Return to sport after hip surgery for FAI
Femoroacetabular impingement (FAI) is a pathomechanical process caused by bony deformities at the proximal femur and/or acetabulum. The abnormal contacts between these structures at end ranges of hip motion can induce chondrolabral lesions within the hip joint. Hip surgery is an option for the management of symptomatic FAI, yet the indications remain controversial. The following systematic review appraised both the rate of return to sport post-FAI surgical treatment, along with identifying certain aspects that may influence the return to sport after surgery.
Of the 18 studies with moderate-to-high methodological quality evidence, 87% of athletes returned to sport post-FAI surgery; with 82% returning to the same level as prior to their occurrence of symptoms. Professional athletes appear to return to sport at a higher rate compared with recreational athletes.
The level of competition, time of evaluation post-surgery, and the presence of articular cartilage lesions may all influence return to sport. Future studies need to evaluate return to sport protocols.
> From: Casartelli et al., Br J Sports Med (2015) (Epub ahead of print). All rights reserved to BMJ Publishing Group Ltd. Click here for the Pubmed summary.