156: Overtime – Hip Return to Sport Index (RSI)

Welcome to Overtime with the Sports Docs. On each of these mini episodes, Catherine and I chat about a new article or new surgical technique in the field of sports medicine. We’ll give you our quick take on the most recent data and how this data will impact our practice. Today, we’re breaking down a new study looking at the Hip–Return to Sport after Injury score, or Hip-RSI, and whether it can help us evaluate psychological readiness to return to sport after surgical repair of a proximal hamstring avulsion. This study is hot off the press and was published in the November 2025 issue of OJSM, so this month! It was performed by Hardy and colleagues at Clinique du in Paris and is titled “The Hip-RSI Score for Evaluating Psychological Readiness to Return to Sport After Surgical Repair of a Proximal Hamstring Avulsion.” Our listeners may know this score was originally developed for femoroacetabular impingement. But the authors of this recent OJSM paper are asking: Does it work for a totally different injury—one that often requires long rehab and has a real psychological component?So, a bit of background. The Hip-RSI was created because we know psychological readiness is a huge factor in return to sport after hip arthroscopy. Fear, confidence, trust in the hip—these really drive return-to-play outcomes. And with proximal hamstring avulsions, we see the same psychology showing up: fear of re-rupture, hesitancy with sprinting or explosive movements, and a long course to get back to high-level sport. The purpose of this study was to evaluate two big questions:1.     Is the Hip-RSI valid and reliable in this population?2.     Can it actually predict return to preinjury sport at nine months?Listen to this episode to find out!