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Management der FAIS-Sportlerhüfte im Profifußball und „return to sports“

Management of FAIS in professional soccer athletes and return to sports

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Zusammenfassung

Die Prävalenz des femoroazetabulären Impingement-Syndroms unter professionellen Fußballspielern ist hoch. Die professionellen Trainings- und Behandlungsbedingungen stellen eine effektive konservative Therapie sicher, bei der es vor allem auf dynamische Stabilität, Bewegungskontrolle, Muskelbalance und Rumpfstabilisierung ankommt. Bei dennoch bestehenden Einschränkungen muss eine Operationsindikation sorgfältig geprüft werden. Nach einer Operation ist die Wahrscheinlichkeit hoch, dass Sport auf professionellem Niveau fortgeführt werden kann, jedoch ist die notwendige Rehabilitationsphase lang. Daraus resultiert ein Spannungsfeld zwischen wirtschaftlichen und medizinischen Interessen, in dem einer guten Kommunikation und intensiven Patientenaufklärung eine große Bedeutung zukommt.

Abstract

The prevalence of femoroacetabular impingement syndrome in professional soccer athletes is high. Professional training and treatment conditions ensure an effective conservative therapy focusing on dynamic stability, motion control, muscle balance and core stability. In the case of persistent limitations, indication for surgery has to be considered carefully. The probability is high that return to a professional level of soccer is feasible. However, the period of rehabilitation is long, leading to a potential conflict area between economic and medical interests. Good communication and intensive patient education are essential.

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Abbreviations

FAIS:

Femoroazetabuläres Impingement-Syndrom

NSAR:

Nichtsteroidale Antirheumatika

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Authors and Affiliations

  1. Klinik für Unfallchirurgie und Orthopädie, Evangelisches Klinikum Bethel, Universitätsklinikum OWL der Universität Bielefeld, Burgsteig 13, 33617, Bielefeld, Deutschland

    Stefan Budde

  2. Vincenz Krankenhaus Paderborn, Standort Salzkotten, Salzkotten, Deutschland

    Marco Ezechieli

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  1. Stefan Budde
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  2. Marco Ezechieli
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Correspondence to Stefan Budde.

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Interessenkonflikt

S. Budde und M. Ezechieli geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Budde, S., Ezechieli, M. Management der FAIS-Sportlerhüfte im Profifußball und „return to sports“. Orthopädie 51, 466–471 (2022). https://doi.org/10.1007/s00132-022-04257-2

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