Athletes experience a high rate of return to sport following hip arthroscopy

  • Muzammil Memon
  • Jeffrey Kay
  • Philip Hache
  • Nicole Simunovic
  • Joshua D. Harris
  • John O’Donnell
  • Olufemi R. Ayeni
Hip

Abstract

Purpose

The purpose of this systematic review was to evaluate the rate at which patients return to sport following arthroscopic hip surgery.

Methods

The databases MEDLINE, EMBASE, and PubMed were searched by two reviewers, and titles, abstracts, and full-text articles screened in duplicate. English language studies investigating hip arthroscopy with reported return to sport outcomes were included. A meta-analysis of proportions was used to combine the rate of return to sports using a random effects model.

Results

Overall, 38 studies with 1773 patients (72% male), with a mean age of 27.6 years (range 11–65) and mean follow-up of 28.1 months (range 3–144) were included in this review. The pooled rate of return to sport was: 93% [95% confidence interval (CI) = 87–97%] at any level of participation; 82% (95% CI = 74–88%) at preoperative level of sporting activity; 89% (95% CI = 84–93%) for competitive athletes; 95% (95% CI = 89–98%) in pediatric patients; and 94% (95% CI 89.2–98.0%) in professional athletes. There was significant correlation between a shorter duration of preoperative symptoms and a higher rate of return to sports (Pearson correlation coefficient = − 0.711, p = 0.021).

Conclusion

Hip arthroscopy yields a high rate of return to sport, in addition to marked improvement in pain and function in the majority of patients. The highest rates of return to sport were noted in pediatric patients, professional athletes, and those with a shorter duration of preoperative symptoms. This study provides clinicians with evidence-based data on athletes’ abilities to return to sport after arthroscopic hip surgery and identifies sub-populations with the highest rates of return to sport.

Level of evidence

IV, systematic review of Level II–IV studies.

Keywords

Hip Arthroscopy Return to sports Femoroacetabular impingement 

Notes

Compliance with ethical standards

Conflict of interest

The author declares that there is no competing interest.

Ethical approval

This is a systematic review of the literature and no ethics approval is required.

Informed consent

Informed consent was not applicable to this study.

Supplementary material

167_2018_4929_MOESM1_ESM.docx (33 kb)
Supplementary material 1 (DOCX 33 KB)

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Copyright information

© European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2018

Authors and Affiliations

  • Muzammil Memon
    • 1
  • Jeffrey Kay
    • 1
  • Philip Hache
    • 2
  • Nicole Simunovic
    • 3
  • Joshua D. Harris
    • 4
  • John O’Donnell
    • 5
  • Olufemi R. Ayeni
    • 1
    • 6
  1. 1.Division of Orthopaedic Surgery, Department of SurgeryMcMaster UniversityHamiltonCanada
  2. 2.Michael G. DeGroote School of MedicineMcMaster UniversityHamiltonCanada
  3. 3.Department of Health Research Methods, Evidence and ImpactMcMaster UniversityHamiltonCanada
  4. 4.Houston Methodist Orthopedics and Sports MedicineHouston Methodist Research InstituteHoustonUSA
  5. 5.Hip Arthroscopy AustraliaRichmondAustralia
  6. 6.McMaster University Medical CentreHamiltonCanada

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