Return to golf after hip arthroscopy: a systematic review of the literature

Review written by Dr Michael Reiman info

Key Points

  1. 95% of patients in the four studies returned to play golf.
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BACKGROUND & OBJECTIVE

Golf is trendy among older adults because it allows players to compete and get physical activity without suffering too much physical hardship. Like golf, the popularity and incidence of hip arthroscopy has increased exponentially over the last decade (1). Hip arthroscopy is commonly undertaken for femoroacetabular impingement with or without labral injury.

Femoroacetabular impingement (FAI) is described as a pathologic contact between the femur and the acetabulum due to incongruity between the shape of the proximal femur and the acetabulum (2,3). Ganz et al. proposed FAI as a mechanism for developing early osteoarthritis (OA) (4), but this was only based on his clinical experience of more than 600 hip surgical dislocations. The most common age group to undergo hip arthroscopy is 40 to 49 years (1), which also happens to be the second most common age group that participates in golf (5).

The objective of this study was to review return to play (RTP) data following hip arthroscopy and therefore provide clinicians with current data to help with goal setting and patient expectations in treatment.

The incidence of hip arthroscopy has increased exponentially over the last decade.
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Subjective outcome scores improved after hip arthroscopy, as well as objective golf-related outcomes.

METHODS

  • The authors systematically reviewed the literature utilizing the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) checklist (6) assessing for RTP status after hip arthroscopy.
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