@article{Di Benedetto_Zangari_Mancuso_Buttironi_Causero_2020, title={Capsular management in the arthroscopic treatment of the femoro-acetabular impingement in athletes: our experience }, volume={91}, url={https://mattioli1885journals.com/index.php/actabiomedica/article/view/10988}, DOI={10.23750/abm.v91i14-S.10988}, abstractNote={<p><strong><em>Background</em></strong><strong> and aim of the work</strong><strong> </strong></p> <p>In the last decade arthroscopic treatment of hip diseases has significantly spread and evolved and currently it represents the gold standard for the treatment of femoral-acetabular impingement in athletes. The function of the joint capsule  has been better understood, opening a heated debate.</p> <p>The aim of the present retrospective study is to assess the influence of different capsulotomy techniques and a possible capsular suture role on the patient’s functional outcome in a cohort of patients with femoral-acetabular impingement arthroscopically treated.</p> <p><strong><em>Methods </em></strong></p> <p>36 patients (competitive athletes) treated with hip arthroscopy for femoral-acetabular impingement have been retrospectively enrolled  during a period of two years (2016-2018). Patients have been divided into three equivalent groups, 12 without a suitable capsular management (T-Capsulotomy technique), 12 performing a Longitudinal Capsulotomy but without a final suture and 12 treated with a conservative Longitudinal Capsulotomy and a capsular suture. Patient’s post-operative functional outcome has been analysed using the modified Harris Hip Score (mHHS), the Hip Outcome Score-Activity of Daily Living (HOS-ADL) and the Hip Outcome Score-Sport Scale (HOS-SS). Return to sport.</p> <p><strong><em>Results</em></strong></p> <p>In our series there was no statistically significant difference in functional scores, however longitudinal capsulotomy seems to be associated with a higher percentage of return to sports activity (91,6% vs 75%).</p> <p><strong><em>Conclusions</em></strong></p> <p>The new longitudinal shape capsulotomy technique and a capsular suture with a single side-to-side stitch at the end of the procedure in athletes can positively influence the patient’s functional outcome.</p>}, number={14-S}, journal={Acta Biomedica Atenei Parmensis}, author={Di Benedetto, Paolo and Zangari, Andrea and Mancuso, Francesco and Buttironi, Michele Mario and Causero, Araldo}, year={2020}, month={Dec.}, pages={e2020023} }