High-Level Athletes With Borderline Hip Dysplasia Achieve Favorable Outcomes and Return to Sport Rates Following Primary Hip Arthroscopy
Authors
Owens JS, Jimenez AE, Lee MS, Monahan PF, Maldonado DR, Domb BG
Journal
Arthroscopy, February 2023
Background
This study investigates the outcomes of high-level athletes with borderline hip dysplasia (BHD) who undergo hip arthroscopy for labral pathology and femoroacetabular impingement syndrome.
Methods
- 34 athletes with BHD (lateral center-edge angle [LCEA] 18-25°) underwent hip arthroscopy and were followed for a minimum of 5 years.
- Results were compared to a control group of athletes with normal acetabular coverage (LCEA 25°-40°).
Key Findings
- BHD athletes showed significant improvements in patient-reported outcomes (PROs), with high return-to-sport (90%) and minimal clinically important difference (MCID) achievement rates.
- There were no significant differences in outcomes between BHD athletes and the control group with normal acetabular coverage.
Conclusions
High-level athletes with BHD can expect favorable outcomes and high rates of return to sport following primary hip arthroscopy, with results comparable to athletes with normal acetabular coverage.
What Does This Mean For Patients
If you have borderline hip dysplasia and are an athlete considering hip arthroscopy, you can expect positive long-term outcomes and a high chance of returning to your sport.