Return to Sport After Hip Arthroscopy: Aggregate Recommendations from High-Volume Hip Arthroscopy Centers
Authors: Domb BG, Stake CE, Finch NA, Cramer TL
DOI: 10.3928/01477447-20140924-57
Purpose
To develop consensus recommendations regarding timing and criteria for return to sport following hip arthroscopy.
Methods
Survey of 27 orthopedic surgeons from high-volume hip arthroscopy centers regarding return-to-sport protocols.
Key Findings
- 70% recommend return to sport between 12 and 20 weeks postoperatively.
- 85% require patients to perform all sport-specific motions pain-free prior to return.
- Common functional criteria include pain-free running, jumping, lateral agility, and single-leg squats.
- High-risk sports: football, basketball, wrestling, martial arts. Low-risk: golf.
Conclusion
Return to sport is generally feasible 3 to 5 months post-arthroscopy, contingent on pain-free functional performance and sport-specific readiness. Risk stratification varies by sport.
What Does This Mean for Providers?
- Counsel patients that return to sport usually occurs within 3–5 months post-op, based on functional milestones rather than fixed time frames.
- Utilize objective functional tests (e.g., running, jumping, agility drills) to guide clearance decisions.
- Consider sport-specific risk factors when advising on return-to-play to minimize reinjury.
- Individualize rehabilitation and return-to-sport protocols based on patient progress and sport demands.