Conservative vs. Surgical Management for Femoro-Acetabular Impingement: A Systematic Review of Clinical Evidence
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 f...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-10-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/19/5852 |
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| author | Giuseppe Anzillotti Alberto Iacomella Matteo Grancagnolo Enrico Maria Bertolino Maurilio Marcacci Cristiano Sconza Elizaveta Kon Berardo Di Matteo |
| author_facet | Giuseppe Anzillotti Alberto Iacomella Matteo Grancagnolo Enrico Maria Bertolino Maurilio Marcacci Cristiano Sconza Elizaveta Kon Berardo Di Matteo |
| author_sort | Giuseppe Anzillotti |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-09T21:33:27Z |
| format | Article |
| id | doaj.art-7f887f95e2614bbfa8dace20805837ce |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T21:33:27Z |
| publishDate | 2022-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-7f887f95e2614bbfa8dace20805837ce2023-11-23T20:49:54ZengMDPI AGJournal of Clinical Medicine2077-03832022-10-011119585210.3390/jcm11195852Conservative vs. Surgical Management for Femoro-Acetabular Impingement: A Systematic Review of Clinical EvidenceGiuseppe Anzillotti0Alberto Iacomella1Matteo Grancagnolo2Enrico Maria Bertolino3Maurilio Marcacci4Cristiano Sconza5Elizaveta Kon6Berardo Di Matteo7Department of Biomedical Sciences, Humanitas University, 20072 Pieve Emanuele, MI, ItalyDepartment of Biomedical Sciences, Humanitas University, 20072 Pieve Emanuele, MI, ItalyDepartment of Biomedical Sciences, Humanitas University, 20072 Pieve Emanuele, MI, ItalyDepartment of Biomedical Sciences, Humanitas University, 20072 Pieve Emanuele, MI, ItalyDepartment of Biomedical Sciences, Humanitas University, 20072 Pieve Emanuele, MI, ItalyDepartment of Biomedical Sciences, Humanitas University, 20072 Pieve Emanuele, MI, ItalyDepartment of Biomedical Sciences, Humanitas University, 20072 Pieve Emanuele, MI, ItalyDepartment of Biomedical Sciences, Humanitas University, 20072 Pieve Emanuele, MI, ItalyFemoro-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.https://www.mdpi.com/2077-0383/11/19/5852femoro-acetabular impingementhiparthroscopycampincerphysical therapy |
| spellingShingle | Giuseppe Anzillotti Alberto Iacomella Matteo Grancagnolo Enrico Maria Bertolino Maurilio Marcacci Cristiano Sconza Elizaveta Kon Berardo Di Matteo Conservative vs. Surgical Management for Femoro-Acetabular Impingement: A Systematic Review of Clinical Evidence Journal of Clinical Medicine femoro-acetabular impingement hip arthroscopy cam pincer physical therapy |
| title | Conservative vs. Surgical Management for Femoro-Acetabular Impingement: A Systematic Review of Clinical Evidence |
| title_full | Conservative vs. Surgical Management for Femoro-Acetabular Impingement: A Systematic Review of Clinical Evidence |
| title_fullStr | Conservative vs. Surgical Management for Femoro-Acetabular Impingement: A Systematic Review of Clinical Evidence |
| title_full_unstemmed | Conservative vs. Surgical Management for Femoro-Acetabular Impingement: A Systematic Review of Clinical Evidence |
| title_short | Conservative vs. Surgical Management for Femoro-Acetabular Impingement: A Systematic Review of Clinical Evidence |
| title_sort | conservative vs surgical management for femoro acetabular impingement a systematic review of clinical evidence |
| topic | femoro-acetabular impingement hip arthroscopy cam pincer physical therapy |
| url | https://www.mdpi.com/2077-0383/11/19/5852 |
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