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Return to Soccer in Competitive Soccer Players Undergoing Hip Arthroscopy for Femoroacetabular Impingement


Niv Marom, MD
ISRAEL

myRating

Return to Soccer in Competitive Soccer Players Undergoing Hip Arthroscopy for Femoroacetabular Impingement

Niv Marom, MD, ISRAEL Reena Olsen, BS, UNITED STATES Joost Burger, MD, UNITED STATES Matthew S. Dooley, MA, UNITED STATES Anil S. Ranawat, MD, UNITED STATES Bryan T. Kelly, MD, UNITED STATES Danyal H. Nawabi, MD, FRCS(Orth), UNITED STATES

Hospital for Special Surgery, New York, New York, UNITED STATES

2023 Congress   ePoster Presentation   2023 Congress   rating (1)

 

Anatomic Location

Hip / Groin / Thigh

Anatomic Structure

Labrum Bones

Diagnosis / Condition

Impingement

Treatment / Technique

Arthroscopy

Patient Populations

Professional Athletes / Olympians Sport Specific Population

Labrum

Labrum Tears Labrum Treatment

Summary: Hip arthroscopic treatment for FAI in symptomatic competitive soccer players allowed most of them (75%) to return to soccer. Female and older aged players were less likely to return to soccer.

Purpose

Arthroscopic hip surgery for femoroacetabular impingement (FAI) has shown high rates of return to different sports in athletes. However, there remains paucity of data regarding return to soccer, which has its unique characteristics and demands. The purpose of this study was to determine return to soccer rates and soccer performance in a large cohort of competitive soccer players after hip arthroscopic surgery for the treatment of FAI and to identify possible risk factors associated with not returning to soccer.

Methods

An institutional hip preservation registry was retrospectively reviewed for patients identified as competitive soccer players who underwent primary hip arthroscopies for FAI performed between March 2010 and January 2017. Patient demographics and injury characteristics as well as clinical and radiographic findings were recorded. All patients were contacted for return to soccer information using a soccer specific return to play questionnaire. Multivariable logistic regression analysis was used to identify potential risk factors for not returning to soccer.

Results

Eighty-seven competitive soccer players (119 hips) were included. 32 players (37%) underwent simultaneous or staged bilateral hip arthroscopy. The mean age at surgery was 21.6 ± 7.0 years. Overall, 65 players (74.7%) returned to soccer, of which 43 players (66%) returned to pre-injury level of play or better. Most common reasons for not returning to soccer were pain or discomfort (12.6%) followed by fear of re-injury (8%). Among 22 players who did not return to soccer, 14 (63.6%) reported satisfaction from surgery. Multivariable logistic regression analysis revealed female players (odds ratio [OR]=0.27; confidence interval [CI]=0.083 to 0.872; p=0.003) and older aged players (OR=0.895; 95% CI=0.832 to 0.963; p=0.029) were less likely to return to soccer. Bilateral surgery was not found to be a risk factor.

Conclusion

Hip arthroscopic treatment for FAI in symptomatic competitive soccer players allowed most of them (75%) to return to soccer. Despite not returning to soccer, two thirds of players who did not return to soccer were satisfied with their outcome. Female and older aged players were less likely to return to soccer. These data can better guide clinicians and soccer players with realistic expectations related to the arthroscopic management of symptomatic FAI.

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