Carolinas Research Day 2021

Clinical Studies

08 Acetabular Labral Tears In Division 1 Collegiate Athletes: A Comparative Analysis Of Operative Versus Conservative Management

Gunnar Brolinson, DO, Scott Hyland, DO, Andres Maseo, OMSII

Edward Via College of Osteopathic Medicine-Virginia, Ohio Health Doctors Hospital

Background: Acetabular labral tears have shown to be difficult to diagnose and manage in an active, competitive population. The comparison between operative and conservative management and its correlation with return to play needs to be further reviewed. Methods: A retrospective cohort analysis was conducted on division 1 collegiate athletes utilizing a chart review method in institutional electronic medical record database. Patients included male and female regardless of age who participated in major sports at Virginia Tech during 2005-2020. MRI confirmed diagnosis were included in the cohort and all pertinent

clinical data was assessed including modality of treatment, duration of treatment, and time to return to sport.

recovery between the surgical and non-operative arms of this study. Of the 10 patients non-operatively managed, 8 continued to play through their injury (80%). Conclusion: There is no clear significant difference in the management of acetabular labral tears in collegiate athletes. Treatment of these injuries should continue to be investigated and we recommend an individual-based approach to the patient as to if they would benefit from procedural intervention or conservative management.

Results: 47 athletes were included in this retrospective cohort analysis. The primarily

investigated variable being the ability to return to same level of Division 1 competition within respective sport. Data analysis revealed 55% of individuals being managed conservatively vs. 79% undergoing surgery (p-value = 0.1082) were able to return to their respective sport following treatment. Of the individuals who ultimately returned to play, there was no appreciable statistical difference in time to

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