TY - JOUR
T1 - Prevalence and Impact of Hip Arthroscopic Surgery on Future Participation in Elite American Football Athletes
AU - Knapik, Derrick M.
AU - Sheehan, Joe
AU - Nho, Shane J.
AU - Voos, James E.
AU - Salata, Michael J.
N1 - Funding Information:
*Address correspondence to Derrick M. Knapik, MD, Sports Medicine Institute, University Hospitals Cleveland Medical Center, 11100 Euclid Avenue, Hanna House 5043, Cleveland, OH 44106, USA (email: [email protected]). †Sports Medicine Institute, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA. ‡Case Western Reserve University School of Medicine, Cleveland, Ohio, USA. §Cleveland Browns, Cleveland, Ohio, USA. ||Midwest Orthopaedics at Rush University, Chicago, Illinois, USA. One or more of the authors has declared the following potential conflict of interest or source of funding: S.J.N. is a paid consultant for Ossur and Stryker and receives research support from AlloSource, Arthrex, Athletico, DJ Orthopaedics, Linvatec, MioMed, Smith & Nephew, and Stryker. J.E.V. is a paid consultant for Arthrex. M.J.S. is a paid consultant for Smith & Nephew. Ethical approval for this study was obtained from the Institutional Review Board for Human Investigation of the University Hospitals Cleveland Medical Center (No. 04-15-50) and the National Football League Health and Safety Committee.
Publisher Copyright:
© 2018, © The Author(s) 2018.
PY - 2018/1/30
Y1 - 2018/1/30
N2 - Background: Intra-articular injuries to the hip in elite athletes represent a source of significant pain and disability. Hip arthroscopic surgery has become the gold standard for the treatment of disorders involving the hip joint. Purpose: To examine the incidence of and abnormalities treated with hip arthroscopic surgery as well as the impact on future participation in American football athletes invited to the National Football League (NFL) Scouting Combine with a history of hip arthroscopic surgery. Study Design: Cohort study; Level of evidence, 3. Methods: Athletes invited to the NFL Combine from 2012 to 2015 were evaluated for a history of hip arthroscopic surgery. Athlete demographics, imaging findings, and physical examination results were gathered using the NFL Combine database. Information on prospective participation in the NFL with regard to draft status, games played, games started, and current status was gathered using publicly available databases and compared against all other athletes participating in the combine. Results: Fourteen athletes (15 hips) had a history of arthroscopic hip surgery. Acetabular labral tears were treated in 93% (14 hips), with femoroacetabular impingement decompression performed in 33% (5 hips). Compared with athletes who had no history of hip arthroscopic surgery, those undergoing arthroscopic surgery did not possess a lower likelihood of being drafted (66% vs 71%, respectively; P =.78) or of being on an active roster (52% vs 43%, respectively; P =.44) after their first season in the NFL. Moreover, there was no significant difference in the number of regular-season games played (10.9 ± 4.8 with arthroscopic surgery vs 11.0 ± 5.1 without; P =.96) or started (7.0 ± 3.6 with arthroscopic surgery vs 7.1 ± 5.3 without; P =.98). Conclusion: American football athletes invited to the NFL Combine with a history of hip arthroscopic surgery were not at risk for diminished participation when compared with all other athletes during their first season in the NFL.
AB - Background: Intra-articular injuries to the hip in elite athletes represent a source of significant pain and disability. Hip arthroscopic surgery has become the gold standard for the treatment of disorders involving the hip joint. Purpose: To examine the incidence of and abnormalities treated with hip arthroscopic surgery as well as the impact on future participation in American football athletes invited to the National Football League (NFL) Scouting Combine with a history of hip arthroscopic surgery. Study Design: Cohort study; Level of evidence, 3. Methods: Athletes invited to the NFL Combine from 2012 to 2015 were evaluated for a history of hip arthroscopic surgery. Athlete demographics, imaging findings, and physical examination results were gathered using the NFL Combine database. Information on prospective participation in the NFL with regard to draft status, games played, games started, and current status was gathered using publicly available databases and compared against all other athletes participating in the combine. Results: Fourteen athletes (15 hips) had a history of arthroscopic hip surgery. Acetabular labral tears were treated in 93% (14 hips), with femoroacetabular impingement decompression performed in 33% (5 hips). Compared with athletes who had no history of hip arthroscopic surgery, those undergoing arthroscopic surgery did not possess a lower likelihood of being drafted (66% vs 71%, respectively; P =.78) or of being on an active roster (52% vs 43%, respectively; P =.44) after their first season in the NFL. Moreover, there was no significant difference in the number of regular-season games played (10.9 ± 4.8 with arthroscopic surgery vs 11.0 ± 5.1 without; P =.96) or started (7.0 ± 3.6 with arthroscopic surgery vs 7.1 ± 5.3 without; P =.98). Conclusion: American football athletes invited to the NFL Combine with a history of hip arthroscopic surgery were not at risk for diminished participation when compared with all other athletes during their first season in the NFL.
KW - American football
KW - athletes
KW - femoroacetabular impingement
KW - hip arthroscopic surgery
KW - labrum
UR - http://www.scopus.com/inward/record.url?scp=85042876482&partnerID=8YFLogxK
U2 - 10.1177/2325967117752307
DO - 10.1177/2325967117752307
M3 - Article
AN - SCOPUS:85042876482
SN - 2325-9671
VL - 6
JO - Orthopaedic Journal of Sports Medicine
JF - Orthopaedic Journal of Sports Medicine
IS - 2
ER -