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Int J Sports Phys Ther. 2017 Aug;12(4):683-696.

A FOUR-PHASE PHYSICAL THERAPY REGIMEN FOR RETURNING ATHLETES TO SPORT FOLLOWING HIP ARTHROSCOPY FOR FEMOROACETABULAR IMPINGEMENT WITH ROUTINE CAPSULAR CLOSURE.

International journal of sports physical therapy

Benjamin D Kuhns, Alexander E Weber, Brian Batko, Shane J Nho, Catherine Stegemann

Affiliations

  1. Department of Orthopaedics & Rehabilitation, University of Rochester Medical Center, Rochester, NY, USA.
  2. Hip Preservation Center, Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of Orthopedic Surgery, Rush Medical College of Rush University, Rush University Medical Center, Chicago, IL, USA.

PMID: 28900574 PMCID: PMC5534158

Abstract

Hip preservation surgery has become more common over the past decade and is now a preferred treatment modality for an increasingly diverse array of pathology in the young, active patient with hip pain. In particular, hip arthroscopy has become an increasingly popular treatment choice for active patients diagnosed with femoroacetabular impingement (FAI). Appropriate postoperative rehabilitation is critical for overall patient success and optimal long-term outcome. As surgical techniques continue to evolve, rehabilitation protocols must adapt to accommodate changes in the surgical procedure and ultimately provide the safest and fastest recovery of function for the patient. One such surgical modification has been the incorporation of routine capsular closure as part of the treatment of FAI in the young, active patient. The purpose of this clinical commentary is to present a four-phase rehabilitation protocol for returning to sport following arthroscopic correction of FAI with routine capsular closure.

LEVEL OF EVIDENCE: 5.

Keywords: Femoroacetabular impingement; four phase rehabilitation; hip arthroscopy; return-to-sport; routine capsular closure

References

  1. Sports Health. 2010 May;2(3):222-30 - PubMed
  2. Am J Sports Med. 2012 May;40(5):1015-21 - PubMed
  3. Arthroscopy. 2017 Mar;33(3):559-565 - PubMed
  4. Am J Sports Med. 2011 Jul;39 Suppl:85S-91S - PubMed
  5. Arthroscopy. 2015 Aug;31(8):1511-7 - PubMed
  6. J Orthop Res. 2009 Aug;27(8):989-95 - PubMed
  7. J Sport Rehabil. 2009 Feb;18(1):118-34 - PubMed
  8. Arthrosc Tech. 2013 Mar 17;2(2):e89-94 - PubMed
  9. Am J Sports Med. 2013 May;41(5):1174-89 - PubMed
  10. Sports Med Arthrosc. 2015 Dec;23 (4):187-93 - PubMed
  11. Sports Health. 2016 Jul;8(4):347-54 - PubMed
  12. Arthroscopy. 2014 Jan;30(1):99-110 - PubMed
  13. Arthroscopy. 2015 Sep;31(9):1722-7 - PubMed
  14. Clin Sports Med. 2001 Oct;20(4):837-50, viii - PubMed
  15. Knee Surg Sports Traumatol Arthrosc. 2014 Apr;22(4):902-5 - PubMed
  16. Am J Sports Med. 2016 Apr;44(4):1062-8 - PubMed
  17. Am J Sports Med. 2016 Jan;44(1):39-45 - PubMed
  18. Instr Course Lect. 2009;58:423-36 - PubMed
  19. Arch Phys Med Rehabil. 2010 Jun;91(6):951-7 - PubMed
  20. Am J Sports Med. 2013 Jun;41(6):1348-56 - PubMed
  21. Clin Sports Med. 2016 Jul;35(3):503-521 - PubMed
  22. J Bone Joint Surg Am. 2009 Jan;91(1):192-7 - PubMed
  23. J Foot Ankle Surg. 2011 Sep-Oct;50(5):558-61 - PubMed
  24. Phys Ther Sport. 2014 May;15(2):82-90 - PubMed
  25. J Arthroplasty. 2013 Sep;28(8 Suppl):140-3 - PubMed
  26. Clin Sports Med. 2006 Apr;25(2):337-57, x - PubMed
  27. Arthroscopy. 2011 Dec;27(12):1720-31 - PubMed
  28. Int J Sports Phys Ther. 2012 Apr;7(2):173-84 - PubMed
  29. J Orthop Sports Phys Ther. 2015 Aug;45(8):576-84 - PubMed
  30. Int J Sports Phys Ther. 2014 Nov;9(6):765-73 - PubMed
  31. J Orthop Sports Phys Ther. 2014 Jun;44(6):A1-32 - PubMed
  32. Curr Rev Musculoskelet Med. 2013 Sep;6(3):235-41 - PubMed
  33. Arch Phys Med Rehabil. 2013 Jan;94(1):138-48 - PubMed
  34. Clin Sports Med. 2011 Apr;30(2):463-82 - PubMed
  35. Int J Sports Phys Ther. 2014 Nov;9(6):813-26 - PubMed
  36. J Orthop Sports Phys Ther. 2006 Jul;36(7):516-25 - PubMed
  37. Arthroscopy. 2009 Apr;25(4):405-7 - PubMed
  38. J Bone Joint Surg Am. 2011 May 4;93(9):e47 - PubMed
  39. Arthroscopy. 2009 Apr;25(4):400-4 - PubMed
  40. J Sport Rehabil. 2015 Nov;24(4):413-8 - PubMed
  41. Am J Orthop (Belle Mead NJ). 2014 Apr;43(4):160-5 - PubMed
  42. Knee Surg Sports Traumatol Arthrosc. 2014 Apr;22(4):848-59 - PubMed
  43. Am J Sports Med. 2014 Nov;42(11):2634-42 - PubMed
  44. Orthopedics. 2014 Oct;37(10):e902-5 - PubMed
  45. Am J Sports Med. 2007 Sep;35(9):1571-80 - PubMed
  46. Am J Sports Med. 2016 Jan;44(1):74-82 - PubMed
  47. Hip Int. 2014 Jul-Aug;24(4):381-6 - PubMed
  48. Arthroscopy. 2015 Jul;31(7):1382-90 - PubMed
  49. Front Surg. 2015 May 26;2:21 - PubMed
  50. Arthroscopy. 2016 Jul;32(7):1428-34 - PubMed
  51. J Orthop Sports Phys Ther. 2013 Mar;43(3):129-41 - PubMed
  52. Curr Rev Musculoskelet Med. 2012 Mar;5(1):15-23 - PubMed

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