PMID- 34643474
OWN - NLM
STAT- MEDLINE
DCOM- 20211117
LR  - 20211117
IS  - 1552-3365 (Electronic)
IS  - 0363-5465 (Linking)
VI  - 49
IP  - 13
DP  - 2021 Nov
TI  - Comparing Midterm Outcomes of High-Level Athletes Versus Nonathletes Undergoing 
      Primary Hip Arthroscopy: A Propensity-Matched Comparison With Minimum 5-Year 
      Follow-up.
PG  - 3592-3601
LID - 10.1177/03635465211041763 [doi]
AB  - BACKGROUND: High-level athletes (HLAs) have been shown to have better short-term 
      outcomes than nonathletes (NAs) after hip arthroscopy. PURPOSE: (1) To report 
      midterm outcomes of HLAs after primary hip arthroscopy and (2) to compare their 
      results with a propensity-matched cohort of NA patients. STUDY DESIGN: Cohort 
      study; Level of evidence, 3. METHODS: Data were prospectively collected and 
      retrospectively reviewed between February 2008 and November 2015 for HLAs 
      (professional, college, or high school) who underwent primary hip arthroscopy in 
      the setting of femoroacetabular impingement syndrome (FAIS). HLAs were included 
      if they had preoperative, minimum 2-year, and minimum 5-year follow-up data for 
      the modified Harris Hip Score (mHHS), Non-Arthritic Hip Score (NAHS), and Hip 
      Outcome Score Sports-Specific Subscale (HOS-SSS). Radiographic and intraoperative 
      findings, surgical procedures, patient-reported outcomes (PROs), patient 
      acceptable symptomatic state (PASS), minimal clinically important difference 
      (MCID), and return to sport were reported. The HLA study group was 
      propensity-matched to a control group of NA patients for comparison. RESULTS: A 
      total 65 HLA patients (67 hips) were included in the final analysis with mean 
      follow-up time of 74.6 +/- 16.7 months. HLAs showed significant improvement in all 
      PROs recorded, achieved high rates of MCID and PASS for mHHS (74.6% and 79.4%, 
      respectively) and HOS-SSS (67.7% and 66.1%, respectively), and returned to sport 
      at high rates (80.4%). When compared with the propensity-matched NA control 
      group, HLAs reported higher baseline but comparable postoperative scores for the 
      mHHS and NAHS. HLA patients achieved MCID and PASS for mHHS at similar rates as 
      NA patients, but the HLA patients achieved PASS for HOS-SSS at higher rates that 
      trended toward statistical significance (66.1% vs 48.4%; P = .07). NA patients 
      underwent revision arthroscopic surgery at similar rates as HLA patients (14.9% 
      vs 9.0%, respectively; P = .424). CONCLUSION: Primary hip arthroscopy results in 
      favorable midterm outcomes in HLAs. When compared with a propensity-matched NA 
      control group, HLAs demonstrated a tendency toward higher rates of achieving PASS 
      for HOS-SSS but similar arthroscopic revision rates at minimum 5-year follow-up.
FAU - Jimenez, Andrew E
AU  - Jimenez AE
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 - Maldonado, David R
AU  - Maldonado DR
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
AUID- ORCID: 0000-0003-0848-6028
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  - American Hip Institute, Chicago, Illinois, USA.
AD  - AMITA Health St Alexius Medical Center, Hoffman Estates, Illinois, USA.
FAU - Domb, Benjamin G
AU  - Domb BG
AD  - American Hip Institute Research Foundation, Chicago, Illinois, USA.
AD  - American Hip Institute, Chicago, Illinois, USA.
AD  - AMITA Health St Alexius Medical Center, Hoffman Estates, Illinois, USA.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20211013
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  - Cohort Studies
MH  - *Femoracetabular Impingement/surgery
MH  - Follow-Up Studies
MH  - Hip Joint/surgery
MH  - Humans
MH  - Patient Reported Outcome Measures
MH  - Retrospective Studies
MH  - Treatment Outcome
OTO - NOTNLM
OT  - high-level athletes
OT  - hip arthroscopy
OT  - outcomes
EDAT- 2021/10/14 06:00
MHDA- 2021/11/18 06:00
CRDT- 2021/10/13 12:15
PHST- 2021/10/14 06:00 [pubmed]
PHST- 2021/11/18 06:00 [medline]
PHST- 2021/10/13 12:15 [entrez]
AID - 10.1177/03635465211041763 [doi]
PST - ppublish
SO  - Am J Sports Med. 2021 Nov;49(13):3592-3601. doi: 10.1177/03635465211041763. Epub 
      2021 Oct 13.