Knapik Derrick M, Gebhart Jeremy J, Nho Shane J, Tanenbaum Joseph E, Voos James E, Salata Michael J
University Hospitals Case Medical Center, Cleveland, Ohio, U.S.A.; School of Medicine, Case Western Reserve University, Cleveland, Ohio, U.S.A..
University Hospitals Case Medical Center, Cleveland, Ohio, U.S.A.; School of Medicine, Case Western Reserve University, Cleveland, Ohio, U.S.A.
Arthroscopy. 2017 May;33(5):1044-1049. doi: 10.1016/j.arthro.2017.01.024. Epub 2017 Mar 9.
To examine the prevalence and impact of athletic pubalgia (AP) surgery in elite American football athletes participating in the National Football League (NFL) Combine.
Results from 1,311 athletes participating in the Combine from 2012 to 2015 were evaluated. Athletes with a history of AP repair were identified using the NFL Combine Database. Athlete history and available imaging was reviewed. NFL performance based on draft status, games played, games started, and current status in the NFL was gathered using publicly available databases. Statistical analysis was performed to detect for significant associations between athlete history and NFL performance in the presence of AP repair and pelvic pathology on postsurgical magnetic resonance imaging (MRI).
AP repair was identified in 4.2% (n = 55) of athletes. MRI was performed in 35% (n = 19 of 55) with AP repair, of which 53% (n = 10 of 19) had positive pathology. Athletes with repair were not at risk of playing (P = .87) or starting (P = .45) fewer regular season games, going undrafted (P = .27), or not being on an active NFL roster (P = .51). Compared with athletes with negative imaging findings, positive pathology on MRI did not have a significant impact on games played (P = .74), games started (P = .48), draft status (P = .26), or being on an active roster (P = .74). Offensive linemen (P = .005) and athletes with a history of repair within 1 year of the Combine (P = .03) had a significantly higher risk of possessing positive pathology on MRI.
Athletes with a history of successful AP surgery invited to the NFL Combine and those with persistent pathology on MRI are not at increased risk for diminished performance in the NFL. Offensive linemen and athletes less than 1 year out from surgery have a higher risk for positive MRI findings at the pubic symphysis.
Level IV, prognostic study-case series.
研究参加美国国家橄榄球联盟（NFL）联合会的精英美式橄榄球运动员中运动性耻骨痛（AP）手术的患病率及其影响。
对2012年至2015年参加联合会的1311名运动员的结果进行评估。使用NFL联合会数据库识别有AP修复史的运动员。回顾运动员病史和可用影像资料。利用公开数据库收集基于选秀状态、比赛场次、首发场次以及在NFL中的当前状态的NFL表现数据。进行统计分析，以检测在存在AP修复和术后磁共振成像（MRI）显示盆腔病变的情况下，运动员病史与NFL表现之间的显著关联。
4.2%（n = 55）的运动员有AP修复史。55名有AP修复史的运动员中，35%（n = 19）进行了MRI检查，其中53%（n = 19中的10名）有阳性病变。有修复史的运动员参加常规赛比赛（P = 0.87）或首发（P = 0.45）场次减少、未被选秀（P = 0.27）或未在NFL现役球员名单上（P = 0.51）的风险并无增加。与影像检查结果为阴性的运动员相比，MRI阳性病变对比赛场次（P = 0.74）、首发场次（P = 0.48）、选秀状态（P = 0.26）或在现役球员名单上（P = 0.74）并无显著影响。进攻线球员（P = 0.005）以及在联合会前1年内有修复史的运动员（P = 0.03）MRI出现阳性病变的风险显著更高。
受邀参加NFL联合会且有成功AP手术史的运动员以及MRI显示有持续性病变的运动员在NFL中表现下降的风险并未增加。进攻线球员和术后不到1年的运动员耻骨联合处MRI出现阳性结果的风险更高。
IV级，预后研究 - 病例系列。
