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Arthroscopic correction of femoroacetabular impingement improves athletic performance in male athletes.

Abstract

PURPOSE

To measure the changes in athletic performance in athletes treated arthroscopically for femoroacetabular impingement and compare results to a matched controlled athletic cohort, over a 1-year period.

METHODS

Male athletes scheduled for arthroscopic correction of symptomatic FAI were recruited and tested (pre-operatively and 1-year postsurgery) for measures of athletic performance which included acceleration (10-m sprint), change of direction speed (CODS), squatting depth, and reactive strength index (RSI). The FAI group was compared to a matched, healthy, control group who were tested at baseline and 1 year later with no disruption to their regular training or competition status; the prevalence of anterior groin pain during testing in either group was recorded. Hip range of motion (ROM) was also measured for both groups at baseline and at 1 year in the FAI group to look for change following intervention.

RESULTS

Prior to surgery, the FAI group were slower than the control group (p < 0.001) for acceleration (3% slower) and CODS (10% slower). At 1 year, 91% of the FAI group returned to full competition at an average time of 17 weeks, while substantial reductions in pain were also noted during acceleration (51-6%, p = 0.004), CODS (62-8%, p = 0.001), and squat test (38-8%, p = 0.003). Significant improvements were seen in the FAI group for CODS (7%, p < 0.001) and squat depth measures (6%, p = 0.004) from baseline to 1 year (significant time × group interaction effects were noted for these also). The changes in performance in the control group over time were non-significant across all of the measures (n.s.). At 1-year postsurgery, there were no statistically significant differences between the groups for any of the athletic measures. There was a significant and clinically important improvement in range of hip motion in the FAI group at 1-year postsurgery (p < 0.05).

CONCLUSION

Symptomatic FAI causes substantial reductions in athletic performance compared to healthy competitors placing these athletes at a distinct performance disadvantage. The results from the current study demonstrate that arthroscopic correction (including labral repair) in athletes with symptomatic FAI, reduces pain and restores athletic performance to a level which is comparable to healthy athletes, at 1 year.

LEVEL OF EVIDENCE

II.

Authors+Show Affiliations

Department of Sports Leisure and Tourism, Limerick Institute of Technology, Moylish Park, Limerick, Ireland. Karen.Mullins@lit.ie.Department of Health Sport and Exercise Science, Waterford Institute of Technology, Co Waterford, Ireland.Department of Health Sport and Exercise Science, Waterford Institute of Technology, Co Waterford, Ireland. The Hip and Groin Clinic, UPMC Whitfield, Co Waterford, Ireland.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31463551

Citation

Mullins, Karen, et al. "Arthroscopic Correction of Femoroacetabular Impingement Improves Athletic Performance in Male Athletes." Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA, 2019.
Mullins K, Hanlon M, Carton P. Arthroscopic correction of femoroacetabular impingement improves athletic performance in male athletes. Knee Surg Sports Traumatol Arthrosc. 2019.
Mullins, K., Hanlon, M., & Carton, P. (2019). Arthroscopic correction of femoroacetabular impingement improves athletic performance in male athletes. Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA, doi:10.1007/s00167-019-05683-0.
Mullins K, Hanlon M, Carton P. Arthroscopic Correction of Femoroacetabular Impingement Improves Athletic Performance in Male Athletes. Knee Surg Sports Traumatol Arthrosc. 2019 Aug 28; PubMed PMID: 31463551.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Arthroscopic correction of femoroacetabular impingement improves athletic performance in male athletes. AU - Mullins,Karen, AU - Hanlon,Michael, AU - Carton,Patrick, Y1 - 2019/08/28/ PY - 2019/01/28/received PY - 2019/08/19/accepted PY - 2019/8/30/entrez KW - Arthroscopy KW - Athletes KW - Athletic performance KW - FAI KW - Femoroacetabular impingement KW - Hip injury KW - Sports injury JF - Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA JO - Knee Surg Sports Traumatol Arthrosc N2 - PURPOSE: To measure the changes in athletic performance in athletes treated arthroscopically for femoroacetabular impingement and compare results to a matched controlled athletic cohort, over a 1-year period. METHODS: Male athletes scheduled for arthroscopic correction of symptomatic FAI were recruited and tested (pre-operatively and 1-year postsurgery) for measures of athletic performance which included acceleration (10-m sprint), change of direction speed (CODS), squatting depth, and reactive strength index (RSI). The FAI group was compared to a matched, healthy, control group who were tested at baseline and 1 year later with no disruption to their regular training or competition status; the prevalence of anterior groin pain during testing in either group was recorded. Hip range of motion (ROM) was also measured for both groups at baseline and at 1 year in the FAI group to look for change following intervention. RESULTS: Prior to surgery, the FAI group were slower than the control group (p < 0.001) for acceleration (3% slower) and CODS (10% slower). At 1 year, 91% of the FAI group returned to full competition at an average time of 17 weeks, while substantial reductions in pain were also noted during acceleration (51-6%, p = 0.004), CODS (62-8%, p = 0.001), and squat test (38-8%, p = 0.003). Significant improvements were seen in the FAI group for CODS (7%, p < 0.001) and squat depth measures (6%, p = 0.004) from baseline to 1 year (significant time × group interaction effects were noted for these also). The changes in performance in the control group over time were non-significant across all of the measures (n.s.). At 1-year postsurgery, there were no statistically significant differences between the groups for any of the athletic measures. There was a significant and clinically important improvement in range of hip motion in the FAI group at 1-year postsurgery (p < 0.05). CONCLUSION: Symptomatic FAI causes substantial reductions in athletic performance compared to healthy competitors placing these athletes at a distinct performance disadvantage. The results from the current study demonstrate that arthroscopic correction (including labral repair) in athletes with symptomatic FAI, reduces pain and restores athletic performance to a level which is comparable to healthy athletes, at 1 year. LEVEL OF EVIDENCE: II. SN - 1433-7347 UR - https://www.unboundmedicine.com/medline/citation/31463551/Arthroscopic_correction_of_femoroacetabular_impingement_improves_athletic_performance_in_male_athletes L2 - https://dx.doi.org/10.1007/s00167-019-05683-0 DB - PRIME DP - Unbound Medicine ER -