RETURN TO SPORT AND PERFORMANCE AFTER HIP ARTHROSCOPY FOR FEMOROACETABULAR IMPINGEMENT IN 18- TO 30-YEAR-OLD ATHLETES. A CROSS-SECTIONAL COHORT STUDY OF 189 ATHLETES

Review written by Dr Joanne Kemp info

BACKGROUND & OBJECTIVE

Hip arthroscopy surgery is an increasingly common treatment for young people with hip pain. Patients expect to return to sport after hip arthroscopy, and this is a common reason for seeking treatment. However, recent studies have shown that pain, function and quality of life remain poor compared to healthy controls at one-, two- and three-years post arthroscopy.

While previous studies have examined return to sport rates after hip arthroscopy, these studies did not specifically evaluate whether patients returned to their pre-injury level of sport, pre-injury level of participation in sport, or to their optimal level of performance in their chosen sport. The aim of this study was to use the Danish National Hip Arthroscopy Registry to determine:

  1. the rate of return to pre-injury level of sport;
  2. the level of sports participation and performance; and
  3. any differences in function between those who had returned to their pre-injury sport and those who had not.

METHODS

The authors identified people from the Danish Hip Arthroscopy Registry who were aged 18-30 years at the time of surgery, had femoroacetabular impingement syndrome (FAIS) at the time of surgery, had surgery sometime between 6 months and 6 years earlier, and were playing sport prior to surgery. 355 people were eligible, and these people were invited to do an online questionnaire.

189 people completed the questionnaire. They were asked to complete the HAGOS (Hip and Groin Outcome Score) questionnaire. They were also asked whether they had returned to their pre-injury sport, and if so, whether sport after surgery was:

a. at an optimal level of performance with full sports participation; or b. at an impaired level of performance with full sports participation; or c. at an impaired level of performance with reduced sports participation.

RESULTS

The authors found that after hip arthroscopy only 57% of people returned to the same type of sport and the same level of sport as they were doing prior to their hip injury. Even more surprising was that only one-third

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