EP3.14 Clinical Outcomes and Return to Play Following Hip Arthroscopy in Competitive Footballers: A Case Series of 38 Athletes

Abstract

Abstract Introduction and Purpose Femoroacetabular impingement (FAI) with associated labral pathology is a common cause of persistent groin pain and functional limitation in football players exposed to repetitive rotational loading. The demonstration of favourable clinical outcomes as a result of hip arthroscopy in return to play remains a key determinant of success in athletic populations. The aim of this study is to evaluate functional outcomes and return to play rates following hip arthroscopy in competitive footballers. Methods A retrospective case control studies of 38 competitive football players (age range 16–48 years, mean 32) undergoing hip arthroscopy for symptomatic FAI with associated labral pathology was conducted.The patients showed constant symptoms despite prolonged conservative management and no evidence of advanced degenerative joint disease. Clinical examination and magnetic resonance imaging was used to establish the diagnosis. Surgical management included femoral osteoplasty and treatment of labral pathology. A structured post operative rehabilitation programme with progressive sport specific loading was applied. The Harris Hip Score (HHS) was used to asses functional outcomes pre operatively and at 6 months post-operatively. Progression of return to play was recorded. Results The whole sample of patients completed follow up with no major complications. The mean HHS increased from 63 pre operatively to 92 at 6 months, showing substantial functional recovery. Progressive improvements in pain, hip range of motion, and functional performance were observed across the cohort. All athletes returned to football activity following a staged rehabilitation process. The majority resumed participation at their pre injury competitive level, while 3 athletes returned at a lower level of performance. Conclusions Hip arthroscopy for symptomatic FAI in competitive footballers resulted in significant functional improvement and high return to play rates in this case series. Structured rehabilitation and progressive sport specific loading were integral to recovery. These findings support the role of hip arthroscopy as an effective intervention in athletic populations when combined with appropriate post operative management and return to play strategies.