Lindman Ida, Abrahamsson Josefin, Öhlin Axel, Wörner Tobias, Eek Frida, Ayeni Olufemi R, Senorski Eric Hamrin, Sansone Mikael
Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden.
Department of Health Sciences, Lund University, Lund, Sweden.
Orthop J Sports Med. 2021 Mar 18;9(3):2325967120981687. doi: 10.1177/2325967120981687. eCollection 2021 Mar.
Ice hockey players often undergo arthroscopic treatment for femoroacetabular impingement syndrome (FAIS); however, only a few studies have reported postoperative patient-reported outcomes. It has been debated whether player position is related to FAIS.
To evaluate the change in patient-reported outcome measures (PROMs) in high-level ice hockey players from presurgery to 2 years after arthroscopic treatment for FAIS. The secondary aim was to evaluate differences in outcomes among player positions and whether stick handedness is related to the side of the symptomatic hip.
Case series; Level of evidence, 4.
Ice hockey players undergoing treatment for FAIS between 2011 and 2019 were prospectively included. Preoperative and 2-year follow-up scores were collected for the following PROMs: HAGOS (Copenhagen Hip and Groin Outcome Score), iHOT-12 (12-item International Hip Outcome Tool), EQ-5D (EuroQol-5 Dimensions) and EQ-VAS (EuroQol-Visual Analog Scale), Hip Sports Activity Scale, and visual analog scale for overall hip function. Player position and stick handedness were collected from public sources. Preoperative and follow-up outcomes were compared for the entire cohort and among player positions.
The cohort included 172 ice hockey players with a mean age of 28 years, a mean body mass index of 25.6, and a mean symptom duration of 46.3 months. In the 120 players with 2-year follow-up data, there was significant improvement in all PROMs as compared with presurgery: HAGOS subscales (symptoms, 47.5 vs 68.0; pain, 57.0 vs 75.8; activities of daily living, 62.5 vs 81.0; sports, 40.0 vs 64.7; physical activity, 30.9 vs 57.2; quality of life, 32.5 vs 57.8), iHOT-12 (45.2 vs 66.7), EQ-5D (0.59 vs 0.75), EQ-VAS (68.3 vs 73.2), and visual analog scale for overall hip function (49.6 vs 69.2) ( < .0001 for all). At 2-year follow-up, 83% reported satisfaction with the procedure. There was no difference in the improvement in PROMs among player positions. Further, there was no significant relationship between stick handedness and side of symptomatic hip; however, because of the number of bilateral procedures and large number of left-handed shooters, no conclusions could be drawn.
High-level ice hockey players undergoing arthroscopic treatment for FAIS reported improvements in PROMs 2 years after surgery, regardless of player position.
冰球运动员常因股骨髋臼撞击综合征（FAIS）接受关节镜治疗；然而，仅有少数研究报道了术后患者报告的结局。球员位置是否与FAIS相关一直存在争议。
评估高水平冰球运动员在接受FAIS关节镜治疗术前至术后2年期间患者报告结局指标（PROMs）的变化。次要目的是评估不同球员位置的结局差异，以及持杆手习惯是否与症状性髋关节的侧别有关。
病例系列；证据等级，4级。
前瞻性纳入2011年至2019年间接受FAIS治疗的冰球运动员。收集以下PROMs的术前和2年随访评分：HAGOS（哥本哈根髋关节和腹股沟结局评分）、iHOT-12（12项国际髋关节结局工具）、EQ-5D（欧洲五维度健康量表）和EQ-VAS（欧洲五维度健康量表视觉模拟量表）、髋关节运动活动量表以及整体髋关节功能视觉模拟量表。从公开资料中收集球员位置和持杆手习惯。比较整个队列以及不同球员位置的术前和随访结局。
该队列包括172名冰球运动员，平均年龄28岁，平均体重指数25.6，平均症状持续时间46.3个月。在有2年随访数据的120名球员中，与术前相比，所有PROMs均有显著改善：HAGOS各子量表（症状，47.5对68.0；疼痛，57.0对75.8；日常生活活动，62.5对81.0；运动，四十点零对64.7；身体活动，30.9对57.2；生活质量，32.5对57.8）、iHOT-12（45.2对66.7）、EQ-5D（0.59对0.75））、EQ-VAS（68.3对73.2）以及整体髋关节功能视觉模拟量表（49.6对69.2）（所有P值均<0.0001）。在2年随访时，83%的患者对手术表示满意。不同球员位置的PROMs改善情况无差异。此外，持杆手习惯与症状性髋关节的侧别之间无显著关系；然而，由于双侧手术的数量以及左手射门球员数量较多，无法得出结论。
接受FAIS关节镜治疗的高水平冰球运动员术后2年报告PROMs有所改善，与球员位置无关。
