SD, 84.5 +/- 19.0 vs 
      76.1 +/- 23.8; P = .02). Meaningful outcome analysis demonstrated that competitive 
      athletes had a higher rate of achieving the HOS-SS threshold for the MCID (97.4% 
      vs 82.5%; P = .021). There was no other difference in frequency of achieving the 
      threshold for any other meaningful clinical outcome between the groups. 
      CONCLUSION: Hip arthroscopy for the treatment of FAIS in competitive athletes and 
      nonathletes produced clinically meaningful outcomes in both patient groups. 
      However, competitive athletes achieved the MCID on the HOS-SS at higher rates 
      than nonathletes and had significantly higher scores at 2 years postoperatively 
      on the HOS-SS.
FAU - Clapp, Ian M
AU  - Clapp IM
AD  - Department of Orthopedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, USA.
FAU - Nwachukwu, Benedict U
AU  - Nwachukwu BU
AD  - Department of Orthopedic Surgery, Hospital for Special Surgery, New York, New 
      York, USA.
FAU - Beck, Edward C
AU  - Beck EC
AD  - Department of Orthopedic Surgery, Wake Forest Baptist Health, Winston-Salem, 
      North Carolina, USA.
FAU - Jan, Kyleen
AU  - Jan K
AD  - Department of Orthopedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, USA.
FAU - Gowd, Anirudh K
AU  - Gowd AK
AD  - Department of Orthopedic Surgery, Wake Forest Baptist Health, Winston-Salem, 
      North Carolina, USA.
FAU - Nho, Shane J
AU  - Nho SJ
AD  - Department of Orthopedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, USA.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20191119
PL  - United States
TA  - Am J Sports Med
JT  - The American journal of sports medicine
JID - 7609541
SB  - IM
MH  - Activities of Daily Living
MH  - Adolescent
MH  - Adult
MH  - Arthroscopy/*methods
MH  - Cohort Studies
MH  - Female
MH  - Femoracetabular Impingement/*surgery
MH  - Hip Joint/*surgery
MH  - Humans
MH  - Male
MH  - Minimal Clinically Important Difference
MH  - Postoperative Period
MH  - Retrospective Studies
MH  - Treatment Outcome
MH  - Young Adult
OTO - NOTNLM
OT  - FAIS
OT  - MCID
OT  - SCB
OT  - athletes
OT  - femoroacetabular impingement syndromes
OT  - hip arthroscopy
EDAT- 2019/11/20 06:00
MHDA- 2020/09/09 06:00
CRDT- 2019/11/20 06:00
PHST- 2019/11/20 06:00 [pubmed]
PHST- 2020/09/09 06:00 [medline]
PHST- 2019/11/20 06:00 [entrez]
AID - 10.1177/0363546519885359 [doi]
PST - ppublish
SO  - Am J Sports Med. 2020 Jan;48(1):159-166. doi: 10.1177/0363546519885359. Epub 2019 
      Nov 19.