Hip Arthroscopy Outcomes: Nonathletes vs Athletes

September 7th, 2020

Comparing Outcomes of Competitive Athletes Versus Nonathletes Undergoing Hip Arthroscopy for Treatment of FAI
SourceAJSM, first published November 19, 2019
Clinical Question: To determine competitive athletes (pro vs semi-pro vs collegiate) have better 2-year PROMs and achieve the minimal clinically important different (MCID) and substantial clinical benefit at higher rates when compared with nonathletes undergoing hip arthroscopy for treatment of FAI syndrome (FAIS).
Points to Consider: 59 competitive athletes and 118 nonathletes were compared in the final analysis. Post-op score comparisons revealed statistically significant differences in the Hip Outcome Score-Sports Subscale (HOS-SS) – higher in competitive athletes. Meaningful outcome analysis revealed competitive athletes had higher rates of achieving the HOS-SS for the MCID. 
Bottom Line:  Hip arthroscopy for FAIS in competitive athletes and nonathletes produced clinically meaningful outcomes in both groups – however – competitive athletes achieved the MCID at higher rates and had significantly higher scores at 2 years post-op. Link to the Hip Outcome Score – including the Sports Subscale can be found HERE

About the Author:
Catherine A. Logan, MD, MBA, MSPT is a sports medicine Orthopaedic Surgeon and writer. Based in Denver, CO, she is an attending at Colorado Sports Medicine & Orthopaedics at Rose Medical Center. Dr. Logan is the Head League Physician for Premier Lacrosse League (PLL) member of the team physician pool for the US Ski & Snowboard teams each year. Dr. Logan completed her Orthopaedic Surgery residency at the Harvard Combined Orthopaedic Residency Program and her Sports Medicine Fellowship training at the prestigious Steadman Philippon Research Institute/The Steadman Clinic in Vail, CO. Logan is also on the board of The Chill Foundation.