高水平足球运动员髋关节镜治疗股骨髋臼撞击综合征后，其运动表现的恢复率较低。
High-level soccer players have a low rate of return to performance after hip arthroscopy for femoroacetabular impingement syndrome.
机构信息
Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
出版信息
Knee Surg Sports Traumatol Arthrosc. 2023 Jun;31(6):2071-2078. doi: 10.1007/s00167-023-07336-9. Epub 2023 Mar 22.
PURPOSE
Femoroacetabular impingement syndrome (FAIS) is a known cause of impaired sports performance in athletes and the relationship between FAIS and soccer players has previously been described. Hip arthroscopy is a viable treatment option that can facilitate athletes' return to sport (RTS). The aim of this study was to evaluate the RTS and return to performance (RTP) with objective measurements in high-level soccer players after hip arthroscopy for FAIS.
METHOD
Soccer players, with a hip sports activity scale (HSAS) level of 7 or 8 before symptom onset and undergoing hip arthroscopy for FAIS between 2011 and 2019 were identified in the Gothenburg hip arthroscopic registry. A total of 83 high-level soccer players, with a mean age of 23.9 (SD 4.4) years at surgery, were included. To verify the activity level and further stratify players as elite or sub-elite, player statistics were collected from soccer-specific scout webpages and the Swedish national soccer association. The return to sport was defined as return to one game of soccer. Return to performance was defined as playing at the same level, or higher, and participating in at least 80% of the number of games played the season before symptom onset or the season before surgery either the first or second season after hip arthroscopy.
RESULTS
In total, 71 (85.5%, 95% confidence interval (CI) 76.1-92.3%) of the players returned to sport the first or second season after surgery. Compared to the season before symptom onset, 31 (37.3%, 95% CI 27.0-48.7%) players returned to performance the first or second season after surgery, and 32 (38.6%, 95% CI 28.1-49.9%) players returned to performance the first or second season after surgery compared to the season before surgery.
CONCLUSION
A high rate of elite and sub-elite soccer players return to soccer after hip arthroscopy for FAIS. However, less than half of the players RTP when evaluating performance through level of play and number of games played.
LEVEL OF EVIDENCE
Level IV.
目的
股骨髋臼撞击综合征（FAIS）是运动员运动表现受损的已知原因，FAIS 与足球运动员的关系以前曾有过描述。髋关节镜检查是一种可行的治疗选择，可以促进运动员重返运动（RTS）。本研究的目的是通过客观测量评估 FAIS 髋关节镜手术后高水平足球运动员的 RTS 和重返表现（RTP）。
方法
在哥德堡髋关节镜检查登记处确定了髋关节运动活动量表（HSAS）水平为 7 或 8 分且在 2011 年至 2019 年期间因 FAIS 接受髋关节镜检查的足球运动员。共纳入 83 名高水平足球运动员，手术时平均年龄为 23.9（SD 4.4）岁。为了验证活动水平并进一步将运动员分为精英或次精英，从足球专用球探网页和瑞典国家足球协会收集了运动员的统计数据。重返运动定义为重返一场足球比赛。重返表现定义为表现相同或更高水平，并且在髋关节镜检查后的第一个或第二个赛季中，至少参加了前一个赛季或前一个赛季开始前的比赛次数的 80%。
结果
共有 71 名（85.5%，95%置信区间（CI）76.1-92.3%）运动员在手术后的第一个或第二个赛季重返运动。与前一个赛季相比，手术后的第一个或第二个赛季有 31 名（37.3%，95%CI 27.0-48.7%）运动员重返表现，手术后的第一个或第二个赛季有 32 名（38.6%，95%CI 28.1-49.9%）运动员重返表现与手术前的赛季相比。
结论
髋关节镜检查治疗 FAIS 后，大量高水平足球运动员重返足球运动。然而，通过比赛水平和比赛次数评估表现时，只有不到一半的运动员能够重返比赛。
证据等级
IV 级。
Zotero 插件