Duke Sport Science Institute, Department of Orthopaedics, Duke University Medical Center, Wake Forest, North Carolina, USA.
Bassett Healthcare Network, Cooperstown, New York, USA.
Am J Sports Med. 2019 Sep;47(11):2646-2650. doi: 10.1177/0363546519863411. Epub 2019 Jul 26.
The Single Assessment Numerical Evaluation (SANE) is a single-question outcome score that has been shown to be a reliable measure of outcomes for shoulder and knee injuries but has not been compared with other validated outcome scores in hip pathology managed arthroscopically.
To correlate SANE Activities of Daily Living (ADL) and Sport subscales with the modified Harris Hip Score (mHHS) and Hip Outcome Score (HOS) ADL and Sport subscales before and after arthroscopic hip surgery.
Cohort study (diagnosis); Level of evidence, 3.
A retrospective review of a prospectively filled database of patients undergoing arthroscopic hip surgery by a single surgeon was conducted. Inclusion criteria included patients scheduled for arthroscopic hip surgery for femoroacetabular impingement, labral tear, or gluteus medius tear. Exclusion criteria included previous surgery to the hip. Outcome scores, including the mHHS, HOS ADL and Sport, and SANE ADL and Sport, were measured preoperatively and postoperatively at 3 months, 1 year, and then annually. Pearson correlation coefficients between preoperative SANE ADL and Sport and the mHHS, HOS ADL, and HOS Sport were calculated. Pearson correlation coefficients between postoperative SANE ADL and Sport and the mHHS, HOS ADL, and HOS Sport were also calculated.
Eighty-five patients (mean age, 37.9 years; range, 14-66 years; 57 females, 28 males) underwent arthroscopic hip surgery for assorted pathology. Mean follow-up was 8 months (range, 3-64 months). Based on the Pearson correlation coefficient, preoperative SANE ADL and Sport had a moderate correlation with the mHHS ( = 0.66; 95% CI, 0.47-0.79; < .0001; = 0.54; 95% CI, 0.31-0.71; < .0001, respectively). Preoperative SANE ADL and Sport had a moderate correlation with HOS ADL ( = 0.60; 95% CI, 0.39-0.75; < .0001) and HOS Sport ( = 0.65; 95% CI, 0.45-0.79; < .0001). Postoperative SANE ADL and Sport had a strong correlation with the mHHS ( = 0.69; 95% CI, 0.50-0.82; < .0001; = 0.78; 95% CI, 0.61-0.88; < .0001). Postoperative SANE ADL and Sport had a strong correlation with HOS ADL ( = 0.79; 95% CI, 0.65-0.88; < .0001) and HOS Sport ( = 0.88; 95% CI, 0.78-0.94; < .0001).
This study showed a significant correlation between SANE and mHHS in patients undergoing arthroscopic hip surgery both pre- and postoperatively. SANE ADL and Sport had a strong correlation with HOS ADL and Sport preoperatively and short-term postoperatively. SANE scores are more highly correlated with traditional subjective outcome measures during the short-term postoperative period than they are preoperatively. The SANE score provides an efficient method of assessing outcomes after hip arthroscopy.
单一评估数值评估（SANE）是一种单项问题的结果评分，已被证明是一种可靠的肩部和膝关节损伤结果的衡量标准，但尚未与其他经验证的髋关节疾病关节镜手术的结果评分进行比较。
比较 SANE 日常生活活动（ADL）和运动亚量表与改良 Harris 髋关节评分（mHHS）和髋关节结局评分（HOS）ADL 和运动亚量表在关节镜髋关节手术后的相关性。
队列研究（诊断）；证据水平，3 级。
对一位外科医生进行的关节镜髋关节手术的前瞻性数据库进行了回顾性分析。纳入标准包括因髋关节撞击症、盂唇撕裂或臀中肌撕裂而计划接受关节镜髋关节手术的患者。排除标准包括髋关节既往手术史。术前和术后 3 个月、1 年，然后每年测量 mHHS、HOS ADL 和运动以及 SANE ADL 和运动的结果评分。计算术前 SANE ADL 和运动与 mHHS、HOS ADL 和 HOS 运动的 Pearson 相关系数。还计算了术后 SANE ADL 和运动与 mHHS、HOS ADL 和 HOS 运动的 Pearson 相关系数。
85 名患者（平均年龄 37.9 岁；范围 14-66 岁；57 名女性，28 名男性）因各种病理接受了关节镜髋关节手术。平均随访时间为 8 个月（范围 3-64 个月）。基于 Pearson 相关系数，术前 SANE ADL 和运动与 mHHS 具有中度相关性（ = 0.66；95%置信区间，0.47-0.79； <.0001； = 0.54；95%置信区间，0.31-0.71； <.0001）。术前 SANE ADL 和运动与 HOS ADL （ = 0.60；95%置信区间，0.39-0.75； <.0001）和 HOS 运动（ = 0.65；95%置信区间，0.45-0.79； <.0001）具有中度相关性。术后 SANE ADL 和运动与 mHHS 具有强相关性（ = 0.69；95%置信区间，0.50-0.82； <.0001； = 0.78；95%置信区间，0.61-0.88； <.0001）。术后 SANE ADL 和运动与 HOS ADL （ = 0.79；95%置信区间，0.65-0.88； <.0001）和 HOS 运动（ = 0.88；95%置信区间，0.78-0.94； <.0001）具有强相关性。
这项研究表明，接受关节镜髋关节手术的患者术前和术后 SANE 与 mHHS 之间存在显著相关性。SANE ADL 和运动与 HOS ADL 和运动在术前和短期术后均具有很强的相关性。SANE 评分在短期术后比术前更能与传统的主观结果测量方法高度相关。SANE 评分是一种评估髋关节镜术后结果的有效方法。
