Department of Orthopaedic Surgery, Spital Netz Bern-Ziegler, Morillonstrasse 75, Berne, Switzerland.
Am J Sports Med. 2011 Mar;39(3):544-50. doi: 10.1177/0363546510387263. Epub 2010 Dec 20.
Midterm outcome studies show that symptomatic femoroacetabular impingement (FAI) can be successfully treated by addressing the underlying pathomorphology with open or arthroscopic surgery. Although athletes may be vulnerable to hip injury from impingement, limited information is available regarding the results of open surgery in this group.
High-level athletes with FAI can resume their sports after surgical hip dislocation and continue professional careers for a significant period.
Case series; Level of evidence, 4.
Twenty-two professional male athletes (19.7 ± 2.2 years) were evaluated by postal survey at a mean of 45.1 months (range, 12 to 79) after treatment by surgical hip dislocation (30 hips, cam- or mixed-type FAI; mean α angle, 69.3°; 14 ice hockey players). Evaluation included types and level of sports, subjective ratings, and CLINICAL OUTCOMES: Hip Outcome Score, SF-12, UCLA (University of California, Los Angeles) activity scale, Hip Sports Activity Scale, visual analog scale for pain. The primary outcome variable was return to professional sports; the clinical result was the secondary outcome variable.
At follow-up, 21 of 22 patients (96%) were still competing professionally: 19 at their previous level and 2 in minor leagues. Eighteen (82%) were satisfied with their hip surgery and 19 (86%) with their sports ability. Mean activity levels were 9.8 per the UCLA scale and 7.6 per the Hip Sports Activity Scale. Mean scores of the Hip Outcome Score-Activities of Daily Living and Sport subscales were 94.5 and 89.1. Mean scores of the SF-12 physical and mental component summaries were 51.1 and 54.3. Pain levels during sports were 1.8 per the visual analog scale.
Surgical hip dislocation for the treatment of FAI allows athletes to resume sports and continue professional careers at the same level for several years. Clinical outcomes in terms of subjective ratings and scores were favorable.
中期结果研究表明，通过开放性或关节镜手术解决潜在的病理形态学问题，可以成功治疗有症状的股骨髋臼撞击症（FAI）。尽管运动员可能容易因撞击而导致髋关节受伤，但关于这一组开放性手术结果的信息有限。
FAI 的高水平运动员可以在接受髋关节脱位手术后恢复运动，并在相当长的一段时间内继续职业生涯。
病例系列；证据水平，4 级。
通过邮寄调查，对 22 名接受过手术髋关节脱位治疗的职业男性运动员（22 髋，凸轮或混合型 FAI；平均年龄 19.7±2.2 岁）进行评估，平均随访时间为 45.1 个月（范围 12 至 79 个月）。评估包括运动类型和水平、主观评分以及临床结果：髋关节结果评分、SF-12、加利福尼亚大学洛杉矶分校（UCLA）活动量表、髋关节运动活动量表、疼痛视觉模拟评分。主要观察变量是恢复专业运动；临床结果是次要观察变量。
随访时，22 名患者中有 21 名（96%）仍在从事专业运动：19 名处于之前的水平，2 名处于低级别联赛。18 名（82%）对髋关节手术满意，19 名（86%）对运动能力满意。UCLA 量表的平均活动水平为 9.8，髋关节运动活动量表的平均活动水平为 7.6。髋关节结果评分-日常生活活动和运动分量表的平均得分为 94.5 和 89.1。SF-12 身体和心理成分综合评分的平均得分为 51.1 和 54.3。运动时的疼痛水平为视觉模拟评分 1.8。
手术髋关节脱位治疗 FAI 可使运动员恢复运动，并在数年内以相同水平继续职业生涯。主观评分和分数的临床结果是有利的。
