PMID- 36197056 OWN - NLM STAT- MEDLINE DCOM- 20221103 LR - 20221128 IS - 1552-3365 (Electronic) IS - 0363-5465 (Linking) VI - 50 IP - 13 DP - 2022 Nov TI - Elite Female Athletes Demonstrate a Comparable Improvement in Midterm Patient-Reported Outcome Scores and Rate of Return to Sport Compared With Elite Male Athletes After Hip Arthroscopic Surgery: A Sex-Based Comparison in Professional and Collegiate Athletes. PG - 3600-3609 LID - 10.1177/03635465221123060 [doi] AB - BACKGROUND: Few studies have compared outcomes, return to sport (RTS), and continuation of sport (CTS) after primary hip arthroscopic surgery between matched groups of male and female athletes with a minimum 5-year follow-up. PURPOSE: (1) To report minimum 5-year patient-reported outcome (PRO) scores as well as RTS and CTS rates for elite female athletes undergoing hip arthroscopic surgery for femoroacetabular impingement syndrome (FAIS) and (2) to compare clinical results with those of a matched control group of elite male athletes. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: Data were prospectively collected and retrospectively reviewed for elite (collegiate or professional) female athletes who underwent primary hip arthroscopic surgery for FAIS between March 2009 and March 2016. Inclusion criteria were preoperative and minimum 5-year scores for the modified Harris Hip Score, Nonarthritic Hip Score, Hip Outcome Score-Sport Specific Subscale, and visual analog scale for pain. Exclusion criteria were Tonnis grade >1, hip dysplasia, previous ipsilateral hip surgery/conditions, and those unwilling to participate. Rates of achieving the minimal clinically important difference (MCID), Patient Acceptable Symptom State (PASS), and maximum outcome improvement satisfaction threshold (MOIST) were recorded in addition to RTS. CTS was also recorded and defined as athletes reporting continued sport activity at a minimum 5-year follow-up after initially reporting returning to sport. Elite female athletes were propensity matched in a 1:1 ratio to elite male athletes for comparison. RESULTS: A total of 81 hips in elite female athletes that underwent primary hip arthroscopic surgery met the inclusion criteria, and follow-up was available for 65 hips (80.2%) at a mean of 67.6 +/- 6.5 months, with a mean age of 24.3 +/- 6.8 years. Female athletes demonstrated significant improvements in all recorded PRO scores; achieved the MCID, PASS, and MOIST at high rates; returned to sport at a rate of 80.4%; and continued sport at a rate of 97.1%. Female athletes demonstrated lower preoperative PRO scores compared with male athletes, but postoperative PRO scores; improvements in scores; rates of achieving the MCID, PASS, MOIST; and RTS and CTS rates were similar between female and male athletes. CONCLUSION: Elite female athletes undergoing primary hip arthroscopic surgery for FAIS demonstrated favorable PRO scores and high RTS and CTS rates at a minimum 5-year follow-up. These results were comparable with those of a propensity-matched control group of elite male athletes. FAU - Owens, Jade S AU - Owens JS AUID- ORCID: 0000-0002-4733-4978 AD - American Hip Institute Research Foundation, Des Plaines, Illinois, USA. FAU - Lee, Michael S AU - Lee MS AUID- ORCID: 0000-0002-4737-2106 AD - American Hip Institute Research Foundation, Des Plaines, Illinois, USA. FAU - Jimenez, Andrew E AU - Jimenez AE AD - American Hip Institute Research Foundation, Des Plaines, Illinois, USA. FAU - Maldonado, David R AU - Maldonado DR AUID- ORCID: 0000-0003-1890-5249 AD - American Hip Institute Research Foundation, Des Plaines, Illinois, USA. FAU - Lall, Ajay C AU - Lall AC AUID- ORCID: 0000-0002-5736-0395 AD - American Hip Institute Research Foundation, Des Plaines, Illinois, USA. AD - American Hip Institute, Des Plaines, Illinois, USA. FAU - Domb, Benjamin G AU - Domb BG AUID- ORCID: 0000-0002-3937-8647 AD - American Hip Institute Research Foundation, Des Plaines, Illinois, USA. AD - American Hip Institute, Des Plaines, Illinois, USA. LA - eng PT - Journal Article DEP - 20221005 PL - United States TA - Am J Sports Med JT - The American journal of sports medicine JID - 7609541 SB - IM MH - Humans MH - Male MH - Female MH - Adolescent MH - Young Adult MH - Adult MH - *Arthroscopy/methods MH - Return to Sport MH - Hip Joint/surgery MH - Cohort Studies MH - Retrospective Studies MH - Treatment Outcome MH - *Femoracetabular Impingement/surgery MH - Patient Reported Outcome Measures MH - Athletes OTO - NOTNLM OT - female athlete OT - femoroacetabular impingement OT - hip arthroscopic surgery EDAT- 2022/10/06 06:00 MHDA- 2022/11/04 06:00 CRDT- 2022/10/05 08:33 PHST- 2022/10/06 06:00 [pubmed] PHST- 2022/11/04 06:00 [medline] PHST- 2022/10/05 08:33 [entrez] AID - 10.1177/03635465221123060 [doi] PST - ppublish SO - Am J Sports Med. 2022 Nov;50(13):3600-3609. doi: 10.1177/03635465221123060. Epub 2022 Oct 5.