Return to sport after arthroscopic surgery for femoroacetabular impingement

Review written by Dr Joanne Kemp info

Key Points

  1. Almost 90% of patients with femoroacetabular impingement syndrome returned to some sort of sport at an average of 3 years after hip arthroscopy.
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Femoroacetabular impingement (FAI) syndrome is one of the most common causes of hip pain in young and middle-aged adults and has one of the largest bodies of evidence supporting rehabilitation programs in people with hip pain. FAI syndrome is present in 49% of people with hip pain (1). People with FAI syndrome have difficulty with sports and physical activity participation (2).

Younger people with FAI syndrome often seek treatment because they want to be able to return to pre-injury sports and activities. Therefore, evidence-based rehabilitation programs that have a strong focus on return to sport and physical activity are very important for this patient group. Understanding how well people are able return to sport after hip arthroscopy for FAI syndrome is a high priority for patients and clinicians.

This systematic review aimed to analyze the rate of return to sport, related influencing factors and the sport activity level achieved in people who had undergone hip arthroscopy for FAI syndrome.

Femoroacetabular impingement syndrome is present in 49% of people with hip pain.
Clinicians need to reassure patients about the benefit of exercise and physical activity prior to surgery, giving them confidence to do this.


  • The researchers conducted a systematic review by searching four databases for studies that evaluated both the rate of return to sport and the sport activity level (measured using the hip outcome score sports subscale (HOS-SSS)) after hip arthroscopy for FAI
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