Instituto Cugat, Hospital Quironsalud Barcelona, Barcelona, Spain.
Mutualidad de Futbolistas-Delegación Catalana, Barcelona, Spain.
Arch Orthop Trauma Surg. 2023 May;143(5):2641-2646. doi: 10.1007/s00402-022-04584-1. Epub 2022 Sep 6.
Femoroacetabular impingement is considered a spectrum disease affecting multiple hip structures and it is especially prevalent in football players. Hip arthroscopy has shown good results in this population. However, little attention has been given to its efficacy in children and adolescent players. The aim of this study is to evaluate the outcomes of hip arthroscopy in under-16 football players.
Between 2008 and 2019, all under-16 competitive football players who underwent hip arthroscopy for the treatment of femoroacetabular impingement were recruited for this prospective study. Hip pain and function were measured through the VAS, HOS, mHHS and WOMAC scores before the surgery, at 1-year after the surgery and at minimum 2-years after surgery. Preoperative and postoperative scores were compared to establish the evolution of hip pain and function. Additionally, rate and time to return to play were recorded.
14 subjects were included in the analysis. All subjects attended to the last follow-up, at mean 3.21 years after the surgery (range 2-10). Mean ± SD VAS (0-100) scores were 60.14 ± 15.88 before the surgery, 6.43 ± 5.19 at 1-year follow-up and 5.07 ± 4.05 at final follow-up (p < 0.05). Significant improvements were observed in HOS ADL, HOS SS, mHHS and WOMAC (p < 0.05) between preoperative values and 1-year follow-up. No significant differences were found in knee pain or function between 1-year and final follow-up assessments (p > 0.05). All subjects (100%) were playing football 1-year after the surgery, with a mean ± SD time to return to play of 5.93 ± 2.09 months. 13 subjects (92.86%) were still playing at final follow-up.
Hip arthroscopy is a safe and effective surgical procedure for the treatment of FAI in under-16 competitive football players, improving hip pain and function with excellent rates to return to play.
髋关节撞击综合征被认为是一种影响多种髋关节结构的疾病谱，在足球运动员中尤为常见。髋关节镜已显示出对此类人群的良好效果。然而，对于青少年足球运动员，髋关节镜的疗效关注甚少。本研究旨在评估髋关节镜在 16 岁以下足球运动员中的治疗效果。
2008 年至 2019 年，所有接受髋关节镜治疗髋关节撞击综合征的 16 岁以下足球运动员均被招募进行前瞻性研究。通过 VAS、HOS、mHHS 和 WOMAC 评分在术前、术后 1 年和术后至少 2 年评估髋关节疼痛和功能。比较术前和术后评分以确定髋关节疼痛和功能的演变。此外，还记录了重返赛场的比例和时间。
14 名受试者纳入分析。所有受试者均接受了最后一次随访，平均随访时间为术后 3.21 年（范围 2-10 年）。术前 VAS（0-100）评分的均值±标准差为 60.14±15.88，术后 1 年随访时为 6.43±5.19，末次随访时为 5.07±4.05（p<0.05）。术前与术后 1 年随访时，HOS ADL、HOS SS、mHHS 和 WOMAC 评分显著改善（p<0.05）。术后 1 年与末次随访时，膝关节疼痛或功能无显著差异（p>0.05）。所有受试者（100%）在术后 1 年重返足球运动，平均±标准差重返赛场时间为 5.93±2.09 个月。13 名受试者（92.86%）在末次随访时仍在踢球。
髋关节镜是治疗 16 岁以下竞技足球运动员髋关节撞击综合征的一种安全有效的手术方法，可改善髋关节疼痛和功能，重返赛场的比例极高。
