Nonoperative management of femoroacetabular impingement in adolescents: clinical outcomes at a mean of 5 years: a prospective study

Review written by Dr Michael Reiman info

Key Points

  1. This study supports the role of nonsurgical management in adolescent patients with femoroacetabular impingement syndrome with sustained improvements in patient reported outcomes 5 years after the initiation of treatment.
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The primary focus of treatment outcomes related to femoroacetabular impingement (FAI) has been post-surgical outcomes. There is a paucity of literature investigating non-surgical outcomes.

This study reports longer-term outcomes than the original study, showing improvements in outcome scores at a mean follow-up of 2 years (1). Longer-term data are lacking for both post-surgical and non-surgical outcomes.

Therefore, the primary objective of this prospective study was to examine the success rate of a nonsurgical protocol, utilizing mandated rest, physical therapy (PT), activity modifications, and (if necessary) intra-articular injections.

There is a paucity of literature investigating non-surgical outcomes for femoroacetabular impingement.
This study will provide good discussion with patients and surgeons in a shared decision-making process.


A prospective study following patients recruited for the original research (1).

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