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July 21, 2022
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Female athletes with femoroacetabular impingement had improved outcomes after arthroscopy

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COLORADO SPRINGS, Colo. — Results presented here showed female athletes with femoroacetabular impingement had significant improvements in patient-reported outcome scores and a high rate of return to sport after hip arthroscopy.

Andrew Jimenez, MD, and colleagues collected 2-year patient-reported outcomes for the modified Harris Hip Score (mHHS), nonarthritic hip score, hip outcome score-sport specific subscale (HOS-SSS), VAS for pain and return to sport status among professional and collegiate female athletes who underwent primary hip arthroscopy for femoroacetabular impingement from 2009 to 2018. Researchers also recorded the percentage of patients achieving a minimal clinically important difference (MCID) and patient-acceptable symptomatic state (PASS). Researchers matched female athletes 1:1 with a control group of male athletes.

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Results showed female athletes who underwent arthroscopy for femoroacetabular impingement had a return to sport rate of 75.4% compared with 83.1% of male athletes. Data were derived from Domb B, et al. Paper 48. Presented at: American Orthopaedic Society for Sports Medicine Annual Meeting; July 13-17, 2022; Colorado Springs, Colo.

“In terms of our results, the return to sport rate was similar between groups,” Jimenez said in his presentation at the American Orthopaedic Society for Sports Medicine Annual Meeting. “Among those who attempted it, about 75.4% were females vs. 83.1% for the males.”

Andrew Jimenez
Andrew Jimenez

Jimenez noted 16 female athletes and 10 male athletes were unable to return to sport due to hip pain. Female athletes had lower preoperative scores for the mHHS, nonarthritic hip score, HOS-SSS and VAS compared with male athletes, according to Jimenez. He added female athletes demonstrated significantly greater improvements in the mHHS, nonarthritic hip score and VAS.

“[Female athletes] demonstrated higher rates of achieving the MCID for [nonarthritic hip score] and [hip outcome score],” Jimenez said. “However, their rates of achieving PASS were similar between the two groups.”