Graduate Entry Medical School, University of Limerick, Limerick, Ireland.
Clin J Sport Med. 2020 Jul;30(4):404-411. doi: 10.1097/JSM.0000000000000623.
Femoroacetabular impingement (FAI) poses a threat to athletes' capacity to compete. This review aims to estimate the rate of return to sport after hip arthroscopy for treatment of FAI as well as identify factors that may affect athletes' outcomes.
Meta-analysis.
Four databases (EMBASE, PubMed, Web of Science, and Cochrane) were searched in July 2015 by 2 reviewers. Studies were required to include athletes who were treated with hip arthroscopy for symptomatic FAI and also report return to sport as an outcome. A validated tool was used for quality assessment and level of agreement between raters was calculated. A meta-analysis for proportions returning to sport was performed on the available data using MedCalc software. Additional outcomes were descriptively analyzed.
A total of 15 case series involving 823 patients were included in the review, with moderate to high methodological quality. 88.3% [95% confidence interval (CI), 83.4%-92.4%] of athletes returned to sport after arthroscopy and 85.3% (95% CI, 77.6%-91.6%) returned to preinjury level. All outcome measures used reported measurable improvements. Complication rates were low.
The majority of athletes return to sport after hip arthroscopy for symptomatic FAI. Severity of intraarticular damage and degree of degenerative changes affect ability to return to sport. Additional validated outcome measures should be used together with return to sport. Future studies should be prospective with longer-term follow-up to provide a higher level of evidence for outcomes.
股骨髋臼撞击症（FAI）会威胁运动员的竞技能力。本综述旨在评估髋关节镜治疗 FAI 后运动员重返运动的比率，并确定可能影响运动员结局的因素。
荟萃分析。
2 位研究者于 2015 年 7 月通过 4 个数据库（EMBASE、PubMed、Web of Science 和 Cochrane）进行检索。研究需纳入接受髋关节镜治疗有症状的 FAI 并将重返运动作为结局的运动员。使用经过验证的工具进行质量评估，并计算评分者间的一致性。使用 MedCalc 软件对可获得数据进行比例的荟萃分析。对其他结局进行描述性分析。
共纳入 15 项病例系列研究，共 823 例患者，研究方法学质量为中高度。88.3%（95%置信区间，83.4%-92.4%）的运动员在关节镜手术后重返运动，85.3%（95%置信区间，77.6%-91.6%）的运动员重返术前运动水平。所有使用的结局测量指标均报告有可测量的改善。并发症发生率低。
髋关节镜治疗有症状的 FAI 后，大多数运动员重返运动。关节内损伤的严重程度和退行性改变的程度影响重返运动的能力。应使用其他经过验证的结局测量指标，并结合重返运动情况进行评估。未来的研究应采用前瞻性设计，并进行长期随访，以提供更高水平的结局证据。
