PMID- 34817243
OWN - NLM
STAT- MEDLINE
DCOM- 20220127
LR  - 20220127
IS  - 1552-3365 (Electronic)
IS  - 0363-5465 (Linking)
VI  - 50
IP  - 1
DP  - 2022 Jan
TI  - Clinical Outcomes and Reoperation Rates After Hip Arthroscopy in Female Athletes 
      With Low Versus Normal Body Mass Index: A Propensity-Matched Comparison With 
      Minimum 2-Year Follow-up.
PG  - 58-67
LID - 10.1177/03635465211055175 [doi]
AB  - BACKGROUND: The effect of low body mass index (BMI) on outcomes in female 
      athletes is unknown. PURPOSE: (1) To report minimum 2-year patient-reported 
      outcomes and return to sports for high-level female athletes with low BMI 
      undergoing hip arthroscopy for femoroacetabular impingement syndrome and (2) to 
      compare results with those of a propensity-matched control group of high-level 
      female athletes with a normal BMI. STUDY DESIGN: Cohort study; Level of evidence, 
      3. METHODS: Data were collected on all professional, collegiate, and high school 
      female athletes who had a low BMI and underwent primary hip arthroscopy between 
      September 2009 and March 2017 at our institute. Return-to-sports status and 
      minimum 2-year patient-reported outcomes were collected for the modified Harris 
      Hip Score (mHHS), Nonarthritic Hip Score, Hip Outcome Score-Sport Specific 
      Subscale, and visual analog scale (VAS) for pain. The percentage of patients 
      achieving the minimal clinically important difference (MCID), Patient Acceptable 
      Symptom State (PASS), and maximum outcome improvement satisfaction threshold 
      (MOIST) was also recorded. These patients were propensity matched to high-level 
      female athletes with a normal BMI for comparison. RESULTS: A total of 21 
      high-level female athletes (25 hips) with a mean +/- SD follow-up of 58.9 +/- 31.5 
      months were included. They demonstrated significant improvement from 
      preoperatively to latest follow-up for the mHHS, Nonarthritic Hip Score, Hip 
      Outcome Score-Sport Specific Subscale, and VAS (P < .001). When outcomes were 
      compared with those of the control group, female athletes with low BMI 
      demonstrated lower rates of achieving the MCID for the mHHS (54.5% vs 77.4%; P = 
      .041), PASS for the International Hip Outcome Tool-12 (45.5% vs 72.6%; P = .022), 
      and MOIST for the VAS (31.8% vs 56.5%; P = .047). There were no other significant 
      differences in the rate of achieving the MCID, PASS, or MOIST between the groups 
      (P > .05). Female athletes with low BMI also had higher rates of revision when 
      compared with the control group (27.2% vs 10.6%; P = .049), but there were 
      comparable return-to-sports rates (75.0% vs 74.5%; P > .05). CONCLUSION: 
      High-level female athletes with low BMI undergoing primary hip arthroscopy for 
      femoroacetabular impingement syndrome demonstrated significant improvement in 
      patient-reported outcomes and acceptable rates of return to play. When compared 
      with a control group with normal BMI, they exhibited higher rates of revision and 
      lower rates of achieving the MCID for the mHHS, PASS for the International Hip 
      Outcome Tool-12, and MOIST for the VAS.
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 - Owens, Jade S
AU  - Owens JS
AUID- ORCID: 0000-0002-4733-4978
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
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
PT  - Research Support, Non-U.S. Gov't
DEP - 20211124
PL  - United States
TA  - Am J Sports Med
JT  - The American journal of sports medicine
JID - 7609541
SB  - IM
MH  - *Arthroscopy
MH  - Athletes
MH  - Body Mass Index
MH  - Cohort Studies
MH  - Female
MH  - *Femoracetabular Impingement/surgery
MH  - Follow-Up Studies
MH  - Hip Joint/surgery
MH  - Humans
MH  - Patient Reported Outcome Measures
MH  - Reoperation
MH  - Retrospective Studies
MH  - Treatment Outcome
OTO - NOTNLM
OT  - female athlete triad
OT  - hip arthroscopy
OT  - underweight
EDAT- 2021/11/25 06:00
MHDA- 2022/01/28 06:00
CRDT- 2021/11/24 12:15
PHST- 2021/11/25 06:00 [pubmed]
PHST- 2022/01/28 06:00 [medline]
PHST- 2021/11/24 12:15 [entrez]
AID - 10.1177/03635465211055175 [doi]
PST - ppublish
SO  - Am J Sports Med. 2022 Jan;50(1):58-67. doi: 10.1177/03635465211055175. Epub 2021 
      Nov 24.