Abstract：
Femoro-acetabular impingement (FAI) syndrome is one of the most studied conditions in sports medicine. Surgical or conservative approaches can be proposed for treating FAI, although the best standard of care is not established yet. Our aim is to provide a comprehensive review of the best treatment for FAI syndrome evaluating differences in outcomes between surgical and non-operative management. A literature search was carried out on the PubMed, EMBASE, Scopus, and PEDro databases, using the following keywords: \"femoroacetabular impingement\", \"FAI\", in association with \"surgery\", \"arthroscopy\", \"surgical\" and \"conservative\", \"physiotherapy\", \"physical therapy\", \"rehabilitation\", \"exercise\". Only Level I RCTs were included. Four articles were selected for this systematic review. Our analysis showed different therapeutic protocols, follow-up periods, and outcomes; however, three out of the four studies included favored surgery. Our study demonstrates beneficial effects for both arthroscopic treatment and a proper regimen of physical therapy, nevertheless a surgical approach seemed to offer superior short-term results when compared to conservative care only. Further trials with larger sample sizes and longer follow-ups are needed to assess the definitive approach to the FAI condition.
摘要：
股骨髋臼撞击（FAI）综合征是运动医学中研究最多的疾病之一。可以提出手术或保守方法来治疗FAI，尽管最佳护理标准尚未确立。我们的目的是对FAI综合征的最佳治疗方法进行全面审查，以评估手术和非手术治疗之间的结果差异。在PubMed上进行了文献检索，EMBASE,Scopus,和PEDro数据库，使用以下关键字：\"股骨髋臼撞击\"，\"FAI\",与“手术”相关，“关节镜”，“外科手术”和“保守”，“物理治疗”，\"物理治疗\",“康复”，\"练习\"。仅包括I级RCT。本文选择了四篇文章进行系统评价。我们的分析显示了不同的治疗方案，后续期,和结果；然而，4项研究中有3项纳入了有利的手术.我们的研究表明，关节镜治疗和适当的物理治疗方案都有有益的效果。然而,与仅保守治疗相比,手术方法似乎可提供更优的短期效果.需要更大样本量和更长时间随访的进一步试验来评估FAI条件的确定方法。
