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...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-06-01
|
| Series: | Arthroscopy, Sports Medicine, and Rehabilitation |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666061X22000050 |
| _version_ | 1811242546048794624 |
|---|---|
| author | Thorkell Snaebjörnsson, M.D., Ph.D. Sofie Sjövall Anari Ida Lindman, M.D., Ph.D. Neel Desai, M.D., Ph.D. Anders Stålman, M.D., Ph.D. Olufemi R. Ayeni, M.D., Ph.D. Axel Öhlin, M.D., Ph.D. |
| author_facet | Thorkell Snaebjörnsson, M.D., Ph.D. Sofie Sjövall Anari Ida Lindman, M.D., Ph.D. Neel Desai, M.D., Ph.D. Anders Stålman, M.D., Ph.D. Olufemi R. Ayeni, M.D., Ph.D. Axel Öhlin, M.D., Ph.D. |
| author_sort | Thorkell Snaebjörnsson, M.D., Ph.D. |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-04-12T13:53:04Z |
| format | Article |
| id | doaj.art-47a72755fc7c4898899a5a5bbaacbca1 |
| institution | Directory Open Access Journal |
| issn | 2666-061X |
| language | English |
| last_indexed | 2024-04-12T13:53:04Z |
| publishDate | 2022-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy, Sports Medicine, and Rehabilitation |
| spelling | doaj.art-47a72755fc7c4898899a5a5bbaacbca12022-12-22T03:30:27ZengElsevierArthroscopy, Sports Medicine, and Rehabilitation2666-061X2022-06-0143e899e906Most 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 SurgeryThorkell Snaebjörnsson, M.D., Ph.D.0Sofie Sjövall Anari1Ida Lindman, M.D., Ph.D.2Neel Desai, M.D., Ph.D.3Anders Stålman, M.D., Ph.D.4Olufemi R. Ayeni, M.D., Ph.D.5Axel Öhlin, M.D., Ph.D.6Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden; Department of Orthopaedics, Sahlgrenska University Hospital, Mölndal, Sweden; Address correspondence to Thorkell Snaebjörnsson, M.D., Ph.D., Sahlgrenska University Hospital, Sahlgrenska Universitetssjukhuset, Göteborgsvägen 31, Mölndal, 43130, Sweden.Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg University, Gothenburg, SwedenDepartment of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg University, Gothenburg, SwedenDepartment of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden; Department of Orthopaedics, Sahlgrenska University Hospital, Mölndal, SwedenCapio Artro Clinic, FIFA Medical Centre of Excellence, Sophiahemmet Hospital, Stockholm, Sweden; Department of Molecular Medicine and Surgery, Stockholm Sports Trauma Research Center, Karolinska Institutet, Stockholm, SwedenDivision of Orthopaedic Surgery, McMaster University, Hamilton, Ontario, CanadaDepartment of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden; Department of Orthopaedics, Sahlgrenska University Hospital, Mölndal, SwedenPurpose: 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.http://www.sciencedirect.com/science/article/pii/S2666061X22000050 |
| spellingShingle | Thorkell Snaebjörnsson, M.D., Ph.D. Sofie Sjövall Anari Ida Lindman, M.D., Ph.D. Neel Desai, M.D., Ph.D. Anders Stålman, M.D., Ph.D. Olufemi R. Ayeni, M.D., Ph.D. Axel Öhlin, M.D., Ph.D. 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 Arthroscopy, Sports Medicine, and Rehabilitation |
| 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 |
| url | http://www.sciencedirect.com/science/article/pii/S2666061X22000050 |
| work_keys_str_mv | AT thorkellsnaebjornssonmdphd mosteliteathleteswhounderwenthiparthroscopyforfemoroacetabularimpingementsyndromedidnotreturntothesamelevelofsportbutthemajorityweresatisfiedwiththeoutcomeofsurgery AT sofiesjovallanari mosteliteathleteswhounderwenthiparthroscopyforfemoroacetabularimpingementsyndromedidnotreturntothesamelevelofsportbutthemajorityweresatisfiedwiththeoutcomeofsurgery AT idalindmanmdphd mosteliteathleteswhounderwenthiparthroscopyforfemoroacetabularimpingementsyndromedidnotreturntothesamelevelofsportbutthemajorityweresatisfiedwiththeoutcomeofsurgery AT neeldesaimdphd mosteliteathleteswhounderwenthiparthroscopyforfemoroacetabularimpingementsyndromedidnotreturntothesamelevelofsportbutthemajorityweresatisfiedwiththeoutcomeofsurgery AT andersstalmanmdphd mosteliteathleteswhounderwenthiparthroscopyforfemoroacetabularimpingementsyndromedidnotreturntothesamelevelofsportbutthemajorityweresatisfiedwiththeoutcomeofsurgery AT olufemirayenimdphd mosteliteathleteswhounderwenthiparthroscopyforfemoroacetabularimpingementsyndromedidnotreturntothesamelevelofsportbutthemajorityweresatisfiedwiththeoutcomeofsurgery AT axelohlinmdphd mosteliteathleteswhounderwenthiparthroscopyforfemoroacetabularimpingementsyndromedidnotreturntothesamelevelofsportbutthemajorityweresatisfiedwiththeoutcomeofsurgery |