PMID- 34156875
OWN - NLM
STAT- MEDLINE
DCOM- 20210809
LR  - 20210809
IS  - 1552-3365 (Electronic)
IS  - 0363-5465 (Linking)
VI  - 49
IP  - 9
DP  - 2021 Jul
TI  - Achieving Successful Outcomes in High-Level Athletes With Borderline Hip 
      Dysplasia Undergoing Hip Arthroscopy With Capsular Plication and Labral 
      Preservation: A Propensity-Matched Controlled Study.
PG  - 2447-2456
LID - 10.1177/03635465211021001 [doi]
AB  - BACKGROUND: Return to sports (RTS) rates and patient-reported outcomes (PROs) 
      after hip arthroscopy in athletes with borderline dysplasia (BD) have not been 
      established. PURPOSE: (1) To report minimum 2-year PROs and RTS rates in 
      high-level athletes with BD who underwent hip arthroscopy for labral pathology in 
      the setting of microinstability and (2) to compare clinical results with those of 
      a matched control group of athletes with normal acetabular coverage. STUDY 
      DESIGN: Cohort study; Level of evidence, 3. METHODS: Data were reviewed for 
      surgery performed between January 2012 and July 2018. Patients were considered 
      eligible if they received a primary hip arthroscopy in the setting of BD (lateral 
      center-edge angle, 18 degrees -25 degrees ) and competed in professional, collegiate, or high 
      school sports. Inclusion criteria included preoperative and minimum 2-year 
      follow-up scores for the modified Harris Hip Score, Non-arthritic Hip Score, Hip 
      Outcome Score-Sport Specific Subscale, and visual analog scale for pain. Athletes 
      with BD were matched to a control group of athletes with normal acetabular 
      coverage (lateral center-edge angle, 25 degrees -40 degrees ). RESULTS: A total of 65 patients 
      with BD were included in the study with a mean +/- standard deviation follow-up of 
      47.5 +/- 20.4 months. Athletes with BD showed significant improvement in all 
      outcome measures recorded, demonstrated high RTS rates (80.7%), and achieved the 
      minimal clinically important difference (MCID) and Patient Acceptable Symptom 
      State (PASS) for the Hip Outcome Score-Sport Specific Subscale at high rates 
      (MCID, 90.8%; PASS, 75.4%). When compared with a propensity-matched control group 
      with normal acetabular coverage, capsular plication was performed more commonly 
      in the BD group (93.8% vs 82.7%; P = .037). PROs and RTS, PASS, and MCID rates 
      were similar between the BD and control groups (P > .05). CONCLUSION: High-level 
      athletes with BD who undergo primary hip arthroscopy for labral pathology in the 
      setting of microinstability may expect favorable PROs and RTS rates at minimum 
      2-year follow-up. These results were comparable with those of a control group of 
      athletes with normal coverage.
FAU - Jimenez, Andrew E
AU  - Jimenez AE
AUID- ORCID: 0000-0002-7979-6536
AD  - American Hip Institute Research Foundation, Chicago, Illinois, USA.
FAU - Monahan, Peter F
AU  - Monahan PF
AUID- ORCID: 0000-0002-6101-3652
AD  - American Hip Institute Research Foundation, Chicago, Illinois, USA.
FAU - Miecznikowski, Kara B
AU  - Miecznikowski KB
AD  - American Hip Institute Research Foundation, Chicago, Illinois, USA.
FAU - Saks, Benjamin R
AU  - Saks BR
AD  - American Hip Institute Research Foundation, Chicago, Illinois, USA.
AD  - AMITA Health St Alexius Medical Center, Hoffman Estates, Illinois, USA.
FAU - Ankem, Hari K
AU  - Ankem HK
AUID- ORCID: 0000-0002-5936-7806
AD  - American Hip Institute Research Foundation, Chicago, Illinois, USA.
FAU - Sabetian, Payam W
AU  - Sabetian PW
AD  - American Hip Institute Research Foundation, Chicago, Illinois, USA.
FAU - Lall, Ajay C
AU  - Lall AC
AD  - American Hip Institute Research Foundation, Chicago, Illinois, USA.
AD  - AMITA Health St Alexius Medical Center, Hoffman Estates, Illinois, USA.
AD  - American Hip Institute, Chicago, Illinois, USA.
FAU - Domb, Benjamin G
AU  - Domb BG
AD  - American Hip Institute Research Foundation, Chicago, Illinois, USA.
AD  - AMITA Health St Alexius Medical Center, Hoffman Estates, Illinois, USA.
AD  - American Hip Institute, Chicago, Illinois, USA.
LA  - eng
PT  - Journal Article
DEP - 20210622
PL  - United States
TA  - Am J Sports Med
JT  - The American journal of sports medicine
JID - 7609541
SB  - IM
MH  - Arthroscopy
MH  - Athletes
MH  - Cohort Studies
MH  - *Femoracetabular Impingement/surgery
MH  - Follow-Up Studies
MH  - *Hip Dislocation/surgery
MH  - Hip Joint/surgery
MH  - Humans
MH  - Patient Reported Outcome Measures
MH  - Retrospective Studies
MH  - Treatment Outcome
OTO - NOTNLM
OT  - borderline dysplasia
OT  - femoroacetabular impingement syndrome
OT  - hip arthroscopy
OT  - patient-reported outcomes
EDAT- 2021/06/23 06:00
MHDA- 2021/08/10 06:00
CRDT- 2021/06/22 17:12
PHST- 2021/06/23 06:00 [pubmed]
PHST- 2021/08/10 06:00 [medline]
PHST- 2021/06/22 17:12 [entrez]
AID - 10.1177/03635465211021001 [doi]
PST - ppublish
SO  - Am J Sports Med. 2021 Jul;49(9):2447-2456. doi: 10.1177/03635465211021001. Epub 
      2021 Jun 22.