Purpose To systematically review and report patient‐reported outcome measures (PROMs), rates of return to sport, and secondary surgeries in dancers and flexibility sport athletes who underwent hip arthroscopy. Methods Using the 2020 Preferred Reporting Items for Systematic Reviews and Meta‐Analyses criteria, a systematic review was performed with a literature search of the PubMed and Embase in August 2025. Inclusion criteria were studies investigating surgical outcomes on dancers and flexibility sport athletes undergoing hip arthroscopy. Exclusion criteria included non‐English language studies, reviews, meta‐analyses, systematic reviews, case reports, conference abstracts, and editorial commentaries. Data for patient demographics, follow‐up time, PROMs, and rates of return to sport and secondary surgeries were collected. The minimal clinically important difference and patient acceptable symptom state rates were reported when available. Results Seven articles were included with 440 patients (460 hips). All studies had a retrospective study design, with mean follow‐up times from 23 to 79.1 months, with most of the patients being females (ranged from 61.2% to 100%). All studies reported baseline and postoperative PROMs data with significant improvement. Two studies reported minimal clinically important difference rates ranging from 76.9% to 85.7%. Return‐to‐sport rates ranged from 75.6% to 97%. Rate for revision hip arthroscopic surgery ranged from 0 to 9.8%. Conclusions Dancers and flexibility sport athletes who underwent hip arthroscopy showed significant improvement in PROMs with minimal clinically important difference rates ranging from 76.9% to 85.7%, a high average rate of return to sport of 84.6%, and an average revision hip arthroscopy rates ranging from 0% to 9.8% at short‐to‐mid‐term follow‐up. Level of Evidence Level IV, systematic review of Level III and IV studies.
Maldonado et al. (Sun,) studied this question.