Performance and Return to Sport After Hip Arthroscopy for Femoroacetabular Impingement in Professional Athletes Differs Between Sports

Research output: Contribution to journalArticle

Robert A. Jack, Kyle R. Sochacki, Takashi Hirase, Justin W. Vickery, Joshua D. Harris

Purpose: To determine (1) return-to-sport rates for National Football League, Major League Baseball, National Basketball Association, and National Hockey League (NHL) athletes after hip arthroscopy for femoroacetabular impingement syndrome, (2) postoperative return-to-sport rate differences between sports, (3) differences in postoperative career length and games per season, (4) differences in preoperative and postoperative performance, and (5) postoperative performance compared with that of matched control players. Methods: Professional athletes who underwent hip arthroscopy for femoroacetabular impingement syndrome were identified. Matched control players were identified by position, age, experience, and performance. Return to sport was defined as playing in at least 1 game after surgery. Continuous variables for each group were compared by using a 2-tailed paired-samples Student t test or χ 2 test. A Bonferroni correction was used to control for multiple comparisons with statistical significance defined by a P value <.002. Results: One hundred seventy-two players (86.4%) (mean age, 28.8 ± 5.2 years) were able to return to sport at an average of 7.1 ± 4.1 months. Athletes played 3.5 ± 2.4 years after surgery without significant differences between sports (P >.002). NHL players who underwent surgery played significantly fewer years (4.4 vs 3.3 years) (P <.001) and fewer games per season (4 fewer games) (P <.001) after surgery compared with control players. NHL players also had a significant decrease in performance after surgery compared with their performance before surgery (P <.001). In National Football League, Major League Baseball, and National Basketball Association athletes, no significant differences were found in games per season, career length, or preoperative performance compared with postoperative performance and performance of matched control players (P >.002). Conclusion: The RTS rate for professional athletes after surgery for femoroacetabular impingement syndrome is high. Only NHL athletes had significantly shorter careers and played significantly fewer games per season compared with matched control players, with no difference between sports. NHL athletes had significantly worse postoperative performance compared with preoperative performance, with all other sports demonstrating a career-related decline similar to that of matched control players.

Original languageEnglish (US)
Pages (from-to)1422-1428
Number of pages7
JournalArthroscopy - Journal of Arthroscopic and Related Surgery
Volume35
Issue number5
DOIs
StatePublished - May 1 2019

PMID: 30979626

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Performance and Return to Sport After Hip Arthroscopy for Femoroacetabular Impingement in Professional Athletes Differs Between Sports. / Jack, Robert A.; Sochacki, Kyle R.; Hirase, Takashi; Vickery, Justin W.; Harris, Joshua D.

In: Arthroscopy - Journal of Arthroscopic and Related Surgery, Vol. 35, No. 5, 01.05.2019, p. 1422-1428.

Research output: Contribution to journalArticle

Harvard

Jack, RA, Sochacki, KR, Hirase, T, Vickery, JW & Harris, JD 2019, 'Performance and Return to Sport After Hip Arthroscopy for Femoroacetabular Impingement in Professional Athletes Differs Between Sports' Arthroscopy - Journal of Arthroscopic and Related Surgery, vol. 35, no. 5, pp. 1422-1428. https://doi.org/10.1016/j.arthro.2018.10.153

APA

Jack, R. A., Sochacki, K. R., Hirase, T., Vickery, J. W., & Harris, J. D. (2019). Performance and Return to Sport After Hip Arthroscopy for Femoroacetabular Impingement in Professional Athletes Differs Between Sports. Arthroscopy - Journal of Arthroscopic and Related Surgery, 35(5), 1422-1428. https://doi.org/10.1016/j.arthro.2018.10.153

Vancouver

Jack RA, Sochacki KR, Hirase T, Vickery JW, Harris JD. Performance and Return to Sport After Hip Arthroscopy for Femoroacetabular Impingement in Professional Athletes Differs Between Sports. Arthroscopy - Journal of Arthroscopic and Related Surgery. 2019 May 1;35(5):1422-1428. https://doi.org/10.1016/j.arthro.2018.10.153

Author

Jack, Robert A. ; Sochacki, Kyle R. ; Hirase, Takashi ; Vickery, Justin W. ; Harris, Joshua D. / Performance and Return to Sport After Hip Arthroscopy for Femoroacetabular Impingement in Professional Athletes Differs Between Sports. In: Arthroscopy - Journal of Arthroscopic and Related Surgery. 2019 ; Vol. 35, No. 5. pp. 1422-1428.

BibTeX

@article{b3ed3f3d146f460699838a7114808d5f,
title = "Performance and Return to Sport After Hip Arthroscopy for Femoroacetabular Impingement in Professional Athletes Differs Between Sports",
abstract = "Purpose: To determine (1) return-to-sport rates for National Football League, Major League Baseball, National Basketball Association, and National Hockey League (NHL) athletes after hip arthroscopy for femoroacetabular impingement syndrome, (2) postoperative return-to-sport rate differences between sports, (3) differences in postoperative career length and games per season, (4) differences in preoperative and postoperative performance, and (5) postoperative performance compared with that of matched control players. Methods: Professional athletes who underwent hip arthroscopy for femoroacetabular impingement syndrome were identified. Matched control players were identified by position, age, experience, and performance. Return to sport was defined as playing in at least 1 game after surgery. Continuous variables for each group were compared by using a 2-tailed paired-samples Student t test or χ 2 test. A Bonferroni correction was used to control for multiple comparisons with statistical significance defined by a P value <.002. Results: One hundred seventy-two players (86.4{\%}) (mean age, 28.8 ± 5.2 years) were able to return to sport at an average of 7.1 ± 4.1 months. Athletes played 3.5 ± 2.4 years after surgery without significant differences between sports (P >.002). NHL players who underwent surgery played significantly fewer years (4.4 vs 3.3 years) (P <.001) and fewer games per season (4 fewer games) (P <.001) after surgery compared with control players. NHL players also had a significant decrease in performance after surgery compared with their performance before surgery (P <.001). In National Football League, Major League Baseball, and National Basketball Association athletes, no significant differences were found in games per season, career length, or preoperative performance compared with postoperative performance and performance of matched control players (P >.002). Conclusion: The RTS rate for professional athletes after surgery for femoroacetabular impingement syndrome is high. Only NHL athletes had significantly shorter careers and played significantly fewer games per season compared with matched control players, with no difference between sports. NHL athletes had significantly worse postoperative performance compared with preoperative performance, with all other sports demonstrating a career-related decline similar to that of matched control players.",
author = "Jack, {Robert A.} and Sochacki, {Kyle R.} and Takashi Hirase and Vickery, {Justin W.} and Harris, {Joshua D.}",
note = "Copyright {\circledC} 2019 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.",
year = "2019",
month = "5",
day = "1",
doi = "10.1016/j.arthro.2018.10.153",
language = "English (US)",
volume = "35",
pages = "1422--1428",
journal = "Arthroscopy",
issn = "0749-8063",
publisher = "W.B. Saunders Ltd",
number = "5",

}

RIS

TY - JOUR

T1 - Performance and Return to Sport After Hip Arthroscopy for Femoroacetabular Impingement in Professional Athletes Differs Between Sports

AU - Jack, Robert A.

AU - Sochacki, Kyle R.

AU - Hirase, Takashi

AU - Vickery, Justin W.

AU - Harris, Joshua D.

N1 - Copyright © 2019 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

PY - 2019/5/1

Y1 - 2019/5/1

N2 - Purpose: To determine (1) return-to-sport rates for National Football League, Major League Baseball, National Basketball Association, and National Hockey League (NHL) athletes after hip arthroscopy for femoroacetabular impingement syndrome, (2) postoperative return-to-sport rate differences between sports, (3) differences in postoperative career length and games per season, (4) differences in preoperative and postoperative performance, and (5) postoperative performance compared with that of matched control players. Methods: Professional athletes who underwent hip arthroscopy for femoroacetabular impingement syndrome were identified. Matched control players were identified by position, age, experience, and performance. Return to sport was defined as playing in at least 1 game after surgery. Continuous variables for each group were compared by using a 2-tailed paired-samples Student t test or χ 2 test. A Bonferroni correction was used to control for multiple comparisons with statistical significance defined by a P value <.002. Results: One hundred seventy-two players (86.4%) (mean age, 28.8 ± 5.2 years) were able to return to sport at an average of 7.1 ± 4.1 months. Athletes played 3.5 ± 2.4 years after surgery without significant differences between sports (P >.002). NHL players who underwent surgery played significantly fewer years (4.4 vs 3.3 years) (P <.001) and fewer games per season (4 fewer games) (P <.001) after surgery compared with control players. NHL players also had a significant decrease in performance after surgery compared with their performance before surgery (P <.001). In National Football League, Major League Baseball, and National Basketball Association athletes, no significant differences were found in games per season, career length, or preoperative performance compared with postoperative performance and performance of matched control players (P >.002). Conclusion: The RTS rate for professional athletes after surgery for femoroacetabular impingement syndrome is high. Only NHL athletes had significantly shorter careers and played significantly fewer games per season compared with matched control players, with no difference between sports. NHL athletes had significantly worse postoperative performance compared with preoperative performance, with all other sports demonstrating a career-related decline similar to that of matched control players.

AB - Purpose: To determine (1) return-to-sport rates for National Football League, Major League Baseball, National Basketball Association, and National Hockey League (NHL) athletes after hip arthroscopy for femoroacetabular impingement syndrome, (2) postoperative return-to-sport rate differences between sports, (3) differences in postoperative career length and games per season, (4) differences in preoperative and postoperative performance, and (5) postoperative performance compared with that of matched control players. Methods: Professional athletes who underwent hip arthroscopy for femoroacetabular impingement syndrome were identified. Matched control players were identified by position, age, experience, and performance. Return to sport was defined as playing in at least 1 game after surgery. Continuous variables for each group were compared by using a 2-tailed paired-samples Student t test or χ 2 test. A Bonferroni correction was used to control for multiple comparisons with statistical significance defined by a P value <.002. Results: One hundred seventy-two players (86.4%) (mean age, 28.8 ± 5.2 years) were able to return to sport at an average of 7.1 ± 4.1 months. Athletes played 3.5 ± 2.4 years after surgery without significant differences between sports (P >.002). NHL players who underwent surgery played significantly fewer years (4.4 vs 3.3 years) (P <.001) and fewer games per season (4 fewer games) (P <.001) after surgery compared with control players. NHL players also had a significant decrease in performance after surgery compared with their performance before surgery (P <.001). In National Football League, Major League Baseball, and National Basketball Association athletes, no significant differences were found in games per season, career length, or preoperative performance compared with postoperative performance and performance of matched control players (P >.002). Conclusion: The RTS rate for professional athletes after surgery for femoroacetabular impingement syndrome is high. Only NHL athletes had significantly shorter careers and played significantly fewer games per season compared with matched control players, with no difference between sports. NHL athletes had significantly worse postoperative performance compared with preoperative performance, with all other sports demonstrating a career-related decline similar to that of matched control players.

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UR - http://www.scopus.com/inward/citedby.url?scp=85064005531&partnerID=8YFLogxK

U2 - 10.1016/j.arthro.2018.10.153

DO - 10.1016/j.arthro.2018.10.153

M3 - Article

VL - 35

SP - 1422

EP - 1428

JO - Arthroscopy

T2 - Arthroscopy

JF - Arthroscopy

SN - 0749-8063

IS - 5

ER -

ID: 47718372