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Outcomes Among Athletes Versus Nonathletes After Arthroscopic Management of Femoroacetabular Impingement

Authors: Shapira J, Owens JS, Bheem R, Maldonado DR, Rosinsky PJ, Meghpara MB, Lall AC, Domb BG
Journal: Orthopedics, November-December 2022
DOI: 10.3928/01477447-20220706-04

Background

This systematic review compares patient-reported outcomes (PROs) after hip arthroscopy for femoroacetabular impingement (FAI) between athletes and nonathletes.

Methods

  • Included four studies with a total of 294 athletes and 230 nonathletes.
  • Compared postoperative PROs and recovery timelines.

Key Findings

  • Athletes demonstrated superior PROs and faster recovery than nonathletes.
  • Both groups had significant improvement, but athletes generally achieved better results.

Conclusions

Preoperative athletic participation correlates with better outcomes following hip arthroscopy for FAI.

What Does This Mean for Providers

  • Consider preoperative athletic status as a prognostic factor when counseling patients about expected outcomes.
  • Athletes may achieve faster functional recovery and higher satisfaction postoperatively, which can inform rehabilitation protocols and expectations.
  • Nonathletes should be counseled regarding potentially slower recovery and slightly less optimal PROs, highlighting the importance of individualized postoperative management.