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Earlier Treatment Yields Superior Outcomes in Competitive Athletes Undergoing Primary Hip Arthroscopy

Authors: Jimenez AE, Monahan PF, Owens JS, Maldonado DR, Curley AJ, Domb BG
DOI: 10.1016/j.arthro.2021.11.053

Background

The timing of hip arthroscopy for competitive athletes with FAIS may influence outcomes.

Methods

Competitive athletes undergoing hip arthroscopy within 1 year of symptom onset were compared with those treated after 1 year using PROs and RTS rates.

Key Findings

  • Athletes treated within 1 year had significantly better postoperative PROs.
  • Return-to-sport and MCID achievement rates were similar between early and late treatment groups.

Conclusions

Early surgical intervention leads to superior functional outcomes, although RTS rates are comparable regardless of timing.

What Does This Mean for Providers?

Encourage early evaluation and surgical intervention for competitive athletes with FAIS symptoms to optimize functional outcomes. Early referral and treatment can enhance recovery, but even delayed surgery still allows for high RTS rates.