Purpose To evaluate the minimum 5‐year clinical outcomes and return‐to‐sport (RTS) rates of patients with generalized ligamentous laxity (GLL) who underwent hip arthroscopy with a secondary comparison to a benchmark control group with no GLL. Methods We retrospectively analyzed all patients with GLL (Beighton score ≥ 4) who underwent primary hip arthroscopy between November 2009 and January 2019. We included patients who reported preoperative sport participation and had preoperative and minimum 5‐year follow‐up for at least one patient‐reported outcome (PRO) measure: modified Harris Hip Score (mHHS), Non‐Arthritic Hip Score (NAHS), Hip Outcome Score Sport‐Specific Subscale (HOS‐SSS), International Hip Outcome Tool‐12 (iHOT‐12), or Visual Analog Scale (VAS) for pain. Revision hip arthroscopy or conversion to arthroplasty was accounted for. Patients with GLL were matched to patients with a Beighton score of .05). Patients with GLL reported a RTS rate of 83% at any time point postoperative, and 74.6% of those that returned were able to continue playing at the 5‐year mark. No differences in postoperative PRO scores, RTS, continuation‐of‐sport participation, and survivorship were found between groups. Conclusions Hip arthroscopy in patients with GLL yields favorable outcomes and survivorship at 5‐year minimum follow‐up comparable to patients without GLL. A high percentage of athletes with GLL were able to RTS and continue playing 5 years after hip arthroscopy. Level of Evidence Level IV, retrospective comparative case series.
Quesada‐Jimenez et al. (Sat,) studied this question.