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Return to Play Following Hip Arthroscopy for FAI and Labral Lesions

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Abstract

Femoroacetabular impingement (FAI) may be particularly disabling to the high-demand athlete, especially those with significant cutting and pivoting requirements such as football players. If nonoperative treatment fails to adequately alleviate symptoms or sufficiently restore function in the athlete, hip arthroscopy can lead to improved pain, improved range of motion, and high rates of return to play with proper postoperative rehabilitation. The rate of return to previous level of competition is also high after an accurate diagnosis and well-executed correction of deformity. Important considerations include the ability to achieve the diagnosis in a timely manner and to exercise caution in athletes with the presence of pre-existing osteoarthritis, diminished joint space, or under-coverage with impingement. Expectations should be managed in these patients as the literature demonstrates suboptimal outcomes in these populations. A clear understanding of the etiology, diagnosis, management, and outcomes is essential for clinicians to optimally help athletes return to play.

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Top Five Evidence Based References

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Author information

Authors and Affiliations

  1. University of Michigan Health System, 1500 E. Medical Center Dr., TC2912, Ann Arbor, MI, 48109-5328, USA

    Simon Lee M.D., M.P.H.

  2. Domino’s Farms – MedSport, University of Michigan Health System, 24 Frank Lloyd Wright Drive, Lobby A, P.O. Box 391, Ann Arbor, MI, 48106, USA

    Tyrrell Burrus M.D. & Asheesh Bedi M.D.

  3. The Hip, James M. Benson Sports Rehabilitation Center, Belaire Building, Ground Floor, 525 East 71st Street, New York, NY, 10021, USA

    Pete Draovitch P.T., M.S., A.T.C., C.S.C.S.

Authors
  1. Simon Lee M.D., M.P.H.
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  2. Tyrrell Burrus M.D.
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  3. Pete Draovitch P.T., M.S., A.T.C., C.S.C.S.
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  4. Asheesh Bedi M.D.
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Correspondence to Asheesh Bedi M.D. .

Editor information

Editors and Affiliations

  1. UPMC Rooney Sports Complex, University of Pittsburgh, Pittsburgh, Pennsylvania, USA

    Volker Musahl

  2. Department of Orthopaedics, University of Gothenburg, Gothenburg, Sweden

    Jón Karlsson

  3. Department of Trauma Surgery, University Medical Centre Regensburg, Regensburg, Germany

    Werner Krutsch

  4. Santa Monica, California, USA

    Bert R. Mandelbaum

  5. Clínica do Dragão, Espregueira-Mendes Sports Centre, Porto, Portugal

    João Espregueira-Mendes

  6. Orthopaedic Surgery, Aspetar Hospital, Doha, Qatar

    Pieter d'Hooghe

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Lee, S., Burrus, T., Draovitch, P., Bedi, A. (2018). Return to Play Following Hip Arthroscopy for FAI and Labral Lesions. In: Musahl, V., Karlsson, J., Krutsch, W., Mandelbaum, B., Espregueira-Mendes, J., d'Hooghe, P. (eds) Return to Play in Football. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-55713-6_28

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