EP8.48 Performance and Return to Play After Hip Arthroscopy in Basketball Players: A Systematic Review

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ID: 331228
2026
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Ranked #208 of 444 articles by views in Journal of hip preservation surgery

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Abstract
Abstract Introduction Despite increasing recognition of femoroacetabular impingement (FAI) in basketball players, evidence on return to play following hip arthroscopy remains limited and is often derived from mixed-sport cohorts. The purpose of this study was to systematically review the rate and timing of return to play, performance metrics, and patient-reported outcomes in basketball players treated with hip arthroscopy. Methods Following PRISMA guidelines, a systematic search of MEDLINE, Embase, Scopus, the Cochrane Library, and ClinicalTrials.gov was conducted by two independent reviewers. Studies were included if they reported on RTP among basketball players after hip arthroscopy. Results Six studies met inclusion criteria, comprising 144 patients (156 hips). Most athletes were male (81.3%), aged 25.6 to 30 years, and commonly presented with femoroacetabular impingement. Athletes competed at levels ranging from high school to professional. Overall RTP ranged from 69% to 100%, with 72% to 100% returning at the same or higher level. Mean time to RTP was 5.7 to 8.0 months. Professional basketball players did not demonstrate statistically significant pre-to postoperative changes in player efficiency ratings or games played per season. Non-professional athletes reported significant improvements in PROs and pain, with many achieving the minimal clinically important difference (MCID) and patient acceptable symptom state (PASS) thresholds. Rates of revision arthroscopy ranged from 0% to 12.9%, whereas conversion to total hip arthroplasty ranged from 3.6% to 9.7%. Discussion and Conclusion Basketball players undergoing hip arthroscopy demonstrate high rates of RTP, with most athletes returning to their preinjury level or higher. Professional athletes maintained performance metrics, while non-professional players experienced significant improvements in PROs and pain. These findings suggest that hip arthroscopy provides favorable outcomes across all levels of competition in basketball.
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Authors
Journal Journal of hip preservation surgery
Year 2026
DOI
10.1093/jhps/hnag043.428
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