Symptomatic FAI can be successfully treated with arthroscopy

FAI 2Symptomatic FAI favorably treated with arthroscopy (Healio)

Symptomatic femoroacetabular impingement developed in adolescents through athletic activities can be treated favorably with arthroscopy, according to data presented here at the Arthroscopy Association of North America Annual Meeting.

“Athletic activities were implicated in the development of symptomatic [femoroacetabular impingement] FAI at a young age. This study reports favorable outcomes of arthroscopic treatment FAI among adolescent athletes,” J.W. Thomas Byrd, MD, said in his presentation. “A high portion were improved, although only 85% actually returned to sport, so return to sport may be influenced by factors other than the success of the procedure.”

Byrd and colleagues prospectively assessed 117 hips in 104 consecutive adolescents who underwent arthroscopy for symptomatic FAI. The average patient age was 16 years and there were 57 females and 47 males. Football, dance, basketball and soccer had the highest patient rate.

Byrd noted 97% of hips improved and 96% of patients had good and excellent results. However, 85% of patients returned to sport.

Overall, researchers performed correction of 33 cam, 17 pincer and 67 combined lesions, and 107 labral tears underwent 82 refixations and 24 debridements. According to study results, there were 99 chondral lesions, and seven loose bodies were removed and 19 ligamentum teres lesions debrided. Byrd noted two transient pudendal neurapraxias resolved within 2 weeks and four patients underwent repeat arthroscopy and one underwent periacetabular osteotomy.


Byrd JWT, et al. Paper #SS-32. Presented at: Arthroscopy Association of North America Annual Meeting. April 23-25, 2015; Los Angeles.

Disclosure: Byrd reports he receives stock or stock options and is an unpaid consultant for A3 Surgical; is a board or committee member for the American Orthopaedic Society for Sports medicine, the Arthroscopy Association of North America and the International Society for Hip Arthroscopy; is a paid consultant and received research support from Smith & Nephew; and received publishing royalties, financial or material support from Springer.