Performance and Return to Sport After Hip Arthroscopy in the National Basketball Association

Robert A. Jack; Kyle R. Sochacki; Takashi Hirase; Justin Vickery; Patrick McCulloch; David M. Lintner; Joshua D. Harris

doi:10.1016/j.arthro.2019.09.013

Performance and Return to Sport After Hip Arthroscopy in the National Basketball Association

Robert A. Jack, Kyle R. Sochacki, Takashi Hirase, Justin Vickery, Patrick McCulloch, David M. Lintner, Joshua D. Harris

Research output: Contribution to journal › Article › peer-review

14 Scopus citations

Abstract

PURPOSE: To determine: (1) return to sport (RTS) rate in National Basketball Association (NBA) players following hip arthroscopy, (2) postoperative career length and games per season, (3) pre- and postoperative performance, and (4) postoperative performance compared with control players.

METHODS: NBA athletes who underwent hip arthroscopy and matched controls were identified. RTS was defined as playing in at least 1 game after surgery. Player efficiency ratings were used for performance evaluation. Continuous variables of each group were compared using a 2-tailed paired samples Student t test for normally distributed data. χ 2 was used to analyze categorical data. RTS was used as the primary outcome with statistical significance defined by a P value < .05. A Bonferroni correction was used to control for the remaining multiple comparisons with statistical significance defined by a P value ≤.008.

RESULTS: Twenty-three players (24 hips) were analyzed (mean age 27.5 ± 3.1 years; mean experience in the NBA 5.8 ± 2.8 years at time of surgery). Small forwards (n = 8, 33.3%) represented the largest proportion of players that underwent hip arthroscopy. Twenty players (21 surgeries, 87.5%) were able to RTS in NBA at an average of 5.7 ± 2.6 months. The overall 1-year NBA career survival rate of players undergoing hip arthroscopy was 79.2%. Players in the control group (5.2 ± 3.5 years) had a similar career length as (P = .068) players who underwent surgery (4.4 ± 3.0 years). There was no significant (P = .045) decrease in games per season following surgery. There was no significant difference in performance postoperatively compared with preoperatively (P = .017) and compared with matched controls following surgery (P = .570).

CONCLUSIONS: The RTS rate for NBA athletes after hip arthroscopy is high. There was no decrease in games played, career lengths, or performance following hip arthroscopy in NBA players versus preoperatively and matched controls.

LEVEL OF EVIDENCE: Level III case-control study.

Original language	English (US)
Pages (from-to)	473-478
Number of pages	6
Journal	Arthroscopy - Journal of Arthroscopic and Related Surgery
Volume	36
Issue number	2
DOIs	https://doi.org/10.1016/j.arthro.2019.09.013
State	Published - Feb 2020

Keywords

Adult
Arthroscopy/methods
Athletic Performance
Basketball/injuries
Case-Control Studies
Female
Hip Injuries/diagnosis
Hip Joint/diagnostic imaging
Humans
Male
Postoperative Period
Return to Sport
Young Adult

ASJC Scopus subject areas

Orthopedics and Sports Medicine

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10.1016/j.arthro.2019.09.013

Cite this

@article{f9b8c3ee883b4386be94074f4c3473a5,

title = "Performance and Return to Sport After Hip Arthroscopy in the National Basketball Association",

abstract = "PURPOSE: To determine: (1) return to sport (RTS) rate in National Basketball Association (NBA) players following hip arthroscopy, (2) postoperative career length and games per season, (3) pre- and postoperative performance, and (4) postoperative performance compared with control players.METHODS: NBA athletes who underwent hip arthroscopy and matched controls were identified. RTS was defined as playing in at least 1 game after surgery. Player efficiency ratings were used for performance evaluation. Continuous variables of each group were compared using a 2-tailed paired samples Student t test for normally distributed data. χ 2 was used to analyze categorical data. RTS was used as the primary outcome with statistical significance defined by a P value < .05. A Bonferroni correction was used to control for the remaining multiple comparisons with statistical significance defined by a P value ≤.008. RESULTS: Twenty-three players (24 hips) were analyzed (mean age 27.5 ± 3.1 years; mean experience in the NBA 5.8 ± 2.8 years at time of surgery). Small forwards (n = 8, 33.3%) represented the largest proportion of players that underwent hip arthroscopy. Twenty players (21 surgeries, 87.5%) were able to RTS in NBA at an average of 5.7 ± 2.6 months. The overall 1-year NBA career survival rate of players undergoing hip arthroscopy was 79.2%. Players in the control group (5.2 ± 3.5 years) had a similar career length as (P = .068) players who underwent surgery (4.4 ± 3.0 years). There was no significant (P = .045) decrease in games per season following surgery. There was no significant difference in performance postoperatively compared with preoperatively (P = .017) and compared with matched controls following surgery (P = .570).CONCLUSIONS: The RTS rate for NBA athletes after hip arthroscopy is high. There was no decrease in games played, career lengths, or performance following hip arthroscopy in NBA players versus preoperatively and matched controls.LEVEL OF EVIDENCE: Level III case-control study.",

keywords = "Adult, Arthroscopy/methods, Athletic Performance, Basketball/injuries, Case-Control Studies, Female, Hip Injuries/diagnosis, Hip Joint/diagnostic imaging, Humans, Male, Postoperative Period, Return to Sport, Young Adult",

author = "Jack, {Robert A.} and Sochacki, {Kyle R.} and Takashi Hirase and Justin Vickery and Patrick McCulloch and Lintner, {David M.} and Harris, {Joshua D.}",

note = "Funding Information: The authors report the following potential conflicts of interest or sources of funding: P.C.M. reports speaker's bureau/paid presentation by company/supplier (Vericel/Aastroom Biosciences); research support from company/supplier (DePuy, A Johnson & Johnson Company; Arthrex/Medinc of Texas); and medical/orthopaedic publications editorial/governing board (Journal of Knee Surgery; Orthobullets.com). D.M.L. reports educational support; Arthrex/Medinc of Texas. J.D.H. reports AAOS: Board or committee member; American Journal of Orthopedics: editorial or governing board; American Orthopaedic Society for Sports Medicine: board or committee member; Arthroscopy: editorial or governing board; Arthroscopy Association of North America: board or committee member; DePuy, A Johnson & Johnson Company: research support; Frontiers in Surgery: editorial or governing board; International Society of Arthroscopy, Knee Surgery, and Orthopaedic Sports Medicine: board or committee member; NIA Magellan: paid consultant; Ossur: paid consultant, paid presenter or speaker; SLACK Incorporated: publishing royalties, financial or material support; and Smith & Nephew: paid consultant, paid presenter or speaker, research support. Full ICMJE author disclosure forms are available for this article online, as supplementary material. Publisher Copyright: {\textcopyright} 2019 Arthroscopy Association of North America Copyright: Copyright 2020 Elsevier B.V., All rights reserved.",

year = "2020",

month = feb,

doi = "10.1016/j.arthro.2019.09.013",

language = "English (US)",

volume = "36",

pages = "473--478",

journal = "Arthroscopy - Journal of Arthroscopic and Related Surgery",

issn = "0749-8063",

publisher = "W.B. Saunders Ltd",

number = "2",

}

TY - JOUR

T1 - Performance and Return to Sport After Hip Arthroscopy in the National Basketball Association

AU - Jack, Robert A.

AU - Sochacki, Kyle R.

AU - Hirase, Takashi

AU - Vickery, Justin

AU - McCulloch, Patrick

AU - Lintner, David M.

AU - Harris, Joshua D.

N1 - Funding Information: The authors report the following potential conflicts of interest or sources of funding: P.C.M. reports speaker's bureau/paid presentation by company/supplier (Vericel/Aastroom Biosciences); research support from company/supplier (DePuy, A Johnson & Johnson Company; Arthrex/Medinc of Texas); and medical/orthopaedic publications editorial/governing board (Journal of Knee Surgery; Orthobullets.com). D.M.L. reports educational support; Arthrex/Medinc of Texas. J.D.H. reports AAOS: Board or committee member; American Journal of Orthopedics: editorial or governing board; American Orthopaedic Society for Sports Medicine: board or committee member; Arthroscopy: editorial or governing board; Arthroscopy Association of North America: board or committee member; DePuy, A Johnson & Johnson Company: research support; Frontiers in Surgery: editorial or governing board; International Society of Arthroscopy, Knee Surgery, and Orthopaedic Sports Medicine: board or committee member; NIA Magellan: paid consultant; Ossur: paid consultant, paid presenter or speaker; SLACK Incorporated: publishing royalties, financial or material support; and Smith & Nephew: paid consultant, paid presenter or speaker, research support. Full ICMJE author disclosure forms are available for this article online, as supplementary material. Publisher Copyright: © 2019 Arthroscopy Association of North America Copyright: Copyright 2020 Elsevier B.V., All rights reserved.

PY - 2020/2

Y1 - 2020/2

N2 - PURPOSE: To determine: (1) return to sport (RTS) rate in National Basketball Association (NBA) players following hip arthroscopy, (2) postoperative career length and games per season, (3) pre- and postoperative performance, and (4) postoperative performance compared with control players.METHODS: NBA athletes who underwent hip arthroscopy and matched controls were identified. RTS was defined as playing in at least 1 game after surgery. Player efficiency ratings were used for performance evaluation. Continuous variables of each group were compared using a 2-tailed paired samples Student t test for normally distributed data. χ 2 was used to analyze categorical data. RTS was used as the primary outcome with statistical significance defined by a P value < .05. A Bonferroni correction was used to control for the remaining multiple comparisons with statistical significance defined by a P value ≤.008. RESULTS: Twenty-three players (24 hips) were analyzed (mean age 27.5 ± 3.1 years; mean experience in the NBA 5.8 ± 2.8 years at time of surgery). Small forwards (n = 8, 33.3%) represented the largest proportion of players that underwent hip arthroscopy. Twenty players (21 surgeries, 87.5%) were able to RTS in NBA at an average of 5.7 ± 2.6 months. The overall 1-year NBA career survival rate of players undergoing hip arthroscopy was 79.2%. Players in the control group (5.2 ± 3.5 years) had a similar career length as (P = .068) players who underwent surgery (4.4 ± 3.0 years). There was no significant (P = .045) decrease in games per season following surgery. There was no significant difference in performance postoperatively compared with preoperatively (P = .017) and compared with matched controls following surgery (P = .570).CONCLUSIONS: The RTS rate for NBA athletes after hip arthroscopy is high. There was no decrease in games played, career lengths, or performance following hip arthroscopy in NBA players versus preoperatively and matched controls.LEVEL OF EVIDENCE: Level III case-control study.

AB - PURPOSE: To determine: (1) return to sport (RTS) rate in National Basketball Association (NBA) players following hip arthroscopy, (2) postoperative career length and games per season, (3) pre- and postoperative performance, and (4) postoperative performance compared with control players.METHODS: NBA athletes who underwent hip arthroscopy and matched controls were identified. RTS was defined as playing in at least 1 game after surgery. Player efficiency ratings were used for performance evaluation. Continuous variables of each group were compared using a 2-tailed paired samples Student t test for normally distributed data. χ 2 was used to analyze categorical data. RTS was used as the primary outcome with statistical significance defined by a P value < .05. A Bonferroni correction was used to control for the remaining multiple comparisons with statistical significance defined by a P value ≤.008. RESULTS: Twenty-three players (24 hips) were analyzed (mean age 27.5 ± 3.1 years; mean experience in the NBA 5.8 ± 2.8 years at time of surgery). Small forwards (n = 8, 33.3%) represented the largest proportion of players that underwent hip arthroscopy. Twenty players (21 surgeries, 87.5%) were able to RTS in NBA at an average of 5.7 ± 2.6 months. The overall 1-year NBA career survival rate of players undergoing hip arthroscopy was 79.2%. Players in the control group (5.2 ± 3.5 years) had a similar career length as (P = .068) players who underwent surgery (4.4 ± 3.0 years). There was no significant (P = .045) decrease in games per season following surgery. There was no significant difference in performance postoperatively compared with preoperatively (P = .017) and compared with matched controls following surgery (P = .570).CONCLUSIONS: The RTS rate for NBA athletes after hip arthroscopy is high. There was no decrease in games played, career lengths, or performance following hip arthroscopy in NBA players versus preoperatively and matched controls.LEVEL OF EVIDENCE: Level III case-control study.

KW - Adult

KW - Arthroscopy/methods

KW - Athletic Performance

KW - Basketball/injuries

KW - Case-Control Studies

KW - Female

KW - Hip Injuries/diagnosis

KW - Hip Joint/diagnostic imaging

KW - Humans

KW - Male

KW - Postoperative Period

KW - Return to Sport

KW - Young Adult

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JO - Arthroscopy - Journal of Arthroscopic and Related Surgery

JF - Arthroscopy - Journal of Arthroscopic and Related Surgery

IS - 2

ER -

Performance and Return to Sport After Hip Arthroscopy in the National Basketball Association

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