25 papers · updated 2026-09-26 · Sports Medicine · All topics
The newest papers on hip arthroscopy and femoroacetabular impingement from the orthopaedic journals The Reduction reads, newest first, each with a one-line summary. The list is drawn from the digest’s archive and refreshed every week.
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Hip arthroscopy in patients with global acetabular overcoverage achieved significant 5-year outcome improvements comparable to matched controls, but carried double the risk of revision surgery.
Hip arthroscopy with capsular plication for surgically confirmed microinstability produced patient-reported outcomes and revision rates comparable to matched non-instability arthroscopy controls at a minimum 2-year follow-up.
After hip arthroscopy for FAI using periportal capsulotomy, younger age, lower Tönnis grade, lower alpha angle, and male sex predicted achieving clinically significant outcome improvement at 2 years.
Compared with earlier hip arthroscopy techniques, contemporary capsular repair and labral repair/reconstruction for FAIS produced better patient-reported outcomes and higher return-to-sport rates (97.6% vs 81%) in matched athletes.
In 456 hips undergoing arthroscopy for FAI, a high femoral impingement index (>75°) predicted worse sport-specific outcome improvement and lower odds of clinically meaningful benefit, especially in men.
In competitive athletes with hip dysplasia, combined hip arthroscopy and periacetabular osteotomy yielded a 93% return-to-sport rate, with most returning to the same or higher competitive level.
In this long-term cohort study, preoperative psychiatric comorbidity was linked to higher failure rates, worse survivorship, and inferior patient-reported outcomes after hip arthroscopy for FAIS at 10 years.
Patients with generalized ligamentous laxity undergoing hip arthroscopy for FAI had comparable long-term outcomes to matched controls, but those with very high Beighton scores (8-9) recovered more slowly with more early pain.
In a UK registry of over 3,500 hip arthroscopies, higher cumulative surgeon volume was linked to modestly better iHOT-12 improvement, though the difference fell below the clinically important threshold.
Losartan Is Not Associated With Decreased Postoperative Arthrofibrosis After Hip Arthroscopy.
In a large propensity-matched database study, postoperative losartan use was not associated with reduced adhesions, instability, or reoperation after hip arthroscopy.
At minimum 10-year follow-up, hip arthroscopy without capsular repair for stable FAIS showed 90.7% survivorship, though female sex, higher BMI, and Tönnis grade predicted worse outcomes.
This meta-analysis of 2730 hips found arthroscopic labral repair, versus debridement, reduced conversion to THA and improved long-term pain control, with functional benefits most evident in RCT data.
Machine learning identified four distinct recovery phenotypes after hip arthroscopy, with 27% showing dissociation between daily function and sports performance predictable from age, activity level, and cartilage damage.
Workers' compensation patients achieve comparable 10-year outcomes after hip arthroscopy to non-WC patients, with 91.7% returning to work successfully.
Segmental and circumferential hip labral reconstruction yield comparable functional improvements, but circumferential technique shows lower conversion to THA rates.
Hip combined rotational morphology has minimal short-term impact on hip arthroscopy outcomes for femoroacetabular impingement, though decreased version slightly reduces minimal clinically important difference achievement.
Prior hip arthroscopy increased revision risk after total hip arthroplasty in middle-aged patients despite comparable short-term complications and higher healthcare costs.
Preoperative corticosteroid users undergoing hip arthroscopy had nearly 5-fold higher 90-day complications plus more ED visits and readmissions, warranting careful perioperative planning.
A pelvic tilt-focused home exercise program for femoroacetabular impingement let 78% of patients avoid surgery with significant function gains at 6 months.
Hip arthroscopy for FAI increases gluteus maximus cross-sectional area, which correlates with improved patient-reported outcomes at one-year follow-up.
Review of imaging options (radiographs, CT, MRI, US) for FAI and hip dysplasia, highlighting advances in MRI techniques as key to improving diagnostic accuracy and treatment planning.
Stepwise Safe Access in Hip Arthroscopy in the Supine Position: Tips and Pearls From A to Z.
This review outlines a stepwise, reproducible approach to safe joint access in supine hip arthroscopy to minimize iatrogenic chondrolabral injury, the procedure's most common complication.
Patient-related risk factors associated with less favourable outcomes following hip arthroscopy.
This systematic review identifies older age, preoperative osteoarthritis, female sex, hip dysplasia, and workers' compensation status as key predictors of worse outcomes after hip arthroscopy.
This review outlines a diagnostic framework for persistent pain after hip arthroscopy for FAI/labral tears, emphasizing residual bony deformity and capsular deficiency as key causes to guide revision management.
Hip Arthroscopy for Femoroacetabular Impingement Patients Older Than 50 Years-Proceed With Caution.
In patients over 50, hip arthroscopy for FAI gives inconsistent results, with 25–30% progressing to total hip arthroplasty within 2–5 years.
Ganz's landmark paper proposes femoroacetabular impingement as a mechanism driving early hip osteoarthritis in nondysplastic hips, advocating early surgical correction to relieve symptoms and potentially slow degeneration.
Trends in Hip Arthroscopy Utilization in the United States
ABOS data show hip arthroscopy volume among new surgeons rose over 600% from 2006-2010, mainly for FAI/OA, with complication rates around 5-6%, higher than prior literature.
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