Femoroacetabular Impingement in Athletes, Part II

CONTEXT Femoroacetabular impingement (FAI) is a common cause of hip pathology and secondary dysfunction among athletes. Much information has been gained regarding the cause and pathomechanics of this disorder. Now, efforts are focusing on treatment to restore the joint and reduce the secondary damage that causes painful dysfunction. EVIDENCE ACQUISITION This article reviews the scientific literature in reference to treatment of FAI in athletes. RESULTS Several studies reported reasonably successful outcomes in the arthroscopic management of FAI in athletes, and 1 study reported on open surgical correction of this disorder. Few major complications have been described. CONCLUSIONS When the diagnosis is given early, some athletes may benefit from a rehabilitation strategy that includes training modifications to protect the at-risk hip. When indicated, arthroscopic surgery can address the joint damage and correct the underlying impingement. Although the joint may not be normal, successful results with return to sports can often be expected.