Nashville Sports Medicine Foundation, Nashville, TN 37203, USA.
Am J Sports Med. 2009 Nov;37(11):2140-3. doi: 10.1177/0363546509337705. Epub 2009 Aug 14.
Arthroscopy is a well-accepted technique in the management of many athletic-related hip disorders, yet little quantitative outcomes data have been reported.
To report the results of hip arthroscopy in a consecutive series of athletes with 10-year follow-up.
Case series; Level of evidence, 4.
Since 1993, all patients undergoing hip arthroscopy at our institution have been prospectively assessed with a modified Harris hip score preoperatively and then postoperatively at 1, 3, 6, 12, 24, 60, and 120 months or until a subsequent procedure was performed. The variables studied included age, sex, type of sport, level of sport, diagnosis, duration of symptoms, onset of symptoms, and center edge angle. Fifty-two procedures were performed on 50 patients who had achieved 10-year follow-up. Fifteen patients developed symptoms in the course of athletic activities and their cases represent the substance of this study.
Follow-up information was available for all 15 patients (11 men and 4 women). The average age was 31.7 years (range, 14-70 years). Type of sport involved included football (3), tennis (3), basketball (2), golf (2), and others (5); with 9 recreational, 4 high school, and 2 intercollegiate athletes. Diagnoses included chondral damage (8), labral tear (7), arthritis (5), avascular necrosis (1), loose body (1), and synovitis (1). The median improvement in the modified Harris hip score was 45 points (from 51 preoperatively to 96, on the 100-point scale), with 13 patients (87%) returning to their sport. All 5 athletes with arthritis eventually underwent total hip arthroplasty at an average of 6 years. There were no complications.
Arthroscopy to address hip injuries in athletes can result in substantial improvement with durable results. However, arthritis is a prognostic indicator of poor long-term outcomes.
关节镜检查术在许多与运动相关的髋关节疾病的治疗中已被广泛接受，但很少有定量结果数据被报道。
报告一组连续的运动员髋关节镜检查结果，随访时间为 10 年。
病例系列；证据等级，4 级。
自 1993 年以来，我院所有接受髋关节镜检查的患者均前瞻性地进行改良 Harris 髋关节评分评估，术前、术后 1、3、6、12、24、60 和 120 个月或进行后续手术时进行评估。研究的变量包括年龄、性别、运动类型、运动水平、诊断、症状持续时间、症状发作时间和中心边缘角。50 名患者的 52 例手术获得了 10 年的随访。15 名患者在运动过程中出现症状，他们的病例构成了本研究的内容。
所有 15 名患者（11 名男性和 4 名女性）均获得了随访信息。平均年龄为 31.7 岁（范围，14-70 岁）。运动类型包括足球（3 例）、网球（3 例）、篮球（2 例）、高尔夫（2 例）和其他（5 例）；9 例为娱乐性运动，4 例为高中，2 例为校际运动员。诊断包括软骨损伤（8 例）、盂唇撕裂（7 例）、关节炎（5 例）、股骨头坏死（1 例）、游离体（1 例）和滑膜炎（1 例）。改良 Harris 髋关节评分的中位数改善为 45 分（从术前的 51 分提高到 100 分制的 96 分），13 名患者（87%）恢复运动。所有 5 例关节炎患者最终平均在 6 年内接受了全髋关节置换术。无并发症。
关节镜治疗运动员髋关节损伤可显著改善预后，并具有持久效果。然而，关节炎是预后不良的一个预测指标。
