Non-operative Management and Outcomes of Femoroacetabular Impingement Syndrome

• Type of Material: Article
• Authors: Rosa M. Pasculli, Emory University; Elizabeth A. Callahan, New York University; James Wu, University of California, Berkeley; Niam Edralin, University of California, Berkeley; William A. Berrigan, University of California, San Francisco
• Language: English
• Date: 2023-08-31
• Publisher: Springer
• Publication Version: Final Published Version
• Copyright Statement: © The Author(s) 2023
• License: Creative Commons Attribution 4.0 International
• Final Published Version (URL): https://doi.org/10.1007/s12178-023-09863-x
• Title of Journal or Parent Work: Current Reviews in Musculoskeletal Medicine
• Volume: 16
• Issue: 11
• Start Page: 501
• End Page: 513
• Keywords: Hip impingement; Femoroacetabular impingement syndrome; Cam lesion; Physical therapy; Pincer lesion; Conservative treatment
• Research Categories: Health Sciences, Rehabilitation and Therapy; Health Sciences, Medicine and Surgery

Abstract

Purpose To serve as a guide for non-operative physicians in the management of femoroacetabular impingement syndrome and provide an algorithm as to when to refer patients for potential surgical management. Recent Findings Supervised physical therapy programs that focus on active strengthening and core strengthening are more effective than unsupervised, passive, and non-core-focused programs. There is promising evidence for the use of intra-articular hyaluronic acid and PRP as adjunct treatment options. Recent systematic reviews and meta-analyses have found that in young active patients, hip arthroscopy demonstrates improved short-term outcomes over physical therapy. Summary The decision for the management of FAIS is complex and should be specific to each patient. Consideration of the patient’s age, timing to return to sport, longevity of treatment, hip morphology, and degree of cartilage degeneration is required to make an informed decision in the treatment of these patients.