Department of Orthopaedic Surgery, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Am J Sports Med. 2018 Jul;46(8):1959-1969. doi: 10.1177/0363546518773080. Epub 2018 May 16.
The effect of hip arthroscopy on athletic performance compared with preinjury levels for professional athletes in different sports remains unknown. In addition, while return rates have been reported for professional baseball, football, and hockey players, return rates have not been reported for professional basketball players.
Professional athletes in 4 major North American sports would be able to return to their sport and preoperative level of performance at a high rate after arthroscopic hip surgery.
Descriptive epidemiology study.
Major League Baseball (MLB), National Basketball Association (NBA), National Football League (NFL), and National Hockey League (NHL) athletes who underwent hip arthroscopy were identified through a previously reported protocol based on public sources. Successful return to play (RTP) was defined as returning for at least 1 professional regular season game after surgery. Performance scores were calculated by use of previously established scoring systems. Each player served as his own control, with the season prior to surgery defined as baseline. To make comparisons across sports, the authors adjusted for expected season and career length differences between sports and calculated percentage changes in performance.
The authors identified 227 procedures performed on 180 professional athletes between 1999 and 2016. Successful RTP was achieved in 84.6% (192/227) of the procedures. Compared with all other athletes, NBA athletes returned at a similar rate (85.7%, P ≥ .999). NFL offensive linemen returned at a significantly lower rate than all other athletes (61.1%, P = .010). NHL athletes returned at a significantly higher rate than all other athletes (91.8%, P = .048) and demonstrated significantly decreased performance during postoperative season 1 compared with baseline (-35.1%, P = .002). Lead leg surgery for MLB athletes (batting stance for hitters, pitching stance for pitchers) resulted in a 12.7% reduction in hitter performance score ( P = .041), a 1.3% reduction in pitcher fastball velocity ( P = .004), and a 60.7% reduction in pitch count ( P = .007) one season after surgery compared with baseline. Players in nearly every sport demonstrated significant reductions in game participation after surgery.
This study supports the hypothesis that hip arthroscopy in professional athletes is associated with excellent rates of return at the professional level. However, postoperative performance outcomes varied based on sport and position.
关节镜下髋关节手术对不同运动项目职业运动员运动表现的影响，与受伤前的水平相比，目前仍不清楚。此外，虽然已经报道了职业棒球、足球和曲棍球运动员的回归率，但尚未报道职业篮球运动员的回归率。
在四大北美职业运动中，接受髋关节镜手术的运动员在手术后能够以较高的比例恢复到运动和术前的运动水平。
描述性流行病学研究。
通过之前报道的基于公开来源的方案，确定了接受髋关节镜手术的美国职棒大联盟（MLB）、美国国家篮球协会（NBA）、美国国家橄榄球联盟（NFL）和国家冰球联盟（NHL）运动员。成功的重返赛场（RTP）被定义为手术后至少参加 1 个职业常规赛。通过使用先前建立的评分系统计算表现评分。每个球员都作为自己的对照，以手术前的赛季为基线。为了在不同运动项目之间进行比较，作者根据运动项目之间预期的赛季和职业生涯长度差异进行了调整，并计算了表现的百分比变化。
作者在 1999 年至 2016 年期间共确定了 227 名职业运动员的 227 项手术。在 227 例手术中，有 84.6%（192/227）成功实现了 RTP。与所有其他运动员相比，NBA 运动员的回归率相似（85.7%，P≥.999）。NFL 进攻线卫的回归率明显低于所有其他运动员（61.1%，P=.010）。与所有其他运动员相比，NHL 运动员的回归率明显更高（91.8%，P=.048），并且在术后第一个赛季的表现明显下降（-35.1%，P=.002）。对于 MLB 运动员（击球手的击球姿势，投手的投球姿势）来说，手术导致击球手的击球表现评分降低 12.7%（P=.041），投手的快球速度降低 1.3%（P=.004），投球数降低 60.7%（P=.007）。与基线相比，手术后一个赛季。几乎所有运动项目的运动员在手术后的比赛参与度都显著下降。
本研究支持髋关节镜下手术治疗职业运动员髋关节疾病可获得较高的专业水平回归率的假设。然而，术后的表现结果因运动项目和位置而异。
