PMID- 34915141
OWN - NLM
STAT- MEDLINE
DCOM- 20220712
LR  - 20220805
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
VI  - 38
IP  - 7
DP  - 2022 Jul
TI  - Earlier Treatment Yields Superior Outcomes in Competitive Athletes Undergoing 
      Primary Hip Arthroscopy.
PG  - 2183-2191
LID - S0749-8063(21)01095-1 [pii]
LID - 10.1016/j.arthro.2021.11.053 [doi]
AB  - PURPOSE: To report minimum 2-year patient-reported outcome scores (PROs) and 
      return to sport (RTS) for competitive athletes undergoing primary hip arthroscopy 
      for femoroacetabular impingement syndrome within 1 year of symptom onset and to 
      compare these results with a propensity-matched control group of competitive 
      athletes with symptoms for over 1 year. METHODS: Data on professional, 
      collegiate, high-school, and organized amateur athletes who underwent primary hip 
      arthroscopy within 1 year of symptom onset between April 2008 and November 2017 
      were collected. RTS and minimum 2-year PROs were collected for the modified 
      Harris Hip Score (mHHS), Non-arthritic Hip Score (NAHS), Hip Outcome Score-Sport 
      Specific Subscale (HOS-SSS), International Hip Outcome Tool (iHOT-12), and visual 
      analog pain scale (VAS). Rates of achieving minimal clinically important 
      difference (MCID) were also evaluated. These patients were propensity-matched to 
      a control group of competitive athletes with symptoms for over one year for 
      comparison. RESULTS: Fifty competitive athletes (51 hips, 54.9% female) were 
      included in the study group with a mean follow-up of 70.9 +/- 29.1 months and age 
      of 23.6 +/- 11.3 years. They demonstrated significant improvement from preoperative 
      to latest follow-up for all recorded PROs (P < .001) and RTS at a rate of 72.9%. 
      When outcomes were compared to the control group, the study group demonstrated 
      similar preoperative scores for all PROs but significantly better minimum 2-year 
      postoperative scores for NAHS (93.8 vs 85.1, P = .0001), HOS-SSS (89.1 vs 77.2, 
      P = .001), iHOT-12 (87.7 vs 76.4, P = 0.011), and VAS (1.5 vs 2.4, P = 0.027). 
      Rates of achieving MCID for HOS-SSS and mHHS were comparable between groups. 
      Further, RTS rates were similar between groups (P = .301). CONCLUSION: 
      Competitive athletes undergoing primary hip arthroscopy with symptoms for less 
      than 1 year demonstrated superior 2-year PROs compared to a propensity-matched 
      control group with symptoms for over 1 year, but the rates achieving MCID and RTS 
      were similar between groups. LEVEL OF EVIDENCE: Level III, retrospective 
      comparative 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 - Maldonado, David R
AU  - Maldonado DR
AD  - American Hip Institute Research Foundation, Chicago, Illinois.
FAU - Curley, Andrew J
AU  - Curley AJ
AD  - American Hip Institute Research Foundation, Chicago, 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, U.S.A.. Electronic address: DrDomb@americanhipinstitute.org.
LA  - eng
PT  - Journal Article
DEP - 20211213
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 Jul;38(7):2192-2194. PMID: 35809978
MH  - Activities of Daily Living
MH  - Adolescent
MH  - Adult
MH  - *Arthroscopy/methods
MH  - Athletes
MH  - Child
MH  - Female
MH  - *Femoracetabular Impingement/surgery
MH  - Follow-Up Studies
MH  - Hip Joint/surgery
MH  - Humans
MH  - Male
MH  - Patient Reported Outcome Measures
MH  - Retrospective Studies
MH  - Treatment Outcome
MH  - Young Adult
EDAT- 2021/12/17 06:00
MHDA- 2022/07/14 06:00
CRDT- 2021/12/16 20:20
PHST- 2021/07/26 00:00 [received]
PHST- 2021/11/15 00:00 [revised]
PHST- 2021/11/30 00:00 [accepted]
PHST- 2021/12/17 06:00 [pubmed]
PHST- 2022/07/14 06:00 [medline]
PHST- 2021/12/16 20:20 [entrez]
AID - S0749-8063(21)01095-1 [pii]
AID - 10.1016/j.arthro.2021.11.053 [doi]
PST - ppublish
SO  - Arthroscopy. 2022 Jul;38(7):2183-2191. doi: 10.1016/j.arthro.2021.11.053. Epub 
      2021 Dec 13.