American Hip Institute Research Foundation, Chicago, Illinois, USA.
American Hip Institute, Chicago, Illinois, USA.
Am J Sports Med. 2022 Jun;50(7):1909-1918. doi: 10.1177/03635465221092762.
Favorable short-term outcomes in competitive basketball players have been reported. Midterm outcomes in these athletes and how they compare with athletes in sports with similar demands have not been well established.
(1) To report minimum 5-year patient-reported outcomes (PROs) and return to sports data in competitive basketball players undergoing primary hip arthroscopy for femoroacetabular impingement syndrome (FAIS) and (2) to compare outcomes with a propensity-matched control group of other cutting sports athletes.
Cohort study, Level of evidence, 3.
Data were prospectively collected and retrospectively reviewed for basketball players who competed at the professional, collegiate, high school, or competitive amateur levels and underwent primary hip arthroscopy for FAIS between May 2009 and March 2016. Patients with preoperative and minimum 5-year postoperative outcomes for the modified Harris Hip Score (mHHS), Nonarthritic Hip Score (NAHS), Hip Outcome Score-Sports Specific Subscale (HOS-SSS), and visual analog scale (VAS) for pain were included. Patients were propensity matched to athletes in other cutting sports (soccer, lacrosse, field hockey, and tennis) according to age, sex, body mass index (BMI), and preoperative competition level for comparison.
A total of 28 competitive basketball players were included, with a mean follow-up time of 67.1 ± 5.1 months and a mean BMI of 23.7 ± 4; there were 12 (42.9%) female athletes. The cohort was composed of 1 professional, 10 collegiate, 13 high school, and 4 organized amateur athletes. They demonstrated significant improvements in all recorded PROs from baseline to the minimum 5-year follow-up ( < .001) and had high rates of achieving the minimal clinically important difference (MCID) for the mHHS (75%), NAHS (75%), HOS-SSS (67.9%), and VAS for pain (71.4%). Furthermore, 76.5% of basketball players who returned to sports were still competing at a minimum of 5 years postoperatively. When compared with a propensity-matched cohort of other cutting athletes, basketball athletes demonstrated a significantly higher acetabular labrum articular disruption (ALAD) grade ( < .001) and trended toward a higher Outerbridge grade of the acetabular cartilage ( = .067). Despite this, basketball players demonstrated similar preoperative, postoperative, and improvement scores in all recorded PROs. Moreover, both groups exhibited similar rates of achieving psychometric thresholds and rates of continued sports participation at minimum 5-year follow-up.
Competitive basketball players undergoing primary hip arthroscopy for FAIS demonstrated significant improvements in all recorded PROs and high rates of continued play at a minimum 5-year follow-up. When compared with a control group of other cutting sports athletes, basketball players exhibited more severe ALAD grades intraoperatively but similar midterm outcomes.
有研究报道，竞技篮球运动员的短期预后良好。然而，这些运动员的中期预后以及与具有类似需求的运动项目的运动员相比如何，尚未得到充分证实。
（1）报告接受初次髋关节镜治疗股骨髋臼撞击综合征（FAIS）的竞技篮球运动员的至少 5 年患者报告结局（PROs）和重返运动数据；（2）并与其他切割运动项目的匹配倾向性对照组进行比较。
队列研究，证据水平 3 级。
对 2009 年 5 月至 2016 年 3 月期间接受初次髋关节镜治疗 FAIS 的职业、大学、高中或竞技业余水平的竞技篮球运动员进行前瞻性数据收集和回顾性研究。纳入了改良 Harris 髋关节评分（mHHS）、非关节炎髋关节评分（NAHS）、髋关节结局评分-运动特异性量表（HOS-SSS）和疼痛视觉模拟评分（VAS）术前和至少 5 年术后的患者。根据年龄、性别、体重指数（BMI）和术前比赛水平，对患者进行倾向性匹配，以与其他切割运动（足球、曲棍球、曲棍球和网球）的运动员进行比较。
共纳入 28 名竞技篮球运动员，平均随访时间为 67.1±5.1 个月，平均 BMI 为 23.7±4；其中 12 名（42.9%）为女性运动员。该队列由 1 名职业运动员、10 名大学生运动员、13 名高中生运动员和 4 名有组织的业余运动员组成。与基线相比，所有记录的 PROs 在至少 5 年的随访中均有显著改善（<0.001），并且 mHHS（75%）、NAHS（75%）、HOS-SSS（67.9%）和疼痛 VAS（71.4%）的最小临床重要差异（MCID）的达标率均较高。此外，76.5%的重返运动的篮球运动员在至少 5 年后仍在参赛。与其他切割运动员的匹配倾向性队列相比，篮球运动员的髋臼唇关节面破坏（ALAD）分级明显更高（<0.001），且髋臼软骨的 Outerbridge 分级趋势更高（=0.067）。尽管如此，篮球运动员在所有记录的 PROs 中表现出相似的术前、术后和改善评分。此外，两组在所有记录的 PROs 中都表现出相似的达到心理测量学阈值的比率和至少 5 年随访时继续运动的比率。
接受初次髋关节镜治疗 FAIS 的竞技篮球运动员在所有记录的 PROs 中均有显著改善，且在至少 5 年的随访中继续运动的比例较高。与其他切割运动项目的对照组相比，篮球运动员术中 ALAD 分级更严重，但中期结果相似。
