Cargando…
Most Elite Athletes Who Underwent Hip Arthroscopy for Femoroacetabular Impingement Syndrome Did Not Return to the Same Level of Sport, but the Majority Were Satisfied With the Outcome of Surgery
PURPOSE: To evaluate the 2-year outcomes after arthroscopic surgical treatment for femoroacetabular impingement syndrome (FAIS) using validated patient-reported outcome measurements in young elite athletes and to report the rate of return to sport. METHODS: Young elite athletes undergoing arthroscop...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9210366/ https://www.ncbi.nlm.nih.gov/pubmed/35747664 http://dx.doi.org/10.1016/j.asmr.2021.12.021 |
_version_ | 1784730152920416256 |
---|---|
author | Snaebjörnsson, Thorkell Anari, Sofie Sjövall Lindman, Ida Desai, Neel Stålman, Anders Ayeni, Olufemi R. Öhlin, Axel |
author_facet | Snaebjörnsson, Thorkell Anari, Sofie Sjövall Lindman, Ida Desai, Neel Stålman, Anders Ayeni, Olufemi R. Öhlin, Axel |
author_sort | Snaebjörnsson, Thorkell |
collection | PubMed |
description | PURPOSE: To evaluate the 2-year outcomes after arthroscopic surgical treatment for femoroacetabular impingement syndrome (FAIS) using validated patient-reported outcome measurements in young elite athletes and to report the rate of return to sport. METHODS: Young elite athletes undergoing arthroscopic surgery for FAIS with 2 years of follow-up were included. A young elite athlete was defined as an athlete aged 18 to 22 years at the time of surgery with a Hip Sports Activity Scale (HSAS) level greater than 6 before the onset of symptoms. The following patient-reported outcome measurements were collected prospectively: Copenhagen Hip and Groin Outcome Score, 12-item International Hip Outcome Tool, HSAS, visual analog scale (VAS), European Quality of Life (EQ) 5 Dimensions questionnaire, and EQ VAS. Furthermore, the patients answered a question related to satisfaction with surgery at follow-up. RESULTS: A total of 84 athletes (67 male and 17 female athletes), with a mean age of 19.8 ± 1.5 years, completed the 2-year follow-up. Bilateral hip arthroscopy was performed in 57 athletes, generating a total of 141 included hips. The improvements in the Copenhagen Hip and Groin Outcome Score subscales, 12-item International Hip Outcome Tool, EQ 5 Dimensions questionnaire, EQ VAS, and VAS for overall hip function were statistically significant (P < .001). At the 2-year follow-up, 42% of the athletes reported an HSAS level of either 7 or 8 whereas 28% reported an HSAS level of 5 or 6. In total, 79% of the athletes were satisfied with the surgical procedure. CONCLUSIONS: There are significant improvements in outcome measurements at the 2-year follow-up in elite young athletes undergoing arthroscopic hip surgery for FAIS. Although many of the athletes remained in high-level sports 2 years after surgery, only 30% of the athletes returned to sport at the same level. LEVEL OF EVIDENCE: Level IV, therapeutic case series. |
format | Online Article Text |
id | pubmed-9210366 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-92103662022-06-22 Most Elite Athletes Who Underwent Hip Arthroscopy for Femoroacetabular Impingement Syndrome Did Not Return to the Same Level of Sport, but the Majority Were Satisfied With the Outcome of Surgery Snaebjörnsson, Thorkell Anari, Sofie Sjövall Lindman, Ida Desai, Neel Stålman, Anders Ayeni, Olufemi R. Öhlin, Axel Arthrosc Sports Med Rehabil Original Article PURPOSE: To evaluate the 2-year outcomes after arthroscopic surgical treatment for femoroacetabular impingement syndrome (FAIS) using validated patient-reported outcome measurements in young elite athletes and to report the rate of return to sport. METHODS: Young elite athletes undergoing arthroscopic surgery for FAIS with 2 years of follow-up were included. A young elite athlete was defined as an athlete aged 18 to 22 years at the time of surgery with a Hip Sports Activity Scale (HSAS) level greater than 6 before the onset of symptoms. The following patient-reported outcome measurements were collected prospectively: Copenhagen Hip and Groin Outcome Score, 12-item International Hip Outcome Tool, HSAS, visual analog scale (VAS), European Quality of Life (EQ) 5 Dimensions questionnaire, and EQ VAS. Furthermore, the patients answered a question related to satisfaction with surgery at follow-up. RESULTS: A total of 84 athletes (67 male and 17 female athletes), with a mean age of 19.8 ± 1.5 years, completed the 2-year follow-up. Bilateral hip arthroscopy was performed in 57 athletes, generating a total of 141 included hips. The improvements in the Copenhagen Hip and Groin Outcome Score subscales, 12-item International Hip Outcome Tool, EQ 5 Dimensions questionnaire, EQ VAS, and VAS for overall hip function were statistically significant (P < .001). At the 2-year follow-up, 42% of the athletes reported an HSAS level of either 7 or 8 whereas 28% reported an HSAS level of 5 or 6. In total, 79% of the athletes were satisfied with the surgical procedure. CONCLUSIONS: There are significant improvements in outcome measurements at the 2-year follow-up in elite young athletes undergoing arthroscopic hip surgery for FAIS. Although many of the athletes remained in high-level sports 2 years after surgery, only 30% of the athletes returned to sport at the same level. LEVEL OF EVIDENCE: Level IV, therapeutic case series. Elsevier 2022-02-13 /pmc/articles/PMC9210366/ /pubmed/35747664 http://dx.doi.org/10.1016/j.asmr.2021.12.021 Text en © 2022 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Original Article Snaebjörnsson, Thorkell Anari, Sofie Sjövall Lindman, Ida Desai, Neel Stålman, Anders Ayeni, Olufemi R. Öhlin, Axel Most Elite Athletes Who Underwent Hip Arthroscopy for Femoroacetabular Impingement Syndrome Did Not Return to the Same Level of Sport, but the Majority Were Satisfied With the Outcome of Surgery |
title | Most Elite Athletes Who Underwent Hip Arthroscopy for Femoroacetabular Impingement Syndrome Did Not Return to the Same Level of Sport, but the Majority Were Satisfied With the Outcome of Surgery |
title_full | Most Elite Athletes Who Underwent Hip Arthroscopy for Femoroacetabular Impingement Syndrome Did Not Return to the Same Level of Sport, but the Majority Were Satisfied With the Outcome of Surgery |
title_fullStr | Most Elite Athletes Who Underwent Hip Arthroscopy for Femoroacetabular Impingement Syndrome Did Not Return to the Same Level of Sport, but the Majority Were Satisfied With the Outcome of Surgery |
title_full_unstemmed | Most Elite Athletes Who Underwent Hip Arthroscopy for Femoroacetabular Impingement Syndrome Did Not Return to the Same Level of Sport, but the Majority Were Satisfied With the Outcome of Surgery |
title_short | Most Elite Athletes Who Underwent Hip Arthroscopy for Femoroacetabular Impingement Syndrome Did Not Return to the Same Level of Sport, but the Majority Were Satisfied With the Outcome of Surgery |
title_sort | most elite athletes who underwent hip arthroscopy for femoroacetabular impingement syndrome did not return to the same level of sport, but the majority were satisfied with the outcome of surgery |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9210366/ https://www.ncbi.nlm.nih.gov/pubmed/35747664 http://dx.doi.org/10.1016/j.asmr.2021.12.021 |
work_keys_str_mv | AT snaebjornssonthorkell mosteliteathleteswhounderwenthiparthroscopyforfemoroacetabularimpingementsyndromedidnotreturntothesamelevelofsportbutthemajorityweresatisfiedwiththeoutcomeofsurgery AT anarisofiesjovall mosteliteathleteswhounderwenthiparthroscopyforfemoroacetabularimpingementsyndromedidnotreturntothesamelevelofsportbutthemajorityweresatisfiedwiththeoutcomeofsurgery AT lindmanida mosteliteathleteswhounderwenthiparthroscopyforfemoroacetabularimpingementsyndromedidnotreturntothesamelevelofsportbutthemajorityweresatisfiedwiththeoutcomeofsurgery AT desaineel mosteliteathleteswhounderwenthiparthroscopyforfemoroacetabularimpingementsyndromedidnotreturntothesamelevelofsportbutthemajorityweresatisfiedwiththeoutcomeofsurgery AT stalmananders mosteliteathleteswhounderwenthiparthroscopyforfemoroacetabularimpingementsyndromedidnotreturntothesamelevelofsportbutthemajorityweresatisfiedwiththeoutcomeofsurgery AT ayeniolufemir mosteliteathleteswhounderwenthiparthroscopyforfemoroacetabularimpingementsyndromedidnotreturntothesamelevelofsportbutthemajorityweresatisfiedwiththeoutcomeofsurgery AT ohlinaxel mosteliteathleteswhounderwenthiparthroscopyforfemoroacetabularimpingementsyndromedidnotreturntothesamelevelofsportbutthemajorityweresatisfiedwiththeoutcomeofsurgery |