Return to play based upon symptoms, joint congruity, and athletic goals / desires.

Return to play when asymptomatic.

Fig. 8. Treatment algorithm for athletic hip subluxation or dislocation.

[30,31,34,35]. Nelson et al [32] also reported a case of a 21-year-old male who sustained his first hip dislocation at 13 years of age when he was playing football. Subsequently, he had two more dislocations with minor trauma, and arthro-graphy revealed a posterior capsular lesion. Due to this finding, he was taken to the operating room for an open repair, and a tear of the capsule was identified, which included the labrum. The capsule was sutured and the detached labrum was firmly attached more medially to the acetabular rim. The patient tolerated the procedure well and was asymptomatic 18 months after the surgery. The authors concluded that recurrent dislocations of the hip were due to either erosion of the fibrocartilaginous labrum, or attenuation and tearing of the capsule [32].

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