Anderson Scott A, Keene James S
Department of Orthopedic Surgery and Rehabilitation, Division of Sports Medicine, University of Wisconsin-Madison, Madison, WI 53792, USA.
Am J Sports Med. 2008 Dec;36(12):2363-71. doi: 10.1177/0363546508322130. Epub 2008 Aug 12.
An arthroscopic iliopsoas tendon release will alleviate painful snapping of the tendon. One question that remains is whether athletes can return to sports after this procedure. This study presents the results of 5 competitive and 10 recreational athletes who had an arthroscopic release of their iliopsoas tendon.
Athletes can return to full participation in their sport after an arthroscopic iliopsoas tendon release.
Case series; Level of evidence, 4.
Fifteen athletes (2 college, 3 high school, 10 recreational) with painful snapping hips and no pain relief after anesthetic magnetic resonance arthrography had an ultrasound evaluation of their iliopsoas tendon and an anesthetic injection into the psoas bursa. In all 15 patients, the injection relieved their hip pain, and in 10 patients, real-time imaging demonstrated snapping of the tendon. All hips were assessed with Byrd's 100-point hip scoring system before the release and at 1.5, 3, 6, and 12 months after surgery.
Preoperative hip scores averaged 41 and 44 points for the competitive and recreational athletes, respectively. After surgery, the 2 groups used crutches for 4 weeks, and had 6-week scores that averaged 87 and 63 points. At 6 months, their scores averaged 94 and 98 points, and at 12 months, 96 and 97 points, and none had recurrence of their snapping or pain. All 15 athletes returned to full participation in their sport at an average of 9 months after surgery.
A return to college, high school, and recreational sports can be expected after an arthroscopic release of the iliopsoas tendon.
关节镜下髂腰肌肌腱松解术可缓解肌腱疼痛性弹响。一个悬而未决的问题是，运动员在接受该手术后能否重返运动。本研究展示了5名竞技运动员和10名业余运动员接受关节镜下髂腰肌肌腱松解术的结果。
运动员在接受关节镜下髂腰肌肌腱松解术后能够完全恢复运动。
病例系列；证据等级，4级。
15名（2名大学生、3名高中生、10名业余运动员）有髋关节疼痛性弹响且在麻醉磁共振关节造影后疼痛未缓解的运动员接受了髂腰肌肌腱的超声评估以及腰大肌滑囊内的麻醉注射。在所有15例患者中，注射缓解了髋部疼痛，10例患者的实时成像显示肌腱弹响。所有髋关节在松解术前以及术后1.5、3、6和12个月均采用伯德100分髋关节评分系统进行评估。
竞技运动员和业余运动员术前髋关节评分分别平均为41分和44分。术后，两组使用拐杖4周，6周时的评分分别平均为87分和63分。6个月时，评分分别平均为94分和98分，12个月时为96分和97分，且均无弹响或疼痛复发。所有15名运动员在术后平均9个月时均完全恢复了运动。
关节镜下髂腰肌肌腱松解术后有望重返大学、高中和业余体育运动。
