<i>Editorial Commentary</i> : A Call for Clarity—Standardizing Return‐to‐Sport Definitions Is Essential for Interpreting Hip Arthroscopy Outcomes

Outcome reporting in sports medicine has become increasingly sophisticated, yet sophistication alone does not ensure clinical usefulness. The value, or utility, of an outcome measure lies in its ability to inform patient expectations, shared decision-making, and treatment selection. This limitation is particularly evident in the reporting of return-to-sport (RTS) outcomes. Differences in RTS definitions can yield substantially different reported success rates without reflecting true differences in surgical effectiveness. For example, defining RTS as return to preinjury competitive level produces markedly lower rates than broader definitions based on any attempted participation. The critical issue is not which definition yields higher RTS rates but which provides greater decision-making utility for athletes. Because RTS is highly susceptible to external, nonmedical influences, standardized definitions and careful interpretation are essential for meaningful comparison and clinical relevance.

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Publication Details

Journal
Arthroscopy The Journal of Arthroscopic and Related Surgery
Published
2026-06-30
DOI
https://doi.org/10.1002/arj.70386
Primary Topic
Hip disorders and treatments
Type
article
Field-Weighted Citation Impact
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article

Editorial Commentary : A Call for Clarity—Standardizing Return‐to‐Sport Definitions Is Essential for Interpreting Hip Arthroscopy Outcomes

Philip J. Rosinsky, Ron Gilat
Arthroscopy The Journal of Arthroscopic and Related Surgery
Hip disorders and treatments
article

Editorial Commentary : A Call for Clarity—Standardizing Return‐to‐Sport Definitions Is Essential for Interpreting Hip Arthroscopy Outcomes

Philip J. Rosinsky, Ron Gilat
article en

Abstract

Outcome reporting in sports medicine has become increasingly sophisticated, yet sophistication alone does not ensure clinical usefulness. The value, or utility, of an outcome measure lies in its ability to inform patient expectations, shared decision-making, and treatment selection. This limitation is particularly evident in the reporting of return-to-sport (RTS) outcomes. Differences in RTS definitions can yield substantially different reported success rates without reflecting true differences in surgical effectiveness. For example, defining RTS as return to preinjury competitive level produces markedly lower rates than broader definitions based on any attempted participation. The critical issue is not which definition yields higher RTS rates but which provides greater decision-making utility for athletes. Because RTS is highly susceptible to external, nonmedical influences, standardized definitions and careful interpretation are essential for meaningful comparison and clinical relevance.

Arthroscopy The Journal of Arthroscopic and Related Surgery
Ben-Gurion University of the Negev (IL), Tel Aviv University (IL), Tel Aviv Sourasky Medical Center (IL), Barzilai Medical Center (IL)
Peace, Justice and strong institutions
Openalex Percentile: Top 7%
Hip disorders and treatments
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