Outcomes in Pediatric Hip FAI Surgery: a Scoping Review
Bejan A Alvandi1, Steven R Dayton2, Matthew J Hartwell2
1Department of Orthopaedic Surgery, Feinberg School of Medicine, Northwestern University, 676 North St. Clair Street, Suite 1350, Chicago, IL, 60611, USA. bejan.alvandi@northwestern.edu.
Current Reviews in Musculoskeletal Medicine
|August 2, 2022
Summary
Hip arthroscopy offers significant benefits for treating femoracetabular impingement (FAI) in children and adolescents. This minimally invasive procedure effectively improves pain and return to sport for young athletes with FAI.
Area of Science:
- Orthopedic Surgery
- Pediatric Orthopedics
- Sports Medicine
Background:
- Femoracetabular impingement (FAI) is a prevalent cause of hip pain in pediatric patients.
- Nonoperative management and open surgery have limitations; hip arthroscopy presents a minimally invasive alternative.
Purpose of the Study:
- To evaluate the efficacy and current role of hip arthroscopy in treating FAI in the pediatric population.
- To review contemporary orthopaedic literature on hip arthroscopy outcomes for pediatric FAI.
Main Methods:
- Systematic review of published studies on hip arthroscopy for pediatric FAI.
- Analysis of patient-reported outcomes, pain reduction, and return to sport rates.
Main Results:
- Arthroscopic treatment of FAI, including cases secondary to Legg-Calve-Perthes and slipped capital femoral epiphysis, shows significant short- and long-term improvements.
- Pediatric athletes experience a high rate of return to sport with minimal complications following hip arthroscopy.
- Hip arthroscopy is effective for FAI stemming from diverse etiologies in children and adolescents.
Conclusions:
- Pediatric hip arthroscopy is a clinically beneficial treatment for FAI.
- Informed patient and family counseling regarding alternatives, risks, and return-to-play protocols is essential.
