PMID- 37532163
OWN - NLM
STAT- MEDLINE
DCOM- 20240226
LR  - 20240226
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
VI  - 40
IP  - 3
DP  - 2024 Mar
TI  - Dancers Show Significant Improvement in Outcomes and Favorable Return-to-Dance 
      Rates After Primary Hip Arthroscopy With Femoral Head Cartilage Status Being a 
      Predictor of Secondary Surgical Procedures at Mid-Term Follow-Up.
PG  - 780-789
LID - S0749-8063(23)00593-5 [pii]
LID - 10.1016/j.arthro.2023.07.027 [doi]
AB  - PURPOSE: To report minimum 5-year follow-up patient-reported outcome measurement 
      (PROM) scores and return-to-dance rates in dancers who underwent primary hip 
      arthroscopy and to identify predictors of secondary surgical procedures. METHODS: 
      Prospectively collected data from patients who underwent hip arthroscopy between 
      May 2010 and June 2016 were retrospectively reviewed. Patients were included if 
      they participated in dance at any level 1 year prior to surgery and had 
      preoperative and minimum 5-year follow-up scores consisting of the modified 
      Harris Hip Score, Nonarthritic Hip Score, Hip Outcome Score-Sports Specific 
      Subscale, and visual analog scale pain score. The exclusion criteria were 
      previous hip conditions, previous ipsilateral hip surgery, Tonnis grade greater 
      than 1, or lateral center-edge angle less than 18 degrees . The minimal clinically 
      important difference (MCID) was reported. Dancers who discontinued dance for 
      reasons other than pain in the operative hip were excluded from the 
      return-to-dance analysis. A logistic regression model was used to identify 
      predictors of secondary surgical procedures. RESULTS: Fifty-one hips (48 female 
      dancers) were included. The average age and average follow-up period were 29.8 +/- 
      17.2 years and 79.1 +/- 23.2 months, respectively. Improvement in all PROM scores 
      (P < .001) was reported. Achievement rates of the MCID for the modified Harris 
      Hip Score, Nonarthritic Hip Score, and visual analog scale pain score were 83.3%, 
      85.7%, and 85.7%, respectively. Revision hip arthroscopy was performed in 5 
      dancers (9.8%). Conversion to total hip arthroplasty was performed in 4 dancers 
      (7.8%). The return-to-dance rate was 78.6%, with 57.6% returning to the preinjury 
      performance level or a higher level. Higher femoral head Outerbridge grade was 
      identified as a predictor of secondary surgical procedures (P = .045; odds ratio, 
      6.752 [95% confidence interval, 1.043-43.688]). CONCLUSIONS: After primary hip 
      arthroscopy, dancers experienced significant improvement in all PROM scores 
      collected and achieved the MCID at a high rate at minimum 5-year follow-up. The 
      return-to-dance rate in dancers who did not discontinue dance because of 
      lifestyle transitions was 78.6%, with 57.6% returning to the preinjury 
      performance level or a higher level. Higher femoral head Outerbridge grade was 
      found to be a predictor of secondary surgical procedures. LEVEL OF EVIDENCE: 
      Level IV, case series.
CI  - Copyright (c) 2023 Arthroscopy Association of North America. Published by Elsevier 
      Inc. All rights reserved.
FAU - Maldonado, David R
AU  - Maldonado DR
AD  - Department of Orthopaedic Surgery, McGovern Medical School, University of Texas 
      Health Science Center at Houston, Houston, Texas, U.S.A.
FAU - Lee, Michael S
AU  - Lee MS
AD  - American Hip Institute Research Foundation, Chicago, Illinois, U.S.A.
FAU - Saeed, Sheema K
AU  - Saeed SK
AD  - American Hip Institute Research Foundation, Chicago, Illinois, U.S.A.
FAU - Bruning, Rachel E
AU  - Bruning RE
AD  - American Hip Institute Research Foundation, Chicago, Illinois, U.S.A.
FAU - Curley, Andrew J
AU  - Curley AJ
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
PT  - Research Support, Non-U.S. Gov't
DEP - 20230731
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. 2024 Mar;40(3):790-798. PMID: 37544336
MH  - Humans
MH  - Female
MH  - *Hip Joint/surgery
MH  - Follow-Up Studies
MH  - Retrospective Studies
MH  - *Arthroscopy/methods
MH  - Femur Head/surgery
MH  - Patient Reported Outcome Measures
MH  - Cartilage
MH  - Pain
EDAT- 2023/08/03 01:06
MHDA- 2024/02/26 06:44
CRDT- 2023/08/02 19:16
PHST- 2022/12/06 00:00 [received]
PHST- 2023/07/06 00:00 [revised]
PHST- 2023/07/17 00:00 [accepted]
PHST- 2024/02/26 06:44 [medline]
PHST- 2023/08/03 01:06 [pubmed]
PHST- 2023/08/02 19:16 [entrez]
AID - S0749-8063(23)00593-5 [pii]
AID - 10.1016/j.arthro.2023.07.027 [doi]
PST - ppublish
SO  - Arthroscopy. 2024 Mar;40(3):780-789. doi: 10.1016/j.arthro.2023.07.027. Epub 2023 
      Jul 31.