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Record W4394725462 · doi:10.1016/j.jposna.2024.100051

Rehabilitation and return to play following hip arthroscopy in young athletes

2024· review· en· W4394725462 on OpenAlexaff
Michelle L. Feairheller, Paul Jenkins, Lauren Macmillan, Sasha Carsen

Bibliographic record

VenueJournal of the Pediatric Orthopaedic Society of North America · 2024
Typereview
Languageen
FieldMedicine
TopicHip disorders and treatments
Canadian institutionsChildren's Hospital of Eastern OntarioUniversity of Ottawa
Fundersnot available
KeywordsAthletesRehabilitationHip arthroscopyPhysical therapyPhysical medicine and rehabilitationReturn to sportMedicineArthroscopyPsychologySurgery

Abstract

fetched live from OpenAlex

Hip arthroscopy is a hip preservation surgery used to manage acute pain and injury while attempting to preserve the hip joint and prevent or delay the progression of degenerative changes by restoring stability, reducing pathologic stress and instability, and preventing continued joint incongruity and impingement [1], [2], [3], [4]. Research supports a high likelihood of return to a prior level of athletic participation in athletes of all ages after hip arthroscopy with especially favorable results in athletes under the age of 18 [3-5]. The postoperative rehabilitation process is vital to correct impairments and compensatory strategies. Unfortunately, there is great variability in current rehabilitation protocols.Adolescent athletes returning to activity after hip arthroscopy may be at an increased risk of reinjury and continued pain if return to sport occurs too early [6]. Inconsistencies exist with current protocols and return to sport testing. For instance, assessing readiness for return to sport is often based upon tests and measures utilized for anterior cruciate ligament reconstruction. These tests and measures may not effectively isolate or address hip function and readiness to return to play after hip arthroscopy. This current concept review presents existing literature and a standardized rehabilitation process to restore normal function and maximize a safe return to athletics after hip arthroscopy in the young athlete. Key Concepts: (1)There are few evidence-based postoperative rehabilitation programs for the young athletic population to effectively guide progress toward return to play readiness.(2)Continued hip and core strengthening exercises should be implemented after the return to play to maintain hip and core strength, improve neuromuscular control, and address additional functional impairments that may lead to repeat injury and dysfunction.(3)Patient-reported outcome (PRO) measures are correlated with higher postoperative improvement and should be utilized to assess psychological and physical readiness for return to play.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.746
Threshold uncertainty score0.900

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0020.003
Bibliometrics0.0000.002
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.015
GPT teacher head0.309
Teacher spread0.294 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreReview

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations2
Published2024
Admission routes1
Has abstractyes

Explore more

Same venueJournal of the Pediatric Orthopaedic Society of North AmericaSame topicHip disorders and treatmentsFrench-language works237,207