Minimum 2-Year Outcomes and Return to Sports of Competitive Athletes Who Undergo Subspine Decompression During Primary Hip Arthroscopy for Femoroacetabular Impingement Syndrome and Subspine Impingement: A Propensity-Matched Controlled Study

Minimum 2-Year Outcomes and Return to Sports of Competitive Athletes Who Undergo Subspine Decompression During Primary Hip Arthroscopy for Femoroacetabular Impingement Syndrome and Subspine Impingement: A Propensity-Matched Controlled Study

Authors

Jimenez AE, Lee MS, George T, Owens JS, Harris WT, Maldonado DR, Lall AC, Domb BG

Journal

Am J Sports Med, May 2022

Background

Subspine impingement (SSI) can coexist with femoroacetabular impingement syndrome (FAIS). The outcomes of subspine decompression during primary hip arthroscopy in competitive athletes have not been well documented.

Methods

• Data were analyzed for athletes undergoing hip arthroscopy for FAIS with subspine decompression between 2011 and 2018.
• Patient-reported outcomes (PROs) and return-to-sport (RTS) rates were assessed at a minimum 2-year follow-up.
• A propensity-matched control group of athletes without SSI was used for comparison.

Key Findings

• Athletes in the SSI group showed significant improvements in all PROs (P < .001).
• 88.5% of athletes returned to sport, with a low revision surgery rate (6.7%).
• The SSI group had similar RTS rates, revision rates, and PRO improvements when compared to the control group.

Conclusions

Competitive athletes with FAIS and SSI who undergo subspine decompression during primary hip arthroscopy achieve favorable outcomes and high RTS rates, similar to athletes without SSI.

What Does This Mean For Patients

If you're an athlete with FAIS and subspine impingement, subspine decompression in combination with hip arthroscopy can help you recover and return to sport with favorable outcomes.