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Return to Sport After Femoroacetabular Impingement Surgery and Sport-Specific Considerations: a Comprehensive Review

  • Outcomes Research in Orthopedics (O Ayeni, Section Editor)
  • Published:
Current Reviews in Musculoskeletal Medicine Aims and scope Submit manuscript

Abstract

Purpose of Review

Recent advancements in surgical technology and techniques have improved functional results for operative treatment of femoroacetabular impingement syndrome (FAIS). Few studies have comprehensively evaluated the literature regarding return to sport criteria, timing, level, and rates. The purpose of this study was to review recent studies regarding return to play after surgical correction of FAIS. We will specifically evaluate the level of return to play and look to compare pre- and postoperative competition levels when available. We will also analyze timing of return to play from injury to surgery. Additionally, we will elucidate any sport-specific criteria that may determine readiness for return.

Recent Findings

Athletes with FAIS treated non-operatively have a low rate of return to sport and are often functionally limited in their level of performance. Surgical management of FAIS includes hip arthroscopy as well as open techniques. Current literature suggests a high rate of return to sport after contemporary surgery for FAIS at 87–93% overall. Rate of return to the same level of competition following surgery for FAIS is 55–83% in pooled studies. Limited evidence is available comparing postoperative rehabilitation protocols and timing of return among different sports.

Summary

Operative treatment of FAIS results in high rates of return to sport and functional performance. The results of this study may help educate patients preoperatively in regard to the likelihood of functional return to sport and sport-specific considerations. Further research evaluating rehabilitation protocols and return criteria may better elucidate timing intervals for patients to maximize function while limiting complications.

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  1. Department of Orthopedic Surgery, Section of Young Adult Hip Surgery, Division of Sports Medicine, Rush Medical College of Rush University, Rush University Medical Center, Chicago, IL, USA

    Kevin C. Parvaresh, Daniel Wichman, Jonathan Rasio & Shane J. Nho

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Parvaresh, K.C., Wichman, D., Rasio, J. et al. Return to Sport After Femoroacetabular Impingement Surgery and Sport-Specific Considerations: a Comprehensive Review. Curr Rev Musculoskelet Med 13, 213–219 (2020). https://doi.org/10.1007/s12178-020-09617-z

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