Physical Therapy and Rehabilitation Protocol Following Hip Arthroscopic Surgery for Fermoracetabular Impingement: A Case Report

Abstract

Background and Purpose:

In 2008, more than 30,000 hip arthroscopic surgeries were performed and is expected to grow to 70,000 by 2013. The purpose of this case report is to establish a comprehensive and effective rehabilitation protocol following arthroscopic surgery for femoracetabular impingment (FAI). With the recent emergence in hip arthroscopic procedures, little evidence currently exist on validated protocols. Developing a safe and appropriate protocol will allow for improved outcomes.

Case Description:

Patient is a 22 year old ice hockey player who underwent hip arthroscopic surgery one week ago to treat FAI. Prior to surgery, patient complained of nonspecific hip and groin pain for about 13 months. Conservative therapy failed. After the 13 months, patient was unable to continue playing hockey secondary to pain. MRI confirmed cam FAI, and arthroscopic surgery followed.

Outcomes:

The modified Harris Hip Score (MHHS), the Hip Outcome Score (HOS), and return to prior level of activity will be utilized as outcome measure. In addition, objective measurements including range of motion and strength will be taken both pre- and post-operatively.

Discussion:

This case report supports a grade rehabilitation protocol for postoperative hip arthroscopic management. Using the patient’s objective measurements as a means of progression instead of a time graded protocol, the rehabilitation program safely allowed the patient to achieve optimal outcomes. Further research, with a larger sample size, will be necessary to show the clinical significance of implementing this effective protocol.

Level of Evidence: Case Report