David Barastegui1,2, Roberto Seijas1,3, Eduard Alentorn-Geli1,2, Alfred Ferré-Aniorte4,5, Patricia Laiz1,3, Ramon Cugat1,2. 1. Instituto Cugat, Hospital Quironsalud Barcelona, Barcelona, Spain. 2. Mutualidad de Futbolistas-Delegación Catalana, Barcelona, Spain. 3. Fundación García Cugat, Barcelona, Spain. 4. Instituto Cugat, Hospital Quironsalud Barcelona, Barcelona, Spain. aferre.fisio@gmail.com. 5. Fundación García Cugat, Barcelona, Spain. aferre.fisio@gmail.com.
Abstract
INTRODUCTION: Femoroacetabular impingement is considered a spectrum disease affecting multiple hip structures and it is especially prevalent in football players. Hip arthroscopy has shown good results in this population. However, little attention has been given to its efficacy in children and adolescent players. The aim of this study is to evaluate the outcomes of hip arthroscopy in under-16 football players. MATERIALS AND METHODS: Between 2008 and 2019, all under-16 competitive football players who underwent hip arthroscopy for the treatment of femoroacetabular impingement were recruited for this prospective study. Hip pain and function were measured through the VAS, HOS, mHHS and WOMAC scores before the surgery, at 1-year after the surgery and at minimum 2-years after surgery. Preoperative and postoperative scores were compared to establish the evolution of hip pain and function. Additionally, rate and time to return to play were recorded. RESULTS: 14 subjects were included in the analysis. All subjects attended to the last follow-up, at mean 3.21 years after the surgery (range 2-10). Mean ± SD VAS (0-100) scores were 60.14 ± 15.88 before the surgery, 6.43 ± 5.19 at 1-year follow-up and 5.07 ± 4.05 at final follow-up (p < 0.05). Significant improvements were observed in HOS ADL, HOS SS, mHHS and WOMAC (p < 0.05) between preoperative values and 1-year follow-up. No significant differences were found in knee pain or function between 1-year and final follow-up assessments (p > 0.05). All subjects (100%) were playing football 1-year after the surgery, with a mean ± SD time to return to play of 5.93 ± 2.09 months. 13 subjects (92.86%) were still playing at final follow-up. CONCLUSIONS: Hip arthroscopy is a safe and effective surgical procedure for the treatment of FAI in under-16 competitive football players, improving hip pain and function with excellent rates to return to play.
INTRODUCTION: Femoroacetabular impingement is considered a spectrum disease affecting multiple hip structures and it is especially prevalent in football players. Hip arthroscopy has shown good results in this population. However, little attention has been given to its efficacy in children and adolescent players. The aim of this study is to evaluate the outcomes of hip arthroscopy in under-16 football players. MATERIALS AND METHODS: Between 2008 and 2019, all under-16 competitive football players who underwent hip arthroscopy for the treatment of femoroacetabular impingement were recruited for this prospective study. Hip pain and function were measured through the VAS, HOS, mHHS and WOMAC scores before the surgery, at 1-year after the surgery and at minimum 2-years after surgery. Preoperative and postoperative scores were compared to establish the evolution of hip pain and function. Additionally, rate and time to return to play were recorded. RESULTS: 14 subjects were included in the analysis. All subjects attended to the last follow-up, at mean 3.21 years after the surgery (range 2-10). Mean ± SD VAS (0-100) scores were 60.14 ± 15.88 before the surgery, 6.43 ± 5.19 at 1-year follow-up and 5.07 ± 4.05 at final follow-up (p < 0.05). Significant improvements were observed in HOS ADL, HOS SS, mHHS and WOMAC (p < 0.05) between preoperative values and 1-year follow-up. No significant differences were found in knee pain or function between 1-year and final follow-up assessments (p > 0.05). All subjects (100%) were playing football 1-year after the surgery, with a mean ± SD time to return to play of 5.93 ± 2.09 months. 13 subjects (92.86%) were still playing at final follow-up. CONCLUSIONS: Hip arthroscopy is a safe and effective surgical procedure for the treatment of FAI in under-16 competitive football players, improving hip pain and function with excellent rates to return to play.
Authors: Travis J Menge; Sanjeev Bhatia; Shannen C McNamara; Karen K Briggs; Marc J Philippon Journal: Am J Sports Med Date: 2017-04-19 Impact factor: 6.202
Authors: Jonathan M Vigdorchik; Jeffrey J Nepple; Nima Eftekhary; Michael Leunig; John C Clohisy Journal: Am J Sports Med Date: 2016-07-30 Impact factor: 6.202
Authors: Michaela O'Connor; Anas A Minkara; Robert W Westermann; James Rosneck; T Sean Lynch Journal: Am J Sports Med Date: 2018-03-29 Impact factor: 6.202
Authors: Darren de Sa; Per Hölmich; Mark Phillips; Sebastian Heaven; Nicole Simunovic; Marc J Philippon; Olufemi R Ayeni Journal: Br J Sports Med Date: 2016-05-06 Impact factor: 13.800
Authors: Rintje Agricola; Johannes H J M Bessems; Abida Z Ginai; Marinus P Heijboer; Rianne A van der Heijden; Jan A N Verhaar; Harrie Weinans; Jan H Waarsing Journal: Am J Sports Med Date: 2012-03-13 Impact factor: 6.202
Authors: D R Griffin; E J Dickenson; J O'Donnell; R Agricola; T Awan; M Beck; J C Clohisy; H P Dijkstra; E Falvey; M Gimpel; R S Hinman; P Hölmich; A Kassarjian; H D Martin; R Martin; R C Mather; M J Philippon; M P Reiman; A Takla; K Thorborg; S Walker; A Weir; K L Bennell Journal: Br J Sports Med Date: 2016-10 Impact factor: 13.800
Authors: Damian R Griffin; Edward J Dickenson; Peter D H Wall; Felix Achana; Jenny L Donovan; James Griffin; Rachel Hobson; Charles E Hutchinson; Marcus Jepson; Nick R Parsons; Stavros Petrou; Alba Realpe; Joanna Smith; Nadine E Foster Journal: Lancet Date: 2018-06-01 Impact factor: 79.321