Rehabilitation after Arthroscopic Repair of Intra-Articular Disorders of the Hip in a Professional Football Athlete

Abstract

After the 4-phase rehabilitation program, the patient demonstrated improvement in all areas of high-level function after an arthroscopic intra-articular repair of the hip. The preoperative management to return to sport is outlined, with clinical outcomes and criteria for return to competition.

Postoperative Rehabilitation After Hip Arthroscopy: A Search for the Evidence

“…Five of the publications were single case reports and 1 publication was a case series, for a total of 57 subjects (23 male, 34 female) averaging 27.5 years of age. 10,[18][19][20][21][22] All of the publications reported 1 or more of the following arthroscopic procedures: FAI, labral repair, labral debridement, osteoplasty, and chondroplasty. 10,[18][19][20][21][22] Four of the publications described a successful outcome using a 4-or 5-phase rehabilitation program ranging from 12 weeks to 6 months with a follow-up range of 4 months to 2.5 years.…”

“…10,[18][19][20][21][22] All of the publications reported 1 or more of the following arthroscopic procedures: FAI, labral repair, labral debridement, osteoplasty, and chondroplasty. 10,[18][19][20][21][22] Four of the publications described a successful outcome using a 4-or 5-phase rehabilitation program ranging from 12 weeks to 6 months with a follow-up range of 4 months to 2.5 years. 10,[19][20][21] Two case reports presented positive outcomes from the intervention program at an average of 5 months; however, details regarding the rehabilitation program and follow-up were limited.…”

Ice Hockey Goaltender Rehabilitation, Including On-Ice Progression, After Arthroscopic Hip Surgery for Femoroacetabular Impingement

“…20,21,25,27 However, rehabilitation protocols following arthroscopic FAI surgery tend to be very similar, regardless of the sport-specific demands of the individual on whom the surgery is performed. 9,11,23,30,35 As the number of arthroscopic FAI surgeries performed on goaltenders has increased, the need for a specific postoperative rehabilitation program for this population with unique Return to Play skills and demands has been recognized.…”

“…9, 23,26 Here, we present a set of unique on-ice functional exercises designed specifically to allow for rehabilitation of ice hockey goaltenders following arthroscopic FAI hip surgery.…”

“…4 Rehabilitation protocols following arthroscopic hip surgeries tend to be very similar, regardless of the surgical procedure, and to include early restrictions on weight bearing and a focus on early mobility and restoring range of motion. 9,11,23,26,30,35 Hip external rotation range of motion is usually limited immediately following hip surgery to protect the anterior capsular structures. Both strengthening exercises and return-to-play activities are typically incorporated later in the rehabilitation protocol.…”