High Return to Play and Variable Salary Impact After Hip Arthroscopy in National Hockey League Players

Purpose: To assess the impact of hip arthroscopy for femoroacetabular impingement syndrome (FAIS) on National Hockey League (NHL) player performance, career length, and salary. Methods: Through a retrospective review, all NHL players who underwent hip arthroscopy for FAIS from 2003 to 2023 were iden...

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Main Authors: Michael A. Gaudiani, M.D., Joshua P. Castle, M.D., Muhammad J. Abbas, M.D., Matthew J. Myhand, B.S., Thomas J. Sprys-Tellner, B.S., Jack T. McConnell, B.S., Brittaney A. Pratt, B.S., T. Sean Lynch, M.D.
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:Arthroscopy, Sports Medicine, and Rehabilitation
Online Access:http://www.sciencedirect.com/science/article/pii/S2666061X24001433
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author Michael A. Gaudiani, M.D.
Joshua P. Castle, M.D.
Muhammad J. Abbas, M.D.
Matthew J. Myhand, B.S.
Thomas J. Sprys-Tellner, B.S.
Jack T. McConnell, B.S.
Brittaney A. Pratt, B.S.
T. Sean Lynch, M.D.
author_facet Michael A. Gaudiani, M.D.
Joshua P. Castle, M.D.
Muhammad J. Abbas, M.D.
Matthew J. Myhand, B.S.
Thomas J. Sprys-Tellner, B.S.
Jack T. McConnell, B.S.
Brittaney A. Pratt, B.S.
T. Sean Lynch, M.D.
author_sort Michael A. Gaudiani, M.D.
collection DOAJ
description Purpose: To assess the impact of hip arthroscopy for femoroacetabular impingement syndrome (FAIS) on National Hockey League (NHL) player performance, career length, and salary. Methods: Through a retrospective review, all NHL players who underwent hip arthroscopy for FAIS from 2003 to 2023 were identified from a public online database. A 2:1 matched control cohort was used for comparison. Game use and performance metrics were collected and compared at 1 season and 3 seasons before and after the index season. Game use, performance, and salary were compared between operatively managed players and healthy controls. Performance measures and financial data were recorded. Results: Of the 75 NHL players who underwent hip arthroscopy, 66 (88%) returned to play and were matched to 132 healthy controls. At 1 season after the index season, the operative cohort of NHL players showed a significantly decreased Corsi percentage compared with the year prior (48.4% ± 5.2% vs 50.8% ± 4.2%, P = .024). The control cohort showed an increased Corsi percentage (51.6% ± 5.1% vs 48.9% ± 8.1%, P = .011) and increased Fenwick percentage (51.3% ± 4.6% vs 48.8% ± 8.0%, P = .013) at 1 season after the index season. On financial analysis, by season, injured players in the lower salary group showed lower earnings at season 2 ($1,360,000 ± $910,000 vs $3,950,000 ± $3,300,000; P = .012). However, by cumulative earnings, the total injured cohort showed higher earnings at season 4 ($17,300,000 ± $7,760,000 vs $12,960,000 ± $8,100,000; P = .041), driven by higher cumulative earnings in the highest salary group in seasons 3 and 4. Conclusions: After hip arthroscopy for FAIS, 88% of NHL players successfully return to play. Career length was found to be similar between the injured and matched groups. One season after surgery, NHL players showed worse performance compared with their prior season, but this returned to baseline 3 seasons after surgery. Lower-salary players in the injured group showed decreased salaries at 2 seasons after the index season compared with controls, whereas no differences were found in cumulative salaries. Level of Evidence: Level III, retrospective cohort study.
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spelling doaj-art-3e7d30d4578f4115a01ea146fec3006a2025-08-20T03:11:37ZengElsevierArthroscopy, Sports Medicine, and Rehabilitation2666-061X2025-02-017110100610.1016/j.asmr.2024.101006High Return to Play and Variable Salary Impact After Hip Arthroscopy in National Hockey League PlayersMichael A. Gaudiani, M.D.0Joshua P. Castle, M.D.1Muhammad J. Abbas, M.D.2Matthew J. Myhand, B.S.3Thomas J. Sprys-Tellner, B.S.4Jack T. McConnell, B.S.5Brittaney A. Pratt, B.S.6T. Sean Lynch, M.D.7Department of Orthopedic Surgery, Henry Ford Health, Detroit, Michigan, U.S.A.; Address correspondence to Michael A. Gaudiani, M.D., Department of Orthopaedic Surgery, Henry Ford Health, 2799 W Grand Blvd, Detroit, MI 48202, U.S.A.Department of Orthopedic Surgery, Henry Ford Health, Detroit, Michigan, U.S.A.Department of Orthopedic Surgery, Henry Ford Health, Detroit, Michigan, U.S.A.Wayne State University School of Medicine, Detroit, Michigan, U.S.A.Wayne State University School of Medicine, Detroit, Michigan, U.S.A.Wayne State University School of Medicine, Detroit, Michigan, U.S.A.Department of Orthopedic Surgery, Henry Ford Health, Detroit, Michigan, U.S.A.Department of Orthopedic Surgery, Henry Ford Health, Detroit, Michigan, U.S.A.Purpose: To assess the impact of hip arthroscopy for femoroacetabular impingement syndrome (FAIS) on National Hockey League (NHL) player performance, career length, and salary. Methods: Through a retrospective review, all NHL players who underwent hip arthroscopy for FAIS from 2003 to 2023 were identified from a public online database. A 2:1 matched control cohort was used for comparison. Game use and performance metrics were collected and compared at 1 season and 3 seasons before and after the index season. Game use, performance, and salary were compared between operatively managed players and healthy controls. Performance measures and financial data were recorded. Results: Of the 75 NHL players who underwent hip arthroscopy, 66 (88%) returned to play and were matched to 132 healthy controls. At 1 season after the index season, the operative cohort of NHL players showed a significantly decreased Corsi percentage compared with the year prior (48.4% ± 5.2% vs 50.8% ± 4.2%, P = .024). The control cohort showed an increased Corsi percentage (51.6% ± 5.1% vs 48.9% ± 8.1%, P = .011) and increased Fenwick percentage (51.3% ± 4.6% vs 48.8% ± 8.0%, P = .013) at 1 season after the index season. On financial analysis, by season, injured players in the lower salary group showed lower earnings at season 2 ($1,360,000 ± $910,000 vs $3,950,000 ± $3,300,000; P = .012). However, by cumulative earnings, the total injured cohort showed higher earnings at season 4 ($17,300,000 ± $7,760,000 vs $12,960,000 ± $8,100,000; P = .041), driven by higher cumulative earnings in the highest salary group in seasons 3 and 4. Conclusions: After hip arthroscopy for FAIS, 88% of NHL players successfully return to play. Career length was found to be similar between the injured and matched groups. One season after surgery, NHL players showed worse performance compared with their prior season, but this returned to baseline 3 seasons after surgery. Lower-salary players in the injured group showed decreased salaries at 2 seasons after the index season compared with controls, whereas no differences were found in cumulative salaries. Level of Evidence: Level III, retrospective cohort study.http://www.sciencedirect.com/science/article/pii/S2666061X24001433
spellingShingle Michael A. Gaudiani, M.D.
Joshua P. Castle, M.D.
Muhammad J. Abbas, M.D.
Matthew J. Myhand, B.S.
Thomas J. Sprys-Tellner, B.S.
Jack T. McConnell, B.S.
Brittaney A. Pratt, B.S.
T. Sean Lynch, M.D.
High Return to Play and Variable Salary Impact After Hip Arthroscopy in National Hockey League Players
Arthroscopy, Sports Medicine, and Rehabilitation
title High Return to Play and Variable Salary Impact After Hip Arthroscopy in National Hockey League Players
title_full High Return to Play and Variable Salary Impact After Hip Arthroscopy in National Hockey League Players
title_fullStr High Return to Play and Variable Salary Impact After Hip Arthroscopy in National Hockey League Players
title_full_unstemmed High Return to Play and Variable Salary Impact After Hip Arthroscopy in National Hockey League Players
title_short High Return to Play and Variable Salary Impact After Hip Arthroscopy in National Hockey League Players
title_sort high return to play and variable salary impact after hip arthroscopy in national hockey league players
url http://www.sciencedirect.com/science/article/pii/S2666061X24001433
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