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Chronic hip injury has a negative emotional impact on the male athlete with femoro-acetabular impingement

Arthroscopy Oct 30, 2020

Filan D, et al. - This study was intended to assess the effect of hip arthroscopy for Femoroacetabular Impingement on both the physical and mental components of the SF-36 and evaluate how variations in the health status match with improvements in physical function and ability to continue to play (CTP) at 2 years after surgery. Researchers prospectively obtained data from male athletes undergoing primary arthroscopic correction of FAI between November 2008-October 2016. They evaluated physical(PCS) and mental (MCS) component scores of the SF36 pre-operatively and 2-years postoperatively. They estimated minimal clinical important difference(MCID) applying an anchor-based, percentage of possible improvement(POPI) technique, and the proportion of athletes achieving MCID established. They applied logistic regression analysis to distinguish predictors of achieving MCID. At a 2-year follow-up, CTP was assessed. They included a total of 486 cases (average age 25.9±5.6 years). At 2-years, arthroscopic management of sports-related FAI results in excellent overall clinical outcome and high levels of satisfaction and CTP. This study’s findings demonstrate that chronic hip injury has a significant negative effect on the physical and mental well-being of athletes; corrective surgery may restore physical function but is more limited in its ability to improve mental health status in this athletic cohort.

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