Psychological readiness may impact return to sport after hip arthroscopy
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Key takeaways:
- Results showed Hip-Return to Sport after Injury score was a predictor of failure to return to sport.
- Higher Hip-Return to Sport after Injury score was associated with an increased rate of return to sport.
SAN FRANCISCO — Psychological readiness may influence the rate of return to sport in recreational athletes who underwent hip arthroscopy with labral preservation for femoroacetabular impingement, according to results presented here.
“Recreational athletes do achieve high and acceptable levels of return to sport including at the same level of play, with significant improvement in PROMS similar to what has been previously reported for high-level athletes,” Kirk J. Hippensteel, MD, FAAOS, said in his presentation at the American Academy of Orthopaedic Surgeons Annual Meeting.
Hippensteel and colleagues retrospectively analyzed hip registry data on 204 recreational athletes who underwent hip arthroscopy with labral preservation to treat femoroacetabular impingement at Hospital for Special Surgery.
Outcomes measured included rate of return to sport, hip-specific patient-reported outcome measures (PROMs) and the Hip-Return to Sport after Injury (Hip-RSI) score.
Overall, Hippensteel said that all hip-specific PROMs were significantly improved regardless of return to sport.
Hippensteel said patients who returned to sport had a significantly higher mean Hip-RSI score than those who did not return to sport.
Hippensteel also said the Hip-RSI score was the sole statistically significant predictor of failure to return to sport.
Age and current sports experience were associated with the Hip-RSI score, according to Hippensteel. Every 1-year increase in age was associated with a 0.5-point increase in the Hip-RSI.
He added that all hip-specific PROMs were associated with the Hip-RSI score at 2-year follow-up.
“The Hip-RSI score evaluating psychological readiness was a statistically significant predictor of failure to return to sport 1 and 2 years postoperatively, indicating the importance of surgeon awareness and potential implementation of strategies to assess and improve a patient’s psychological readiness in combination with clinical variables when deciding when to allow them to return to sport after hip arthroscopy,” Hippensteel said.
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Hippensteel KJ, et al. Hip arthroscopy in recreational athletes: Risk factors for failure to return to sport and factors that influence psychological readiness to return to sport. Presented at: American Academy of Orthopaedic Surgeons Annual Meeting; Feb. 12-16, 2024; San Francisco.
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