PMID- 32667821
OWN - NLM
STAT- MEDLINE
DCOM- 20201116
LR  - 20201116
IS  - 1552-3365 (Electronic)
IS  - 0363-5465 (Linking)
VI  - 48
IP  - 10
DP  - 2020 Aug
TI  - Hip Arthroscopy in the High-Level Athlete: Does Capsular Closure Make a 
      Difference?
PG  - 2465-2470
LID - 10.1177/0363546520936255 [doi]
AB  - BACKGROUND: Hip arthroscopy has been shown to be effective in athletes who have 
      femoral acetabular impingement and labral tearing. The effect of complete 
      capsular closure versus nonclosure on return to play is unknown. HYPOTHESIS: 
      Complete capsular closure after hip arthroscopy would lead to a higher rate and 
      faster return to sports in high-level athletes. STUDY DESIGN: Cohort study; Level 
      of evidence, 3. METHODS: A nonrandomized retrospective review was performed of 
      high school, collegiate, and professional athletes undergoing hip arthroscopy by 
      a single high-volume hip arthroscopic surgeon. Athletes were divided into those 
      undergoing complete capsular closure (CC group) and non-capsular closure (NC 
      group) after hip arthroscopy. Rate and time to return to play were determined 
      between the 2 groups. Patient-reported outcomes including modified Harris Hip 
      Score (mHHS), Hip Outcome Score Activities of Daily Living (HOS-ADL), and Hip 
      Outcome Score Sport-Specific Subscale (HOS-SSS) were obtained at a minimum of 2 
      years. RESULTS: A total of 111 athletes with a minimum 2-year follow-up were 
      included in the study. There were 62 in the CC group and 49 in the NC group. A 
      higher percentage of athletes in the CC group returned to play compared with that 
      in the NC group (90.3% vs 75.5%, respectively; P = .03). The CC group returned to 
      play at a mean +/- SD of 4.7 +/- 1.9 months compared with 5.8 +/- 2.6 months in the NC 
      group (P < .001). Patients in the CC group met the minimal clinically important 
      difference for the mHHS, HOS-ADL, and HOS-SSS patient-reported outcomes at higher 
      percentages: mHHS, 98.3% vs 87.7% for CC vs NC, respectively (P = .02); HOS-ADL, 
      98.3% vs 87.7% (P = .02); and HOS-SSS, 96.7% vs 89.7% (P = .13). The difference 
      between groups was statistically significant for mHHS and HOS-ADL. CONCLUSION: 
      Complete capsular closure after hip arthroscopy was associated with faster return 
      to play and a higher rate of return compared with that of nonclosure of the 
      capsule in this sample population of high-level athletes. At a minimum 2-year 
      follow-up, complete capsular closure was associated with significantly higher 
      patient-reported outcomes compared with those of nonclosure in athletes who 
      underwent hip arthroscopy.
FAU - Hassebrock, Jeffrey D
AU  - Hassebrock JD
AD  - Department of Orthopedics, Mayo Clinic Arizona, Phoenix, Arizona, USA.
FAU - Makovicka, Justin L
AU  - Makovicka JL
AD  - Department of Orthopedics, Mayo Clinic Arizona, Phoenix, Arizona, USA.
FAU - Chhabra, Anikar
AU  - Chhabra A
AD  - Department of Orthopedics, Mayo Clinic Arizona, Phoenix, Arizona, USA.
FAU - Anastasi, Matthew B
AU  - Anastasi MB
AD  - Department of Orthopedics, Mayo Clinic Arizona, Phoenix, Arizona, USA.
FAU - Menzer, Heather M
AU  - Menzer HM
AD  - Department of Orthopaedics, Phoenix Children's Hospital, Phoenix, Arizona, USA.
FAU - Wilcox, Justin G
AU  - Wilcox JG
AD  - Department of Orthopedics, Mayo Clinic Arizona, Phoenix, Arizona, USA.
FAU - Economopoulos, Kostas J
AU  - Economopoulos KJ
AD  - Department of Orthopedics, Mayo Clinic Arizona, Phoenix, Arizona, USA.
LA  - eng
PT  - Journal Article
DEP - 20200715
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  - *Arthroscopy
MH  - Athletes
MH  - *Femoracetabular Impingement/surgery
MH  - Hip Joint/*surgery
MH  - Humans
MH  - Retrospective Studies
MH  - Rupture/surgery
MH  - Treatment Outcome
OTO - NOTNLM
OT  - athletes
OT  - capsular closure
OT  - capsulotomy
OT  - hip arthroscopy
OT  - return to play
EDAT- 2020/07/16 06:00
MHDA- 2020/11/18 06:00
CRDT- 2020/07/16 06:00
PHST- 2020/07/16 06:00 [pubmed]
PHST- 2020/11/18 06:00 [medline]
PHST- 2020/07/16 06:00 [entrez]
AID - 10.1177/0363546520936255 [doi]
PST - ppublish
SO  - Am J Sports Med. 2020 Aug;48(10):2465-2470. doi: 10.1177/0363546520936255. Epub 
      2020 Jul 15.