Predictors of Achieving the Patient Acceptable Symptomatic State at Minimum 5-Year Follow-up Following Primary Hip Arthroscopy in the Adolescent Athlete

Predictors of Achieving the Patient Acceptable Symptomatic State at Minimum 5-Year Follow-up Following Primary Hip Arthroscopy in the Adolescent Athlete

Authors

Jimenez AE, Glein RM, Owens JS, Lee MS, Maldonado DR, Saks BR, Lall AC, Domb BG

Background

• The Patient Acceptable Symptomatic State (PASS) is a measure of how acceptable a patient finds their symptoms after hip surgery.
• This study aimed to find out which factors predict achieving the PASS in adolescent athletes after hip arthroscopy for femoroacetabular impingement syndrome (FAIS).

Methods

• The study reviewed data from adolescent athletes who underwent primary hip arthroscopy for FAIS.
• Various factors, such as preoperative and postoperative patient-reported outcome scores, were analyzed to see what predicted achieving PASS at 5 years.

Key Findings

• Key predictors for achieving the PASS were lower pain scores (VAS ≤2) and better functional scores at 2 years post-surgery.
• Athletes who had significant pain relief (VAS ≤2) at 2 years were much more likely to achieve the PASS at 5 years.

Conclusions

• Achieving low pain levels and improved function early on (2 years post-surgery) are important predictors for long-term success in adolescent athletes after hip arthroscopy.

What Does This Mean for Patients

• If you're an adolescent athlete undergoing hip arthroscopy, achieving good pain relief and functional improvement early on can predict better long-term outcomes. If you experience pain relief by the 2-year mark, your chances of reaching a fully acceptable level of symptoms by 5 years are high.