Larson CM, et al. - In this retrospective review, researchers evaluated radiographic and clinical outcomes in patients treated with a non-physeal-sparing arthroscopic approach for symptomatic femoroacetabular impingement (FAI) with open physes and a minimum 1-year follow-up. Imaging studies consistent with open femoral neck and iliac crest physes were identified for 37 hips (28 patients; 75% male) with a mean age of 15.9 years (range, 12.8-18.3 years). Findings support the safety and efficacy of a non-physeal-sparing arthroscopic approach for FAI in adolescents with open physes. Patients with a minimum of 1 year (mean, 39.8 months) of follow-up after surgery showed no clinically relevant complication of growth arrest–related deformity or physeal instability following this approach. They noted greater outcomes improvement after arthroscopy among young, highly athletic adolescent patients with larger FAI deformities.