Conservative vs. Surgical Management for Femoro-Acetabular Impingement: A Systematic Review of Clinical Evidence

被引：17

作者：

Anzillotti, Giuseppe ^{[1
,2
]}

Iacomella, Alberto ^{[1
,2
]}

Grancagnolo, Matteo ^{[1
,2
]}

Bertolino, Enrico Maria ^{[1
,2
]}

Marcacci, Maurilio ^{[1
,2
]}

Sconza, Cristiano ^{[1
,2
]}

Kon, Elizaveta ^{[1
,2
]}

Di Matteo, Berardo ^{[1
,2
]}

机构：

[1] Humanitas Univ, Dept Biomed Sci, I-20072 Pieve Emanuele, MI, Italy

[2] IRCCS Humanitas Res Hosp, I-20089 Rozzano, MI, Italy

来源：

JOURNAL OF CLINICAL MEDICINE | 2022年 / 11卷 / 19期

关键词：

femoro-acetabular impingement; hip; arthroscopy; cam; pincer; physical therapy; FEMOROACETABULAR IMPINGEMENT; YOUNG; PAIN;

D O I：

10.3390/jcm11195852

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Femoro-acetabular impingement (FAI) syndrome is one of the most studied conditions in sports medicine. Surgical or conservative approaches can be proposed for treating FAI, although the best standard of care is not established yet. Our aim is to provide a comprehensive review of the best treatment for FAI syndrome evaluating differences in outcomes between surgical and non-operative management. A literature search was carried out on the PubMed, EMBASE, Scopus, and PEDro databases, using the following keywords: "femoroacetabular impingement", "FAI", in association with "surgery", "arthroscopy", "surgical" and "conservative", "physiotherapy", "physical therapy", "rehabilitation", "exercise". Only Level I RCTs were included. Four articles were selected for this systematic review. Our analysis showed different therapeutic protocols, follow-up periods, and outcomes; however, three out of the four studies included favored surgery. Our study demonstrates beneficial effects for both arthroscopic treatment and a proper regimen of physical therapy, nevertheless a surgical approach seemed to offer superior short-term results when compared to conservative care only. Further trials with larger sample sizes and longer follow-ups are needed to assess the definitive approach to the FAI condition.

引用

页数：10

共 35 条

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