PMID- 36055477
OWN - NLM
STAT- MEDLINE
DCOM- 20230109
LR  - 20230207
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
VI  - 39
IP  - 2
DP  - 2023 Feb
TI  - High-Level Athletes With Borderline Hip Dysplasia Achieve Favorable Outcomes and 
      Return to Sport Rates Following Primary Hip Arthroscopy: Minimum 5-Year Outcomes 
      Comparison to a Propensity-Matched Control Group.
PG  - 271-282
LID - S0749-8063(22)00515-1 [pii]
LID - 10.1016/j.arthro.2022.08.023 [doi]
AB  - PURPOSE: (1) To report minimum 5-year patient-reported outcomes (PROs) and return 
      to sport (RTS) rates in high-level athletes with borderline hip dysplasia (BHD) 
      following primary hip arthroscopy for labral pathology and femoroacetabular 
      impingement syndrome and (2) to compare results to a propensity-matched control 
      group of athletes with normal acetabular coverage. METHODS: Data were reviewed 
      for surgeries performed between February 2009 and February 2016. Patients were 
      eligible if they underwent primary hip arthroscopy in the setting of BHD (lateral 
      center-edge angle [LCEA] 18-25 degrees ) and competed in professional, collegiate, or 
      high school sports. Inclusion criteria were preoperative and minimum 5-year 
      follow-up scores for the modified Harris Hip Score (mHHS), Non-Arthritis Hip 
      Score, Hip Outcome Score-Sport Specific Subscale (HOS-SSS), and visual analog 
      scale for pain. Rates of achieving the minimal clinically importance difference 
      (MCID), patient acceptable symptomatic state (PASS), and maximum outcome 
      improvement satisfaction threshold (MOIST) were recorded in addition to RTS. BHD 
      athletes were matched by age at the time of surgery, sex, body mass index, Tonnis 
      grade, follow-up time, sport type, and competition level to a control group of 58 
      athletes with normal acetabular coverage (LCEA 25 degrees -40 degrees ) for comparison. RESULTS: 
      A total of 34 BHD athletes were included with a mean follow-up of 73.6 +/- 10.7 
      months. BHD athletes showed significant improvements in all PROs, demonstrated 
      high RTS rates (90.0%), and achieved PASS/MCID/MOIST for mHHS (MCID: 80.0%, PASS: 
      93.3%, MOIST: 80.0%) and HOS-SSS (MCID: 76.7%, PASS: 73.3%) at high rates. When 
      compared to a propensity-matched group with normal acetabular coverage, BHD 
      athletes demonstrated similar postoperative PROs, rates of achieving psychometric 
      thresholds, and RTS rates (P > .05). Additionally, by the latest follow-up, no 
      athlete in either group required conversion to total hip arthroplasty. 
      CONCLUSIONS: High-level athletes with BHD undergoing primary hip arthroscopy for 
      labral pathology and femoroacetabular impingement syndrome may expect favorable 
      midterm outcomes and high RTS rates. These results were comparable to a control 
      group of athletes with normal coverage. LEVEL OF EVIDENCE: Level III, 
      retrospective cohort study.
CI  - Copyright (c) 2022 Arthroscopy Association of North America. Published by Elsevier 
      Inc. All rights reserved.
FAU - Owens, Jade S
AU  - Owens JS
AD  - American Hip Institute Research Foundation, Chicago, Illinois, U.S.A.
FAU - Jimenez, Andrew E
AU  - Jimenez AE
AD  - American Hip Institute Research Foundation, Chicago, Illinois, U.S.A.
FAU - Lee, Michael S
AU  - Lee MS
AD  - American Hip Institute Research Foundation, Chicago, Illinois, U.S.A.
FAU - Monahan, Peter F
AU  - Monahan PF
AD  - American Hip Institute Research Foundation, Chicago, Illinois, U.S.A.
FAU - Maldonado, David R
AU  - Maldonado DR
AD  - American Hip Institute Research Foundation, Chicago, Illinois, U.S.A.
FAU - Domb, Benjamin G
AU  - Domb BG
AD  - American Hip Institute Research Foundation, Chicago, Illinois, U.S.A; American 
      Hip Institute, Chicago, Illinois, U.S.A. Electronic address: 
      DrDomb@americanhipinstitute.org.
LA  - eng
PT  - Journal Article
DEP - 20220830
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. 2023 Feb;39(2):283-284. PMID: 36603997
MH  - Humans
MH  - *Hip Dislocation/surgery
MH  - Hip Joint/surgery
MH  - *Femoracetabular Impingement/surgery
MH  - Retrospective Studies
MH  - Treatment Outcome
MH  - Follow-Up Studies
MH  - Return to Sport
MH  - Research Design
MH  - Control Groups
MH  - Arthroscopy/methods
MH  - *Hip Dislocation, Congenital
MH  - Patient Reported Outcome Measures
EDAT- 2022/09/03 06:00
MHDA- 2023/01/10 06:00
CRDT- 2022/09/02 19:25
PHST- 2022/01/13 00:00 [received]
PHST- 2022/08/03 00:00 [revised]
PHST- 2022/08/14 00:00 [accepted]
PHST- 2022/09/03 06:00 [pubmed]
PHST- 2023/01/10 06:00 [medline]
PHST- 2022/09/02 19:25 [entrez]
AID - S0749-8063(22)00515-1 [pii]
AID - 10.1016/j.arthro.2022.08.023 [doi]
PST - ppublish
SO  - Arthroscopy. 2023 Feb;39(2):271-282. doi: 10.1016/j.arthro.2022.08.023. Epub 2022 
      Aug 30.