Do Professional Athletes Perform Better Than Recreational Athletes After Arthroscopy for Femoroacetabular Impingement?
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Although a large number of athletes’ returns to sports after hip arthroscopic surgery for femoroacetabular impingement (FAI), it is not clear if they do so to the preinjury level and whether professional athletes (PA) are more likely to return to the preinjury level compared with recreational athletes (RA).
We therefore compared (1) the time taken to return to the preinjury level of sport between professional and recreational athletes; (2) the degree of improvement in time spent in training and competitive activities after arthroscopic surgery for FAI; and (3) the difference in trend of improvement in hip scores.
We prospectively followed 80 athletes (PA = 40, RA = 40; mean age, 35.7 years; males = 50, females = 30; mean followup, 1.4 years; range, 1–1.8 years) who underwent hip arthroscopy for FAI. We measured the time to return to sports; training time and time in competition; and the modified Harris hip score and the nonarthritic hip score.
There was a 2.6-fold improvement in the training time (from 7.8 to 20 hours per week) and a 3.2-fold increase in time in competition (from 2.5 to 7.9 hours per week) 1 year after surgery. The mean time to return to sporting activities was 5.4 months, which was lower for PA (4.2) as compared with RA (6.8). Eighty-two percent (66) (PA = 88%  versus RA = 73% ) returned to their preinjury level of sport within 1 year of surgery.
The data suggest PA may show quicker return to sports than RA but the hip scores and rate of return to sports are similar.
Level of Evidence
Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.
- Alradwan H, Philippon MJ, Farrokhyar F, Chu R, Whelan D, Bhandari M, Ayeni OR. Return to preinjury activity levels after surgical management of femoroacetabular impingement in athletes. Arthroscopy. 2012;28:1567–1576. CrossRef
- Bardakos NV, Vasconcelos JC, Villar RN. Early outcome of hip arthroscopy for femoroacetabular impingement: the role of femoral osteoplasty in symptomatic improvement. J Bone Joint Surg Br. 2008;90:1570–1575. CrossRef
- Beaton DE. Simple as possible? Or too simple? Possible limits to the universality of the one half standard deviation. Med Care. 2003;41:593–596.
- Botser IB, Smith TW Jr, Nasser R, Domb BG. Open surgical dislocation versus arthroscopy for femoroacetabular impingement: a comparison of clinical outcomes. Arthroscopy. 2011;27:270–278. CrossRef
- Brunner A, Horisberger M, Herzog RF. Sports and recreation activity of patients with femoroacetabular impingement before and after arthroscopic osteoplasty. Am J Sports Med. 2009;37:917–922. CrossRef
- Byrd JW, Jones KS. Prospective analysis of hip arthroscopy with 2-year follow-up. Arthroscopy. 2000;16:578–587. CrossRef
- Byrd JW, Jones KS. Hip arthroscopy in the presence of dysplasia. Arthroscopy. 2003;19:1055–1060. CrossRef
- Byrd JW, Jones KS. Hip arthroscopy for labral pathology: prospective analysis with 10-year follow-up. Arthroscopy. 2009;25:365–368. CrossRef
- Byrd JW, Jones KS. Hip arthroscopy in athletes: 10-year follow-up. Am J Sports Med. 2009;37:2140–2143. CrossRef
- Byrd JW, Jones KS. Arthroscopic management of femoroacetabular impingement in athletes. Am J Sports Med. 2011;39(Suppl):7S–13S. CrossRef
- Christensen CP, Althausen PL, Mittleman MA, Lee JA, McCarthy JC. The nonarthritic hip score: reliable and validated. Clin Orthop Relat Res. 2003;406:75–83. CrossRef
- Costa ML, Achten J, Parsons NR, Edlin RP, Foguet P, Prakash U, Griffin DR. Total hip arthroplasty versus resurfacing arthroplasty in the treatment of patients with arthritis of the hip joint: single centre, parallel group, assessor blinded, randomised controlled trial. BMJ. 2012;344:e2147. CrossRef
- Ellis HB, Briggs KK, Philippon MJ. Innovation in hip arthroscopy: is hip arthritis preventable in the athlete? Br J Sports Med. 2011;45:253–258. CrossRef
- Gedouin JE, May O, Bonin N, Nogier A, Boyer T, Sadri H, Villar RN, Laude F. Assessment of arthroscopic management of femoroacetabular impingement. A prospective multicenter study. Orthop Traumatol Surg Res. 2010;96(Suppl):S59–67.
- Keogh MJ, Batt ME. A review of femoroacetabular impingement in athletes. Sports Med. 2008;38:863–878. CrossRef
- Khanduja V, Villar RN. Arthroscopic surgery of the hip: current concepts and recent advances. J Bone Joint Surg Br. 2006;88:1557–1566.
- Larson CM. Arthroscopic management of pincer-type impingement. Sports Med Arthrosc. 2010;18:100–107. CrossRef
- Larson CM, Giveans MR. Arthroscopic management of femoroacetabular impingement: early outcomes measures. Arthroscopy. 2008;24:540–546. CrossRef
- Larson CM, Giveans MR, Taylor M. Does arthroscopic FAI correction improve function with radiographic arthritis? Clin Orthop Relat Res. 2011;469:1667–1676. CrossRef
- Malviya A, Stafford GH, Villar RN. Impact of arthroscopy of the hip for femoroacetabular impingement on quality of life at a mean follow-up of 3.2 years. J Bone Joint Surg Br. 2012;94:466–470.
- McCarthy J, Barsoum W, Puri L, Lee JA, Murphy S, Cooke P. The role of hip arthroscopy in the elite athlete. Clin Orthop Relat Res. 2003;406:71–74. CrossRef
- McCarthy JC, Busconi B. The role of hip arthroscopy in the diagnosis and treatment of hip disease. Orthopedics. 1995;18:753–756.
- McCarthy JC, Lee JA. Arthroscopic intervention in early hip disease. Clin Orthop Relat Res. 2004;429:157–162. CrossRef
- Nho SJ, Magennis EM, Singh CK, Kelly BT. Outcomes after the arthroscopic treatment of femoroacetabular impingement in a mixed group of high-level athletes. Am J Sports Med. 2011;39(Suppl):14S–19S. CrossRef
- Philippon M, Schenker M, Briggs K, Kuppersmith D. Femoroacetabular impingement in 45 professional athletes: associated pathologies and return to sport following arthroscopic decompression. Knee Surg Sports Traumatol Arthrosc. 2007;15:908–914. CrossRef
- Philippon MJ, Weiss DR, Kuppersmith DA, Briggs KK, Hay CJ. Arthroscopic labral repair and treatment of femoroacetabular impingement in professional hockey players. Am J Sports Med. 2010;38:99–104. CrossRef
- Singh PJ, O’Donnell JM. The outcome of hip arthroscopy in Australian football league players: a review of 27 hips. Arthroscopy. 2010;26:743–749. CrossRef
- Valderrabano V, Pagenstert G, Horisberger M, Knupp M, Hintermann B. Sports and recreation activity of ankle arthritis patients before and after total ankle replacement. Am J Sports Med. 2006;34:993–999. CrossRef
- Vaughn ZD, Safran MR. Arthroscopic femoral osteoplasty/chielectomy for cam-type femoroacetabular impingement in the athlete. Sports Med Arthrosc. 2010;18:90–99. CrossRef
- Do Professional Athletes Perform Better Than Recreational Athletes After Arthroscopy for Femoroacetabular Impingement?
Clinical Orthopaedics and Related Research®
Volume 471, Issue 8 , pp 2477-2483
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- 1. Wansbeck General Hospital, Northumbria Healthcare NHS Foundation Trust, Ashington, UK
- 2. Hereford Hospital, Wye Valley NHS Trust, Hereford, UK
- 3. The Richard Villar Practice, Spire Cambridge Lea Hospital, 30 New Road, Impington, Cambridge, CB24 9EL, UK