PMID- 34863903 OWN - NLM STAT- MEDLINE DCOM- 20220608 LR - 20220701 IS - 1526-3231 (Electronic) IS - 0749-8063 (Linking) VI - 38 IP - 6 DP - 2022 Jun TI - High-Level Athletes Who Did Not Return to Sport for Reasons Unrelated to Their Hip Achieve Successful Midterm Outcomes With a Benchmarking Against High-Level Athletes Who Returned to Sport. PG - 1879-1887 LID - S0749-8063(21)01058-6 [pii] LID - 10.1016/j.arthro.2021.11.040 [doi] AB - PURPOSE: 1) To report minimum 2- and 5-year outcomes of high-level athletes who did not return to sport (RTS) after hip arthroscopy for reasons unrelated to their hip (T athletes) and 2) to benchmark these findings against a propensity-matched control group of high-level athletes who returned to sport (RTS athletes). METHODS: Data were prospectively collected and retrospectively reviewed for professional, collegiate, and high school athletes between April 2008 and October 2015, who underwent primary hip arthroscopy. Athletes were considered eligible if they did not return to sport for reasons unrelated to their hip such as loss of interest, graduation, or a lifestyle transition (T athletes). Inclusion criteria were preoperative and minimum 5-year postoperative patient-reported outcomes (PROs) for the modified Harris Hip Score (mHHS), Non-Arthritic Hip Score (NAHS), Hip Outcome Score-Sports Specific Subscale (HOS-SSS), and the visual analog scale (VAS) for pain. Clinical outcomes were assessed using the minimal clinically important difference (MCID) and maximum outcome improvement satisfaction threshold (MOIST). T athletes were then propensity-matched to a control group of high-level athletes who returned to sport after hip arthroscopy (RTS athletes) for comparison. RESULTS: Twenty-seven T hips (25 patients) were included in the analysis with a mean follow-up time of 38.9 +/- 16.8 and 72.1 +/- 16.8 months for minimum 2- and 5-year outcomes, respectively. They demonstrated significant improvement in all measured PROs. When compared to a propensity-matched control group of RTS athletes, T athletes demonstrated similar improvement in PROs (mHHS, NAHS, and HOS-SSS) and achieved MCID at similar rates for NAHS (T: 77.8% vs RTS: 68.8%; P = .570) and HOS-SSS (T: 70.3% vs RTS: 76.6%, P = .824) compared to RTS athletes; however T athletes demonstrated higher rates of achieving MCID for mHHS (T: 88.9% vs RTS: 72.9% P = .033). CONCLUSION: Athletes who did not return to sport for reasons unrelated to their hip demonstrated favorable outcomes at minimum 2- and 5-year follow-up. They had similar PROs and rates of achieving MCID for HOS-SSS compared to a propensity-matched control group of high-level athletes who returned to sport. Return to sport status may not necessarily be correlated to the patient's perception of their own outcome. LEVEL OF EVIDENCE: III, retrospective cohort study. CI - Copyright (c) 2021 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved. FAU - Jimenez, Andrew E AU - Jimenez AE AD - American Hip Institute Research Foundation, Chicago, Illinois. FAU - Monahan, Peter F AU - Monahan PF AD - American Hip Institute Research Foundation, Chicago, Illinois. FAU - Owens, Jade S AU - Owens JS AD - American Hip Institute Research Foundation, Chicago, Illinois. FAU - Lee, Michael S AU - Lee MS AD - American Hip Institute Research Foundation, Chicago, Illinois. FAU - Maldonado, David R AU - Maldonado DR AD - American Hip Institute Research Foundation, Chicago, Illinois. FAU - Saks, Benjamin R AU - Saks BR AD - American Hip Institute Research Foundation, Chicago, Illinois; AMITA Health St. Alexius Medical Center, Hoffman Estates, Illinois. FAU - Ankem, Hari K AU - Ankem HK AD - American Hip Institute Research Foundation, Chicago, Illinois. FAU - Lall, Ajay C AU - Lall AC AD - American Hip Institute Research Foundation, Chicago, Illinois; American Hip Institute, Chicago, Illinois; AMITA Health St. Alexius Medical Center, Hoffman Estates, Illinois. FAU - Domb, Benjamin G AU - Domb BG AD - American Hip Institute Research Foundation, Chicago, Illinois; American Hip Institute, Chicago, Illinois; AMITA Health St. Alexius Medical Center, Hoffman Estates, Illinois. Electronic address: DrDomb@americanhipinstitute.org. LA - eng PT - Journal Article DEP - 20211201 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. 2022 Jun;38(6):1888-1889. PMID: 35660183 MH - Arthroscopy MH - Athletes MH - Benchmarking MH - Cohort Studies MH - *Femoracetabular Impingement/surgery MH - Follow-Up Studies MH - Hip Joint/surgery MH - Humans MH - Retrospective Studies MH - Treatment Outcome EDAT- 2021/12/06 06:00 MHDA- 2022/06/09 06:00 CRDT- 2021/12/05 21:01 PHST- 2021/06/13 00:00 [received] PHST- 2021/11/12 00:00 [revised] PHST- 2021/11/27 00:00 [accepted] PHST- 2021/12/06 06:00 [pubmed] PHST- 2022/06/09 06:00 [medline] PHST- 2021/12/05 21:01 [entrez] AID - S0749-8063(21)01058-6 [pii] AID - 10.1016/j.arthro.2021.11.040 [doi] PST - ppublish SO - Arthroscopy. 2022 Jun;38(6):1879-1887. doi: 10.1016/j.arthro.2021.11.040. Epub 2021 Dec 1.