Performance in National Hockey League Players Decreases 1 Year After Undergoing Hip Arthroscopy With Return to Baseline by the Second Year

Purpose: To evaluate performance following hip arthroscopy in National Hockey League (NHL) players. Methods: NHL players who underwent hip arthroscopy between 2008 and 2022 were identified through a publicly available injury database. Demographic and outcome data were collected for the 1-year period...

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Main Authors: Emmitt Hayes, M.D., Sasha Carsen, M.D., M.B.A., Bogdan Matache, M.D., Michael Pickell, M.D.
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Arthroscopy, Sports Medicine, and Rehabilitation
Online Access:http://www.sciencedirect.com/science/article/pii/S2666061X25000355
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author Emmitt Hayes, M.D.
Sasha Carsen, M.D., M.B.A.
Bogdan Matache, M.D.
Michael Pickell, M.D.
author_facet Emmitt Hayes, M.D.
Sasha Carsen, M.D., M.B.A.
Bogdan Matache, M.D.
Michael Pickell, M.D.
author_sort Emmitt Hayes, M.D.
collection DOAJ
description Purpose: To evaluate performance following hip arthroscopy in National Hockey League (NHL) players. Methods: NHL players who underwent hip arthroscopy between 2008 and 2022 were identified through a publicly available injury database. Demographic and outcome data were collected for the 1-year period preceding and the 2-year period following surgery. Our primary outcome measure was wins above replacement per 60 minutes played (WAR/60), with secondary outcomes, including offensive and defensive goals, above replacement per 60 minutes played. A matched cohort was created on the basis of position, draft year, and index season performance. Preinjury and postinjury outcomes were compared using a paired t test. Results: Twenty-eight players underwent 29 eligible procedures. Preinjury, postinjury year 1, and postinjury year 2 WAR/60 were 0.06, 0.01, 0.04, respectively, in cases (P = .01, P = .12 compared to preinjury) and 0.07, 0.06, and 0.04, respectively, in controls (P = .35, P = .01, P = 0.82) compared to cases. Offensive goals above replacement per 60 minutes played were decreased compared to presurgery 1 and 2 years postsurgery but only performance 2 years postsurgery met statistical significance (P = .55, P = .03). Defensive goals above replacement per 60 minutes played were decreased compared to presurgery at postsurgery year 1 and 2, but only performance in year 1 was statistically significant (P = 0.01, P = .54). Postinjury defensive goals above replacement per 60 minutes played were significantly decreased compared to controls at postinjury year one (P = .03). Conclusions: NHL players who have undergone hip arthroscopy are associated with significantly decreased performance 1 year following surgery when compared with controls, driven primarily by decreased defensive performance. However, performance of major analytic metrics recovers by postinjury year 2. Level of Evidence: Level III, retrospective case-control study.
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series Arthroscopy, Sports Medicine, and Rehabilitation
spelling doaj-art-8620c19157bb46d48c5df2a3c392731e2025-08-20T03:30:32ZengElsevierArthroscopy, Sports Medicine, and Rehabilitation2666-061X2025-06-017310110910.1016/j.asmr.2025.101109Performance in National Hockey League Players Decreases 1 Year After Undergoing Hip Arthroscopy With Return to Baseline by the Second YearEmmitt Hayes, M.D.0Sasha Carsen, M.D., M.B.A.1Bogdan Matache, M.D.2Michael Pickell, M.D.3Address correspondence to: Emmitt Hayes, M.D., Division of Orthopaedic Surgery, The Ottawa Hospital, General Campus, 501 Smyth Rd., 028a, Ottawa, ON K1H 8L6, Canada.; Division of Orthopaedic Surgery, The University of Ottawa, Ottawa, ON, CanadaDivision of Orthopaedic Surgery, The University of Ottawa, Ottawa, ON, CanadaDivision of Orthopaedic Surgery, The University of Ottawa, Ottawa, ON, CanadaDivision of Orthopaedic Surgery, The University of Ottawa, Ottawa, ON, CanadaPurpose: To evaluate performance following hip arthroscopy in National Hockey League (NHL) players. Methods: NHL players who underwent hip arthroscopy between 2008 and 2022 were identified through a publicly available injury database. Demographic and outcome data were collected for the 1-year period preceding and the 2-year period following surgery. Our primary outcome measure was wins above replacement per 60 minutes played (WAR/60), with secondary outcomes, including offensive and defensive goals, above replacement per 60 minutes played. A matched cohort was created on the basis of position, draft year, and index season performance. Preinjury and postinjury outcomes were compared using a paired t test. Results: Twenty-eight players underwent 29 eligible procedures. Preinjury, postinjury year 1, and postinjury year 2 WAR/60 were 0.06, 0.01, 0.04, respectively, in cases (P = .01, P = .12 compared to preinjury) and 0.07, 0.06, and 0.04, respectively, in controls (P = .35, P = .01, P = 0.82) compared to cases. Offensive goals above replacement per 60 minutes played were decreased compared to presurgery 1 and 2 years postsurgery but only performance 2 years postsurgery met statistical significance (P = .55, P = .03). Defensive goals above replacement per 60 minutes played were decreased compared to presurgery at postsurgery year 1 and 2, but only performance in year 1 was statistically significant (P = 0.01, P = .54). Postinjury defensive goals above replacement per 60 minutes played were significantly decreased compared to controls at postinjury year one (P = .03). Conclusions: NHL players who have undergone hip arthroscopy are associated with significantly decreased performance 1 year following surgery when compared with controls, driven primarily by decreased defensive performance. However, performance of major analytic metrics recovers by postinjury year 2. Level of Evidence: Level III, retrospective case-control study.http://www.sciencedirect.com/science/article/pii/S2666061X25000355
spellingShingle Emmitt Hayes, M.D.
Sasha Carsen, M.D., M.B.A.
Bogdan Matache, M.D.
Michael Pickell, M.D.
Performance in National Hockey League Players Decreases 1 Year After Undergoing Hip Arthroscopy With Return to Baseline by the Second Year
Arthroscopy, Sports Medicine, and Rehabilitation
title Performance in National Hockey League Players Decreases 1 Year After Undergoing Hip Arthroscopy With Return to Baseline by the Second Year
title_full Performance in National Hockey League Players Decreases 1 Year After Undergoing Hip Arthroscopy With Return to Baseline by the Second Year
title_fullStr Performance in National Hockey League Players Decreases 1 Year After Undergoing Hip Arthroscopy With Return to Baseline by the Second Year
title_full_unstemmed Performance in National Hockey League Players Decreases 1 Year After Undergoing Hip Arthroscopy With Return to Baseline by the Second Year
title_short Performance in National Hockey League Players Decreases 1 Year After Undergoing Hip Arthroscopy With Return to Baseline by the Second Year
title_sort performance in national hockey league players decreases 1 year after undergoing hip arthroscopy with return to baseline by the second year
url http://www.sciencedirect.com/science/article/pii/S2666061X25000355
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