PMID- 33239184
OWN - NLM
STAT- MEDLINE
DCOM- 20210604
LR  - 20210604
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
VI  - 37
IP  - 2
DP  - 2021 Feb
TI  - Chronic Hip Injury Has a Negative Emotional Impact on the Male Athlete With 
      Femoroacetabular Impingement.
PG  - 566-576
LID - S0749-8063(20)30891-4 [pii]
LID - 10.1016/j.arthro.2020.10.035 [doi]
AB  - PURPOSE: To evaluate the impact of hip arthroscopy for femoroacetabular 
      impingement (FAI) on both the physical and mental components of the 36-Item Short 
      Form (SF-36) and assess how changes in health status compare with improvements in 
      physical function and ability to continue to play (CTP) 2 years after surgery. 
      METHOD: Data collected prospectively from male athletes undergoing primary 
      arthroscopic correction of FAI between November 2008 and October 2016 were 
      analyzed. Physical (PCS) and mental (MCS) component scores of the SF-36 were 
      assessed preoperatively and 2 years postoperatively. The minimal clinical 
      important difference (MCID) was calculated using an anchor-based percentage of 
      possible improvement technique, and the proportion of athletes achieving MCID was 
      established. Logistic regression analysis was used to identify predictors of 
      achieving MCID. CTP was assessed at 2-year follow-up. RESULTS: 486 cases were 
      included, age 25.9 +/- 5.6 years. Median PCS improved from baseline 69.4 (51.9 to 
      85.0) to 91.9 (81.9 to 97.5) at 2 years (P < .001). Median MCS remained 
      unchanged-preoperative, 88 (76 to 92); postoperative, 88 (80 to 96)-although the 
      difference in the distribution of scores was statistically significant (P < 
      .001). Calculated MCID was 60.1% (PCS) and 58.1% (MCS). Mean improvement was 
      significantly higher for PCS compared with MCS (17.4 versus 3.7, P < .001) The 
      proportion of cases achieving MCID was 56.9% and 28.7% for PCS and MCS, 
      respectively, and the difference was statistically significant (P < .001). Lower 
      Tonnis grade (odds ratio [OR] 0.601, 95% confidence interval [CI] 0.377 to 0.958; 
      P = .032) and symptom duration <2 years (OR 0.624, 95% CI 0.406 to 0.960; P = 
      .032) were predictive of achieving PCS MCID. Higher preoperative scores decreased 
      the odds of achieving MCID (OR 0.965, 95% CI 0.955 to 0.975; P < .001; OR 0.972, 
      95% CI 0.958 to 0.986; P < .001 for PCS and MCS, respectively). 77.3% continued 
      to play their main preinjury sport. Where CTP was not achieved, a significantly 
      higher proportion of cases failed to meet MCID for the MCS compared with PCS (85% 
      versus 60%, P < .001). CONCLUSION: Arthroscopic management of sports-related FAI 
      results in excellent overall clinical outcome and high levels of satisfaction and 
      CTP at 2 years. Chronic hip injury has a significant negative effect on the 
      physical and mental well-being of athletes; corrective surgery may restore 
      physical function but is more limited in its ability to improve mental health 
      status in this athletic cohort. LEVEL OF EVIDENCE: IV, therapeutic case series.
CI  - Copyright (c) 2020 Arthroscopy Association of North America. Published by Elsevier 
      Inc. All rights reserved.
FAU - Filan, David
AU  - Filan D
AD  - Hip and Groin Clinic, University of Pittsburgh Medical Center Whitfield, 
      Waterford, Ireland. Electronic address: thehipandgroinclinic@gmail.com.
FAU - Carton, Patrick
AU  - Carton P
AD  - Hip and Groin Clinic, University of Pittsburgh Medical Center Whitfield, 
      Waterford, Ireland.
LA  - eng
PT  - Journal Article
DEP - 20201024
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
CIN - Arthroscopy. 2021 Feb;37(2):577-578. PMID: 33546795
MH  - Adult
MH  - Arthroscopy
MH  - Athletes/*psychology
MH  - Chronic Disease
MH  - Cohort Studies
MH  - Emotions/*physiology
MH  - Femoracetabular Impingement/*complications
MH  - Hip Injuries/*complications/*psychology
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Minimal Clinically Important Difference
MH  - Patient Reported Outcome Measures
MH  - Regression Analysis
MH  - Sports
MH  - Treatment Outcome
MH  - Young Adult
EDAT- 2020/11/27 06:00
MHDA- 2021/06/05 06:00
CRDT- 2020/11/26 05:32
PHST- 2020/05/30 00:00 [received]
PHST- 2020/10/13 00:00 [revised]
PHST- 2020/10/17 00:00 [accepted]
PHST- 2020/11/27 06:00 [pubmed]
PHST- 2021/06/05 06:00 [medline]
PHST- 2020/11/26 05:32 [entrez]
AID - S0749-8063(20)30891-4 [pii]
AID - 10.1016/j.arthro.2020.10.035 [doi]
PST - ppublish
SO  - Arthroscopy. 2021 Feb;37(2):566-576. doi: 10.1016/j.arthro.2020.10.035. Epub 2020 
      Oct 24.