2025 ISAKOS Biennial Congress ePoster
Midterm Outcomes And Return To Sport Rates In Competitive Soccer Players Undergoing Hip Arthroscopy
Roger Quesada Jimenez, MD, Des Plaines, Illinois UNITED STATES
Matthew J. Strok, BA, Des Plaines, IL UNITED STATES
Andrew R. Schab, BS, Des Plaines, Illinois UNITED STATES
Nils Becker, MD, Des Plaines, IL UNITED STATES
Ady Haim Kahana Rojkind, MD, Des Plaines, IL UNITED STATES
Benjamin G. Domb, MD, Des Plaines, Illinois UNITED STATES
American Hip Institute Research Foundation, Des Plaines, Illinois, UNITED STATES
FDA Status Cleared
Summary
Hip arthroscopy in soccer players resulted in significant improvements in outcomes, with a high percentage of patients achieving clinical thresholds and returning to soccer at minimum 5-year follow-up.
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Abstract
Purpose
The study aims to evaluate midterm outcomes and return-to-sport rates of hip arthroscopy in competitive soccer players at midterm follow up with a sub-analysis of return to sport based on sex and competitive level.
Methods
Retrospectively analyzed data for all patients who underwent hip arthroscopy as treatment for Femoroacetabular Impingement (FAI) between February 2008 and January 2019. Included patients reported competitive soccer participation and had completed preoperatory and minimum of 5-year postoperative questionnaires for at least one of the following patients reported outcomes (PROs): the modified Harris Hip Score (mHHS), Non-Arthritic Hip Score (NAHS), Hip Outcome Score-Sports Specific Subscale (HOS-SSS), International Hip Outcome Tool (iHOT-12),Visual Analogue Scale (VAS) for pain and patient satisfaction, or documented an endpoint during the study timeframe. Clinically important thresholds were included in the analysis. An overall return-to-sport analysis was conducted, with a sub-analysis considering preoperative competitive level and sex.
Results
A total of 65 patients (74 hips) were included. All patients experienced significant improvement of mHHS, NAHS, HOS-SSS, iHOT-12, VAS, and had high patient satisfaction. Furthermore, a high percentage of patients reached the MCID and PASS for the evaluated PROs. Of the 65 patients, 7 (10.8%) chose to stop playing soccer due to lifestyle transitions. Among the remaining 58 patients, 47 (81%) returned to soccer. Only 4 patients (6.1%) did not return due to persisted hip symptoms. Moreover, of those who returned to sport, 32 (68.1%) continued to play soccer at a minimum of 5 years follow-up. No differences were observed when comparing sex or previous competitive level in return-to-soccer rates. Eight hips (10.8%) required revision hip arthroscopy, and two (2.7%) underwent conversion to THA.
Conclusion
Hip arthroscopy in soccer players resulted in significant improvements in outcomes, with a high percentage of patients achieving clinical thresholds and returning to soccer at minimum 5-year follow-up.