PMID- 35438010 OWN - NLM STAT- MEDLINE DCOM- 20220506 LR - 20220622 IS - 1552-3365 (Electronic) IS - 0363-5465 (Linking) VI - 50 IP - 6 DP - 2022 May TI - Minimum 2-Year Outcomes and Return to Sports of Competitive Athletes Who Undergo Subspine Decompression During Primary Hip Arthroscopy for Femoroacetabular Impingement Syndrome and Subspine Impingement: A Propensity-Matched Controlled Study. PG - 1582-1590 LID - 10.1177/03635465221085664 [doi] AB - BACKGROUND: Patient-reported outcomes (PROs) and return to sports (RTS) have not been established in athletes undergoing primary hip arthroscopy and subspine decompression for femoroacetabular impingement syndrome (FAIS) and subspine impingement (SSI). PURPOSE: (1) To report minimum 2-year PROs and RTS in competitive athletes undergoing primary hip arthroscopy for treatment of FAIS with subspine decompression for treatment of SSI and (2) to compare clinical results with a matched control group of athletes without SSI. STUDY DESIGN: Cohort study, Level of evidence, 3. METHODS: Data were reviewed for professional, collegiate, and high school athletes undergoing primary hip arthroscopy for FAIS with arthroscopic subspine decompression for SSI between February 2011 and October 2018. Inclusion criteria included preoperative and minimum 2-year follow-up scores for the modified Harris Hip Score, Nonarthritic Hip Score, Hip Outcome Score-Sport Specific Subscale, and visual analog scale for pain. Rates of achieving the minimal clinically important difference (MCID) were also calculated. For comparison, athletes in the SSI group were propensity matched according to age at the time of surgery, sex, body mass index, lateral center-edge angle, alpha angle, sport level, acetabular labrum articular disruption grade, and sport type to a control group of athletes without SSI. RESULTS: A total of 30 SSI athletes were included in the study, with a mean plus or minus standard deviation follow-up of 32.1 +/- 7.1 months and age of 20.9 +/- 5.7 years. The SSI cohort demonstrated significant improvement in all recorded PROs (P < .001), returned to sports at high rates (88.5%), and achieved the MCID for the Hip Outcome Score-Sport Specific Subscale at a high rate (80.0%). Furthermore, these patients had a low rate of undergoing revision surgery (6.7%). When compared with a propensity-matched control group of 59 athletes, the SSI group demonstrated similar rates of RTS, revision, and achieving the MCID for all PROs. CONCLUSION: Competitive athletes with FAIS and SSI who underwent primary hip arthroscopy and subspine decompression had favorable outcomes and high RTS rates at minimum 2-year follow-up. These results were comparable with those of a control group of athletes without SSI undergoing primary hip arthroscopy. FAU - Jimenez, Andrew E AU - Jimenez AE AD - American Hip Institute Research Foundation, Chicago, Illinois, USA. FAU - Lee, Michael S AU - Lee MS AUID- ORCID: 0000-0002-4737-2106 AD - American Hip Institute Research Foundation, Chicago, Illinois, USA. FAU - George, Tom AU - George T 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 - Harris, W Taylor AU - Harris WT 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 - Lall, Ajay C AU - Lall AC AUID- ORCID: 0000-0002-5736-0395 AD - American Hip Institute Research Foundation, Chicago, 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 - American Hip Institute, Chicago, Illinois, USA. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220419 PL - United States TA - Am J Sports Med JT - The American journal of sports medicine JID - 7609541 SB - IM MH - Adolescent MH - Adult MH - Arthroscopy MH - Athletes MH - Cohort Studies MH - Decompression MH - *Femoracetabular Impingement/surgery MH - Follow-Up Studies MH - Hip Joint/surgery MH - Humans MH - Retrospective Studies MH - Return to Sport MH - Treatment Outcome MH - Young Adult OTO - NOTNLM OT - athlete OT - femoroacetabular impingement OT - subspine decompression OT - subspine impingement EDAT- 2022/04/20 06:00 MHDA- 2022/05/07 06:00 CRDT- 2022/04/19 08:39 PHST- 2022/04/20 06:00 [pubmed] PHST- 2022/05/07 06:00 [medline] PHST- 2022/04/19 08:39 [entrez] AID - 10.1177/03635465221085664 [doi] PST - ppublish SO - Am J Sports Med. 2022 May;50(6):1582-1590. doi: 10.1177/03635465221085664. Epub 2022 Apr 19.