Working Diagnosis:
Right hip acetabular dysplasia, right acetabular labral tear, and cam-type FAI. Left hip acetabular dysplasia and cam-type FAI.
Treatment:
First surgery: right periacetabular osteotomy, right osteochondroplasty, and right labral repair.
(6 months later)
Second surgery: left periacetabular osteotomy, left osteochondroplasty, and left labral repair.
Outcome:
After just over four months, the patient was back playing competitive golf pain free for her senior season, statistically her best season where she set personal records.
Author's Comments:
The work of Menge et al., Degen et al., and Heyworth et al. showed the high return to play rates of amateur, professional and competitive athletes in various sports after hip preservation surgeries. However, these articles did not specifically address golf, and the information regarding return to play in golfers after hip preservation surgery is limited.
The patient was able to return to play in a short amount of time by following a specific return to play rehabilitation protocol Case Photo #2
References:
1) Bloom et al. 2015. Postoperative Rehabilitation after Femoroacetabular Impingement Treatment, Labral Repair, and Labral Debridement. In Orthopedic Rehabilitation of the Athlete: Getting Back in the Game. Philadelphia, PA: Saunders.
2) Degen et al. Return-to-play rates following arthroscopic treatment of femoroacetabular impingement in competitive baseball players. Phys Sportsmed. 2016 Nov; 44(4):385-390.
3) Heyworth et al. Return to Play After Periacetabular Osteotomy for Treatment of Acetabular Dysplasia in Adolescent and Young Adult Athletes. Am J Sports Med. 2016 Jun;44(6): 1573-81.
4) Menge et al. Predictors of Length of Career After Hip Arthroscopy for Femoroacetabular Impingement in Professional Hockey Players. Am J Sports Med. 2016 Sep; 44(9):2286-91.
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