Low rate of high-level athletes maintained a return to pre-injury sports two years after arthroscopic treatment for femoroacetabular impingement syndrome

Josefin Abrahamson,Josefin Abrahamson,Mikael Sansone,Mikael Sansone,Adad Baranto,Adad Baranto,Axel Öhlin,Axel Öhlin,Pall Jonasson,Jón Karlsson,Jón Karlsson,Ida Lindman,Ida Lindman

doi:10.1186/s40634-020-00263-5

Josefin Abrahamson, Josefin Abrahamson + Show 11 more

Open Access

https://doi.org/10.1186/s40634-020-00263-5

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Abstract

PurposeThe aim was to investigate the rate of athletes still active at their pre-injury sports level two years after arthroscopic treatment for femoroacetabular impingement syndrome (FAIS), and examine this between different sports and gender, and its correlation to patient-reported outcome measures (PROMs).MethodHigh-level athletes planned for arthroscopic treatment for FAIS were included prospectively in a Swedish hip arthroscopy registry between 2011 and 2017, and 717 met the inclusion criteria. Self-reported sporting activity was recorded preoperatively. The subjects answered PROMs, including the HSAS, iHOT-12 and HAGOS pre- and postoperatively.ResultsA total of 551 athletes (median age 26, interquartile range 20–34 years; 23% women) had completed follow-up PROMs, at mean 23.4 ± 7.2 months postoperatively. In total, 135 (24.5%) were active at their pre-injury level of sports at follow-up (RTSpre). Athletes ≤30 years at time of surgery (n = 366; median age 22 years) had higher rate of RTSpre (31.4%) compared with athletes > 30 years (n = 185; median age 40 years) (10.8%; p < 0.001). All athletes had improvements in iHOT-12 and HAGOS, two years postoperatively (p < 0.001), while RTSpre athletes reported significantly better PROMs, pre- and postoperatively, and had greater improvements two years postoperatively, compared with athletes not active at pre-injury level.ConclusionOnly 25% of all high-level athletes and 31% of athletes ≤30 years were still active at their pre-injury sports level two years after arthroscopic treatment for FAIS. Athletes still active had significantly and clinically greater improvement regarding hip symptoms, function and quality of life, as compared with athletes not active at pre-injury level, two years postoperatively.

Highlights

Femoroacetabular impingement syndrome (FAIS) is a clinical disorder of the hip joint that has been shown to be common cause of hip pain among athletes [1]
It is thought that cam morphology development is greatly affected by participation in high-impact sports during skeletal maturation [3,4,5]
No differences were seen for age, level of sport or preoperative scores on the iHOT-12 or the other five Hip and Groin Outcome Score (HAGOS) subscales

Summary

Introduction

Femoroacetabular impingement syndrome (FAIS) is a clinical disorder of the hip joint that has been shown to be common cause of hip pain among athletes [1]. The main goal of most athletes undergoing surgical treatment for FAIS is to return to sport (RTS) at their pre-injury level [14]. Many studies define that RTS has been reached when the athlete has been able to participate in one game/competition or one season (either at any level or at pre-injury level), at one single occasion during the follow-up period [17,18,19]. This means that the athlete’s ability to keep continue be at their pre-injury level, at longer terms, may be missed out

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