Hip arthroscopy is an effective treatment for high-level female athletes

Objectives: This study aimed to assess the outcomes of hip arthroscopic surgery in high-level female athletes diagnosed with femoroacetabular impingement (FAI) compared to those with lower levels of sports activity. Additionally, we investigated the effectiveness of patient-reported outcomes (PROs)...

Descripción completa

Detalles Bibliográficos
Autores: Ferrer Rivero, Josep, Chahla, Jorge, Lizano Díez, Javier, Andriola, Vito, López Zabala, Ibon, Soler Cano, Albert, Tey Pons, Marcos
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:10230/68346
Acceso en línea:http://hdl.handle.net/10230/68346
http://dx.doi.org/10.1016/j.jisako.2024.02.010
Access Level:acceso abierto
Palabra clave:Clinical outcomes
Femoroacetabular impingement
High-level female athletes
Hip arthroscopy
Patient-reported outcomes
id ES_c0eeb6d8af85ca61bbd3ecb07813effd
oai_identifier_str oai:recercat.cat:10230/68346
network_acronym_str ES
network_name_str España
repository_id_str
spelling Hip arthroscopy is an effective treatment for high-level female athletesFerrer Rivero, JosepChahla, JorgeLizano Díez, JavierAndriola, VitoLópez Zabala, IbonSoler Cano, AlbertTey Pons, MarcosClinical outcomesFemoroacetabular impingementHigh-level female athletesHip arthroscopyPatient-reported outcomesObjectives: This study aimed to assess the outcomes of hip arthroscopic surgery in high-level female athletes diagnosed with femoroacetabular impingement (FAI) compared to those with lower levels of sports activity. Additionally, we investigated the effectiveness of patient-reported outcomes (PROs) and the potential ceiling effect as a lack of sensitivity in detecting clinically statistically significant changes in high-level female athletes due to high baseline scores. Methods: We conducted a retrospective analysis of prospectively collected data from female patients who underwent hip arthroscopy for FAI between January 2016 and August 2022 with a minimum 1-year follow-up. Patients were categorised into two groups: high-level athletes (group A) and low sports activity level (group B). Various PROs, visual analogue scales for pain, and patient satisfaction were assessed preoperatively and postoperatively. Return to sports (RTS) rates were determined based on the patient's reported ability to return to their previous level of sports activity. The minimally clinically important differences (MCIDs) and the Patient-Acceptable Symptomatic State (PASS) analyses were used to evaluate the clinical impact of the Hip Outcome Score-Sport Subscale (HOS-SSS). Results: A total of 11 high-level female athletes were included in group A, and 22 were included in the low sports activity level group B. Both groups showed significant improvements in PROs, with no significant differences between them. RTS rates were lower in high-level athletes (63.6%) than in low sports activity patients (85.7%). Visual analogue scales for pain improved significantly in both groups. Patient satisfaction was high in both groups, with a median score of 9. The HOS-SSS showed no ceiling effect, and the MCID and PASS analyses indicated that a high proportion of patients in both groups achieved clinically relevant improvement in HOS-SSS. Conclusion: Hip arthroscopic surgery is effective for FAI treatment in high-level female athletes, with outcomes similar to those in patients with lower sports activity levels. The absence of a ceiling effect in sports-related outcomes suggests that PROs can detect clinically significant changes in high-level female athletes. Although RTS rates were lower in high-level athletes, this difference was not significant. These findings underscore the value of using PROs to evaluate outcomes in female athletes with different sports-activity levels. Level of evidence: IV.Elsevier202420242024info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/68346http://dx.doi.org/10.1016/j.jisako.2024.02.010reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésJ ISAKOS. 2024 Jun;9(3):444-8© 2024 The Author(s). Published by Elsevier Inc. on behalf of International Society of Arthroscopy, Knee Surgery and Orthopedic Sports Medicine. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).http://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:10230/683462026-05-29T05:05:01Z
dc.title.none.fl_str_mv Hip arthroscopy is an effective treatment for high-level female athletes
title Hip arthroscopy is an effective treatment for high-level female athletes
spellingShingle Hip arthroscopy is an effective treatment for high-level female athletes
Ferrer Rivero, Josep
Clinical outcomes
Femoroacetabular impingement
High-level female athletes
Hip arthroscopy
Patient-reported outcomes
title_short Hip arthroscopy is an effective treatment for high-level female athletes
title_full Hip arthroscopy is an effective treatment for high-level female athletes
title_fullStr Hip arthroscopy is an effective treatment for high-level female athletes
title_full_unstemmed Hip arthroscopy is an effective treatment for high-level female athletes
title_sort Hip arthroscopy is an effective treatment for high-level female athletes
dc.creator.none.fl_str_mv Ferrer Rivero, Josep
Chahla, Jorge
Lizano Díez, Javier
Andriola, Vito
López Zabala, Ibon
Soler Cano, Albert
Tey Pons, Marcos
author Ferrer Rivero, Josep
author_facet Ferrer Rivero, Josep
Chahla, Jorge
Lizano Díez, Javier
Andriola, Vito
López Zabala, Ibon
Soler Cano, Albert
Tey Pons, Marcos
author_role author
author2 Chahla, Jorge
Lizano Díez, Javier
Andriola, Vito
López Zabala, Ibon
Soler Cano, Albert
Tey Pons, Marcos
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv Clinical outcomes
Femoroacetabular impingement
High-level female athletes
Hip arthroscopy
Patient-reported outcomes
topic Clinical outcomes
Femoroacetabular impingement
High-level female athletes
Hip arthroscopy
Patient-reported outcomes
description Objectives: This study aimed to assess the outcomes of hip arthroscopic surgery in high-level female athletes diagnosed with femoroacetabular impingement (FAI) compared to those with lower levels of sports activity. Additionally, we investigated the effectiveness of patient-reported outcomes (PROs) and the potential ceiling effect as a lack of sensitivity in detecting clinically statistically significant changes in high-level female athletes due to high baseline scores. Methods: We conducted a retrospective analysis of prospectively collected data from female patients who underwent hip arthroscopy for FAI between January 2016 and August 2022 with a minimum 1-year follow-up. Patients were categorised into two groups: high-level athletes (group A) and low sports activity level (group B). Various PROs, visual analogue scales for pain, and patient satisfaction were assessed preoperatively and postoperatively. Return to sports (RTS) rates were determined based on the patient's reported ability to return to their previous level of sports activity. The minimally clinically important differences (MCIDs) and the Patient-Acceptable Symptomatic State (PASS) analyses were used to evaluate the clinical impact of the Hip Outcome Score-Sport Subscale (HOS-SSS). Results: A total of 11 high-level female athletes were included in group A, and 22 were included in the low sports activity level group B. Both groups showed significant improvements in PROs, with no significant differences between them. RTS rates were lower in high-level athletes (63.6%) than in low sports activity patients (85.7%). Visual analogue scales for pain improved significantly in both groups. Patient satisfaction was high in both groups, with a median score of 9. The HOS-SSS showed no ceiling effect, and the MCID and PASS analyses indicated that a high proportion of patients in both groups achieved clinically relevant improvement in HOS-SSS. Conclusion: Hip arthroscopic surgery is effective for FAI treatment in high-level female athletes, with outcomes similar to those in patients with lower sports activity levels. The absence of a ceiling effect in sports-related outcomes suggests that PROs can detect clinically significant changes in high-level female athletes. Although RTS rates were lower in high-level athletes, this difference was not significant. These findings underscore the value of using PROs to evaluate outcomes in female athletes with different sports-activity levels. Level of evidence: IV.
publishDate 2024
dc.date.none.fl_str_mv 2024
2024
2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10230/68346
http://dx.doi.org/10.1016/j.jisako.2024.02.010
url http://hdl.handle.net/10230/68346
http://dx.doi.org/10.1016/j.jisako.2024.02.010
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv J ISAKOS. 2024 Jun;9(3):444-8
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869418518886219776
score 15.811543

Similares en LA Referencia