High Rates of Return to Soccer After Primary Hip Arthroscopic Labral Repair for Femoroacetabular Impingement Syndrome.

Purpose: To evaluate return-to-sport (RTS) outcomes and patient-reported outcomes in soccer players after primary hip arthroscopic labral repair for femoroacetabular impingement syndrome. Methods: All patients undergoing primary hip arthroscopy with labral repair for femoroacetabular impingement syndrome from 2011 to 2022 were retrospectively reviewed. Patients who had a minimum 2-year follow-up, played soccer, and had no prior hip surgery were included. Patient-reported outcome measures and RTS were collected at the final follow-up. Logistic regression was used to assess associations between potential covariates (e.g., age, sex, and level of play) and RTS. Results: Forty-eight hips in 41 patients (21 men [51%]) with a mean age at surgery of 21.9 years (range 13-41 years) were included. Thirty-two out of the 41 patients (78%) played at either the recreational or high school level. After removing those who did not return for nonmedical reasons, 29 out of 36 (81%) patients were able to return to soccer. Among patients with available patient-reported outcome measures, significantly greater postoperative scores were seen in the RTS group for Hip Outcome Score-Activities of Daily Living (95 vs 85) and Hip Outcome Score-Sport (88 vs 71, both Conclusions: Soccer players undergoing primary hip arthroscopic labral repair for femoroacetabular impingement syndrome reported an 81% RTS rate at a minimum 2-year follow-up, with most returning at the same or higher level of play. At a mean follow-up of 5.5 years, most patients achieved Patient Acceptable Symptom State thresholds. Younger age was associated with a higher likelihood of return to sport. Level of Evidence: Level IV, therapeutic retrospective case series.