{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,13]],"date-time":"2026-06-13T02:03:42Z","timestamp":1781316222179,"version":"3.54.1"},"reference-count":66,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T00:00:00Z","timestamp":1776297600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T00:00:00Z","timestamp":1776297600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T00:00:00Z","timestamp":1776297600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T00:00:00Z","timestamp":1776297600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To provide an updated review of return\u2010to\u2010sport rates and outcomes for elite athletes undergoing hip arthroscopy and to discuss the impact of varying definitions of return to sport in the current literature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic review of the literature was performed following the Preferred Reporting Items for Systematic Reviews and Meta\u2010Analyses guidelines. Included studies reported a return\u2010to\u2010sport rate for elite athletes undergoing hip arthroscopy for treatment of femoroacetabular impingement and\/or labral tears. Only elite athletes, defined as those competing at the Olympic, national, professional, semiprofessional, or collegiate levels, were included. Extracted data included patient demographic data, sports played, level of competition, return\u2010to\u2010sport rates, time to return to sport, patient\u2010reported outcomes, intraoperative findings, surgical interventions, and radiological data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 1406 patients and 1548 hips across 21 studies were included in this analysis. Included studies had mean ages at the time of surgery ranging from 19.5 to 38\u2009years. The proportion of male athletes varied from 42% to 100%, and body mass indices ranged from 22.9 to 31.4\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      . A total of 18 studies reported a return\u2010to\u2010sport rate where return was specifically defined as a return to the same level of competition, with rates ranging from 25% to 100%. Nine studies included a broader definition of return to sport, with rates ranging from 67% to 100%. Mean time to return to sport across studies ranged from 4.2 to 10.8\u2009months, and mean follow\u2010up periods ranged from 12.3 to 92.4\u2009months.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Reported return\u2010to\u2010sport rates for elite athletes undergoing hip arthroscopy were high. However, there exists much variability in the characterizations of return to sport, which results in inconsistent return rates that must be contextualized for patients and surgeons to make informed decisions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, systematic review of Level III and IV studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/arj.70165","type":"journal-article","created":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T11:41:25Z","timestamp":1776339685000},"page":"1079-1090","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Return to Sport in Elite\u2010Level Athletes Undergoing Hip Arthroscopy Varies Based on Return\u2010to\u2010Sport Definition: A Systematic Review"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3528-9273","authenticated-orcid":false,"given":"Kevin G.","family":"Girardi","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Rehabilitation Yale School of Medicine  New Haven Connecticut U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-4141-5386","authenticated-orcid":false,"given":"Kian","family":"Kardestuncer","sequence":"additional","affiliation":[{"name":"Middlebury College  Middlebury Vermont U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anshu","family":"Jonnalagadda","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Rehabilitation Yale School of Medicine  New Haven Connecticut U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4737-2106","authenticated-orcid":false,"given":"Michael S.","family":"Lee","sequence":"additional","affiliation":[{"name":"Medical College of Wisconsin  Milwaukee Wisconsin U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1551-4525","authenticated-orcid":false,"given":"Serkan","family":"Surucu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Rehabilitation Yale School of Medicine  New Haven Connecticut U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jay","family":"Moran","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Rehabilitation Yale School of Medicine  New Haven Connecticut U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-9249-6100","authenticated-orcid":false,"given":"Jeremy K.","family":"Ansah\u2010Twum","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Rehabilitation Yale School of Medicine  New Haven Connecticut U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soheil","family":"Sabzevari","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Rehabilitation Yale School of Medicine  New Haven Connecticut U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7979-6536","authenticated-orcid":false,"given":"Andrew E.","family":"Jimenez","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Rehabilitation Yale School of Medicine  New Haven Connecticut U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,16]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2012.03.016"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2012.11.002"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465241232154"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-014-2883-y"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2012.03.005"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-018-4861-2"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518759731"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-018-4929-z"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/19417381231183658"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-013-2787-z"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465211038959"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/2325967120952990"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.5301\/hipint.5000006"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40634-020-00263-5"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513498058"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2012.02.024"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.10.113"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465211056964"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0000000000000696"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2012.08.028"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-013-2691-9"},{"key":"e_1_2_8_23_1","first-page":"232596712210998","article-title":"Outcomes and return\u2010to\u2010sport rates for elite athletes with femoral retroversion undergoing hip arthroscopy: A propensity\u2010matched analysis with minimum 2\u2010year follow\u2010up","volume":"10","author":"Owens JS","year":"2022","journal-title":"Orthop J Sports Med."},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465221123060"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509346393"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-007-0332-x"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/23259671221084979"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518773080"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2009.10.010"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-023-07336-9"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.asmr.2021.12.021"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1177\/2325967119825835"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.10.153"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2019.09.013"},{"key":"e_1_2_8_35_1","doi-asserted-by":"publisher","DOI":"10.1177\/23259671221089984"},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20190403-01"},{"key":"e_1_2_8_37_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465221085663"},{"key":"e_1_2_8_38_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465211039834"},{"key":"e_1_2_8_39_1","doi-asserted-by":"publisher","DOI":"10.1093\/jhps\/hnz069"},{"key":"e_1_2_8_40_1","doi-asserted-by":"publisher","DOI":"10.1177\/2325967120918383"},{"key":"e_1_2_8_41_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-017-4573-z"},{"key":"e_1_2_8_42_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518801320"},{"key":"e_1_2_8_43_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518775420"},{"key":"e_1_2_8_44_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517738741"},{"key":"e_1_2_8_45_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517729163"},{"key":"e_1_2_8_46_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517700118"},{"key":"e_1_2_8_47_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517697296"},{"key":"e_1_2_8_48_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516650649"},{"key":"e_1_2_8_49_1","doi-asserted-by":"publisher","DOI":"10.1177\/2325967116643532"},{"key":"e_1_2_8_50_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2015.03.002"},{"key":"e_1_2_8_51_1","doi-asserted-by":"publisher","DOI":"10.1177\/2325967115569691"},{"key":"e_1_2_8_52_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2013.05.001"},{"key":"e_1_2_8_53_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546510387263"},{"key":"e_1_2_8_54_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200301000-00012"},{"key":"e_1_2_8_55_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1445-2197.2003.02748.x"},{"key":"e_1_2_8_56_1","unstructured":"Oxford Centre for Evidence\u2010Based Medicine: Levels of evidence (March 2009).https:\/\/www.cebm.ox.ac.uk\/resources\/levels\u2010of\u2010evidence\/oxford\u2010centre\u2010for\u2010evidence\u2010based\u2010medicine\u2010levels\u2010of\u2010evidence\u2010march\u20102009. Accessed November 21 2024."},{"key":"e_1_2_8_57_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.10.005"},{"key":"e_1_2_8_58_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516650888"},{"key":"e_1_2_8_59_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2014-094414"},{"key":"e_1_2_8_60_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546520950441"},{"key":"e_1_2_8_61_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-021-05077-3"},{"key":"e_1_2_8_62_1","doi-asserted-by":"publisher","DOI":"10.1177\/23259671221109012"},{"key":"e_1_2_8_63_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.91B1.21329"},{"key":"e_1_2_8_64_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11420-012-9290-z"},{"key":"e_1_2_8_65_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518789070"},{"key":"e_1_2_8_66_1","doi-asserted-by":"publisher","DOI":"10.26603\/001c.87629"},{"key":"e_1_2_8_67_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2022.11.013"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/arj.70165","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/arj.70165","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/arj.70165","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T13:14:01Z","timestamp":1781270041000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1002\/arj.70165"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,16]]},"references-count":66,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1002\/arj.70165"],"URL":"https:\/\/doi.org\/10.1002\/arj.70165","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,16]]},"assertion":[{"value":"2025-05-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-16","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}