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

Q3 Medicine

Arthroscopy Sports Medicine and Rehabilitation Pub Date : 2025-02-01 DOI:10.1016/j.asmr.2024.101006

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.

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Abstract

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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国家冰球联盟球员髋关节镜检查后的高恢复率和可变工资影响

目的探讨髋关节镜治疗股骨髋臼撞击综合征（FAIS）对美国冰球联盟（NHL）球员表现、职业生涯长度和薪水的影响。方法通过回顾性分析，从公共在线数据库中确定2003年至2023年期间因FAIS接受髋关节镜检查的所有NHL球员。采用2:1匹配的对照队列进行比较。收集游戏使用和表现指标，并在指数季前后的第1季和第3季进行比较。在手术管理的球员和健康对照组之间比较了游戏使用，表现和工资。记录业绩指标和财务数据。结果在接受髋关节镜检查的75名NHL球员中，66名（88%）重返赛场，并与132名健康对照组相匹配。在指数赛季后1个赛季，NHL运动员手术队列的Corsi百分比与前一年相比显著下降（48.4%±5.2% vs 50.8%±4.2%,P = 0.024）。对照组在指数季后1个季节，Corsi百分比（51.6%±5.1% vs 48.9%±8.1%,P = 0.011）和Fenwick百分比（51.3%±4.6% vs 48.8%±8.0%,P = 0.013）升高。在财务分析中，按赛季划分，低薪组受伤球员在第二赛季的收入较低（136万±91万美元vs 395万±330万美元）；P = .012)。然而，从累积收入来看，受伤队列在第4赛季的收入更高（17,300,000±7,760,000美元vs 12,960,000±8,100,000美元）；P = .041)，这是由于第三和第四季最高工资组的累积收入更高。结论髋关节镜治疗FAIS后，88%的NHL球员成功恢复比赛。研究发现，受伤组和正常组的职业生涯长度相似。手术后一个赛季，NHL球员的表现比前一个赛季差，但手术后三个赛季恢复到基线。与对照组相比，受伤组低薪球员在指数赛季后2个赛季的工资有所下降，而累积工资没有差异。证据水平：III级，回顾性队列研究。

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