EP8.93 Athletic Participation and Recovery Following Hip Arthroscopy for Femoroacetabular Impingement Syndrome: Insights from Patient-Reported Outcome Measures

Abstract Purpose To evaluate the effect of (1) type of sports participation and (2) highest level of athletic competition on 3- and 6-month postoperative patient reported outcome measures (PROMs) in patients undergoing hip arthroscopy for femoroacetabular impingement syndrome (FAIS). Methods A retrospective review of prospectively collected data was conducted for patients who underwent hip arthroscopy for FAIS between February 2020 and June 2024. Inclusion criteria required completion of PROMs preoperatively and at 3- and 6-months postoperatively, as well as documentation of past or current sports participation. Patients were categorized by the highest level of sport type they had ever participated in (Type 1: jumping, pivoting, hard cutting, soccer, basketball; Type 2: baseball, skiing, tennis; Type 3: running, swimming; Type 4: ADL, sedentary work) and their highest level of competition (professional, college, high school, club, recreational, none). PROMs included: iHOT-12, Hip Outcome Score (Sport-Specific and ADL), Modified Harris Hip Score (mHHS), PROMIS Mobility, Pain Interference, Anxiety, Depression, and Global Mental and Physical Health scores. Separate linear regressions were used to assess the influence of sport type and competition level on the change of each PROM measure from preoperative to 3- and 6-month postoperative. Change scores from the preoperative timepoint are reported. Results 405 patients met inclusion criteria (mean age 33.8 ± 1.2 years; BMI 26.0 ± 0.6 kg/m2; 67% female). Patients in Type 3 sports showed significantly greater mHHS improvement at 3 months postoperative compared to Type 4 (Δ = +10.2; p = 0.04). Patients in Type 1–3 sports reported smaller improvements in PROMIS Global Physical Health than Type 4 at 3 months postoperative (p < 0.04). Across athletic competition levels, no significant PROMs differences were seen (p > 0.08). Conclusions Sport type, but not competition level, influenced short-term PROMs after hip arthroscopy for FAIS. These findings can help guide preoperative counseling and patient expectations.