Skip to main content
Erschienen in: Die Orthopädie 6/2022

28.04.2022 | Konservative Therapie | Leitthema

Management der FAIS-Sportlerhüfte im Profifußball und „return to sports“

verfasst von: PD Dr. Stefan Budde, Marco Ezechieli

Erschienen in: Die Orthopädie | Ausgabe 6/2022

Einloggen, um Zugang zu erhalten

Zusammenfassung

Die Prävalenz des femoroazetabulären Impingement-Syndroms unter professionellen Fußballspielern ist hoch. Die professionellen Trainings- und Behandlungsbedingungen stellen eine effektive konservative Therapie sicher, bei der es vor allem auf dynamische Stabilität, Bewegungskontrolle, Muskelbalance und Rumpfstabilisierung ankommt. Bei dennoch bestehenden Einschränkungen muss eine Operationsindikation sorgfältig geprüft werden. Nach einer Operation ist die Wahrscheinlichkeit hoch, dass Sport auf professionellem Niveau fortgeführt werden kann, jedoch ist die notwendige Rehabilitationsphase lang. Daraus resultiert ein Spannungsfeld zwischen wirtschaftlichen und medizinischen Interessen, in dem einer guten Kommunikation und intensiven Patientenaufklärung eine große Bedeutung zukommt.
Literatur
1.
Zurück zum Zitat Agricola R, Heijboer MP, Ginai AZ et al (2014) A cam deformity is gradually acquired during skeletal maturation in adolescent and young male soccer players: a prospective study with minimum 2‑year follow-up. Am J Sports Med 42:798–806CrossRef Agricola R, Heijboer MP, Ginai AZ et al (2014) A cam deformity is gradually acquired during skeletal maturation in adolescent and young male soccer players: a prospective study with minimum 2‑year follow-up. Am J Sports Med 42:798–806CrossRef
2.
Zurück zum Zitat Aoyama M, Ohnishi Y, Utsunomiya H et al (2019) A prospective, randomized, controlled trial comparing conservative treatment with trunk stabilization exercise to standard hip muscle exercise for treating Femoroacetabular impingement: a pilot study. Clin J Sport Med 29:267–275PubMedPubMedCentral Aoyama M, Ohnishi Y, Utsunomiya H et al (2019) A prospective, randomized, controlled trial comparing conservative treatment with trunk stabilization exercise to standard hip muscle exercise for treating Femoroacetabular impingement: a pilot study. Clin J Sport Med 29:267–275PubMedPubMedCentral
3.
Zurück zum Zitat Bastos RM, De Carvalho JJG, Da Silva SM et al (2021) Surgery is no more effective than conservative treatment for Femoroacetabular impingement syndrome: Systematic review and meta-analysis of randomized controlled trials. Clin Rehabil 35:332–341CrossRef Bastos RM, De Carvalho JJG, Da Silva SM et al (2021) Surgery is no more effective than conservative treatment for Femoroacetabular impingement syndrome: Systematic review and meta-analysis of randomized controlled trials. Clin Rehabil 35:332–341CrossRef
4.
Zurück zum Zitat Bento AO, Falotico G, Enseki K et al (2021) Morphological changes of the hip commonly associated with femoroacetabular impingement are not correlated with rotational range of hip motion in elite soccer athletes. Sports Health 13:341–346CrossRef Bento AO, Falotico G, Enseki K et al (2021) Morphological changes of the hip commonly associated with femoroacetabular impingement are not correlated with rotational range of hip motion in elite soccer athletes. Sports Health 13:341–346CrossRef
5.
Zurück zum Zitat Collins JA, Ward JP, Youm T (2014) Is prophylactic surgery for femoroacetabular impingement indicated? A systematic review. Am J Sports Med 42:3009–3015CrossRef Collins JA, Ward JP, Youm T (2014) Is prophylactic surgery for femoroacetabular impingement indicated? A systematic review. Am J Sports Med 42:3009–3015CrossRef
6.
Zurück zum Zitat Di Pietto F, Chianca V, Zappia M et al (2018) Articular and peri-articular hip lesions in soccer players. The importance of imaging in deciding which lesions will need surgery and which can be treated conservatively? Eur J Radiol 105:227–238CrossRef Di Pietto F, Chianca V, Zappia M et al (2018) Articular and peri-articular hip lesions in soccer players. The importance of imaging in deciding which lesions will need surgery and which can be treated conservatively? Eur J Radiol 105:227–238CrossRef
7.
Zurück zum Zitat Dwyer T, Whelan D, Shah PS et al (2020) Operative versus nonoperative treatment of femoroacetabular impingement syndrome: a meta-analysis of short-term outcomes. Arthroscopy 36:263–273CrossRef Dwyer T, Whelan D, Shah PS et al (2020) Operative versus nonoperative treatment of femoroacetabular impingement syndrome: a meta-analysis of short-term outcomes. Arthroscopy 36:263–273CrossRef
8.
Zurück zum Zitat Ezechieli M, Windhagen H, Floerkemeier T et al (2019) Arthroscopic-assisted mini-open technique for the treatment of femoroacetabular impingement : video article. Orthopade 48:195–201CrossRef Ezechieli M, Windhagen H, Floerkemeier T et al (2019) Arthroscopic-assisted mini-open technique for the treatment of femoroacetabular impingement : video article. Orthopade 48:195–201CrossRef
9.
Zurück zum Zitat Falotico GG, Arliani GG, Yamada AF et al (2019) Professional soccer is associated with radiographic cam and pincer hip morphology. Knee Surg Sports Traumatol Arthrosc 27:3142–3148CrossRef Falotico GG, Arliani GG, Yamada AF et al (2019) Professional soccer is associated with radiographic cam and pincer hip morphology. Knee Surg Sports Traumatol Arthrosc 27:3142–3148CrossRef
11.
Zurück zum Zitat Gao I, Safran MR (2021) Nonsurgical versus surgical management of femoroacetabular impingement: what does the current best evidence tell us. J Am Acad Orthop Surg 29:e471–e478CrossRef Gao I, Safran MR (2021) Nonsurgical versus surgical management of femoroacetabular impingement: what does the current best evidence tell us. J Am Acad Orthop Surg 29:e471–e478CrossRef
12.
Zurück zum Zitat Gard S, Christofilopoulos P, Menetrey J (2015) Femoroacetabular impingement: rehabilitation and return to sport. Rev Med Suisse 11:1450–1455PubMed Gard S, Christofilopoulos P, Menetrey J (2015) Femoroacetabular impingement: rehabilitation and return to sport. Rev Med Suisse 11:1450–1455PubMed
13.
Zurück zum Zitat Gatz M, Driessen A, Eschweiler J et al (2020) Arthroscopic surgery versus physiotherapy for femoroacetabular impingement: a meta-analysis study. Eur J Orthop Surg Traumatol 30:1151–1162CrossRef Gatz M, Driessen A, Eschweiler J et al (2020) Arthroscopic surgery versus physiotherapy for femoroacetabular impingement: a meta-analysis study. Eur J Orthop Surg Traumatol 30:1151–1162CrossRef
14.
Zurück zum Zitat Hipfl C, Titz M, Chiari C et al (2017) Detecting cam-type deformities on plain radiographs: what is the optimal lateral view? Arch Orthop Trauma Surg 137:1699–1705CrossRef Hipfl C, Titz M, Chiari C et al (2017) Detecting cam-type deformities on plain radiographs: what is the optimal lateral view? Arch Orthop Trauma Surg 137:1699–1705CrossRef
15.
Zurück zum Zitat Kekatpure AL, Ahn T, Kim CH et al (2017) Clinical outcomes of an initial 3‑month trial of conservative treatment for femoroacetabular impingement. Ind J Orthop 51:681–686CrossRef Kekatpure AL, Ahn T, Kim CH et al (2017) Clinical outcomes of an initial 3‑month trial of conservative treatment for femoroacetabular impingement. Ind J Orthop 51:681–686CrossRef
16.
Zurück zum Zitat Locks R, Utsunomiya H, Briggs KK et al (2018) Return to play after hip arthroscopic surgery for femoroacetabular impingement in professional soccer players. Am J Sports Med 46:273–279CrossRef Locks R, Utsunomiya H, Briggs KK et al (2018) Return to play after hip arthroscopic surgery for femoroacetabular impingement in professional soccer players. Am J Sports Med 46:273–279CrossRef
17.
Zurück zum Zitat Marquez WH, Gomez-Hoyos J, Gallo JA et al (2019) Prevalence of labrum and articular cartilage injuries of the hip on 3T magnetic resonance imaging of asymptomatic elite soccer players. Rev Esp Cir Ortop Traumatol 63:77–85 Marquez WH, Gomez-Hoyos J, Gallo JA et al (2019) Prevalence of labrum and articular cartilage injuries of the hip on 3T magnetic resonance imaging of asymptomatic elite soccer players. Rev Esp Cir Ortop Traumatol 63:77–85
18.
Zurück zum Zitat Pennock AT, Bomar JD, Johnson KP et al (2018) Nonoperative management of femoroacetabular impingement: a prospective study. Am J Sports Med 46:3415–3422CrossRef Pennock AT, Bomar JD, Johnson KP et al (2018) Nonoperative management of femoroacetabular impingement: a prospective study. Am J Sports Med 46:3415–3422CrossRef
19.
Zurück zum Zitat Saito M, Utsunomiya H, Hatakeyama A et al (2019) Hip arthroscopic management can improve osteitis pubis and bone marrow edema in competitive soccer players with femoroacetabular impingement. Am J Sports Med 47:408–419CrossRef Saito M, Utsunomiya H, Hatakeyama A et al (2019) Hip arthroscopic management can improve osteitis pubis and bone marrow edema in competitive soccer players with femoroacetabular impingement. Am J Sports Med 47:408–419CrossRef
20.
Zurück zum Zitat Wall PD, Dickenson EJ, Robinson D et al (2016) Personalised hip therapy: development of a non-operative protocol to treat femoroacetabular impingement syndrome in the FASHIoN randomised controlled trial. Br J Sports Med 50:1217–1223CrossRef Wall PD, Dickenson EJ, Robinson D et al (2016) Personalised hip therapy: development of a non-operative protocol to treat femoroacetabular impingement syndrome in the FASHIoN randomised controlled trial. Br J Sports Med 50:1217–1223CrossRef
21.
Zurück zum Zitat Westermann RW, Schaver A (2021) Editorial commentary: with properly indicated and performed surgery, we can (hopefully) prevent osteoarthritis in patients with hip femoroacetabular impingement. Arthroscopy 37:1026–1027CrossRef Westermann RW, Schaver A (2021) Editorial commentary: with properly indicated and performed surgery, we can (hopefully) prevent osteoarthritis in patients with hip femoroacetabular impingement. Arthroscopy 37:1026–1027CrossRef
Metadaten
Titel
Management der FAIS-Sportlerhüfte im Profifußball und „return to sports“
verfasst von
PD Dr. Stefan Budde
Marco Ezechieli
Publikationsdatum
28.04.2022
Verlag
Springer Medizin
Erschienen in
Die Orthopädie / Ausgabe 6/2022
Print ISSN: 2731-7145
Elektronische ISSN: 2731-7153
DOI
https://doi.org/10.1007/s00132-022-04257-2

Weitere Artikel der Ausgabe 6/2022

Die Orthopädie 6/2022 Zur Ausgabe

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.