Guarneri Briley, Morrison Logan, Martorana Adam, Gujral Ishan, Harris Lafe
School of Osteopathic Medicine Arizona, A.T. Still University, Mesa, USA.
Cureus. 2023 Apr 23;15(4):e38023. doi: 10.7759/cureus.38023. eCollection 2023 Apr.
Introduction Athletic pubalgia (AP) injuries requiring surgical repair in elite-level soccer players are significant injuries with the potential of impacting a player's playing time and performance. Currently, no data exists explicitly analyzing Major League Soccer (MLS) players' return to play (RTP) rates and performance following these surgeries. Methods A retrospective review of publicly available data of all MLS players who underwent surgery to repair an isolated AP injury from the league inception year of 1993 through 2021 was performed. Demographic data at the time of injury was collected. Athletes who successfully returned to play for at least two seasons in the MLS were matched to healthy controls in a 1:2 ratio by demographics and position. The index year was defined as the season, including pre- and post-season, that the surgery occurred. RTP date and performance metrics one and two years pre- and post-index year were collected. Statistical analysis was performed. Results Eighty-eight players underwent surgical repair for AP from 1993 through 2021. Eighty-five athletes were able to successfully RTP (96.5%). Twenty-five players met the inclusion criteria and were included in the final analysis. The average RTP time was 1.08±4.92 months. During the combined seasons following surgery, athletes in the AP group displayed a significant reduction in minutes played compared to the two combined seasons prior to surgery (4153±912.77 vs. 3405.36±1342.35 minutes; p=0.03). There was no significant reduction in performance metrics when compared to both prior season statistics and the matched cohort (p>0.05). Conclusion There is a high RTP rate among MLS players who undergo isolated surgical repair of AP. Although there was a significant reduction in combined minutes played in the two ensuing seasons following surgery, athletes who RTP demonstrated equivalent performance metrics comparable to their pre-injury seasons as well as to a matched cohort.
引言 在精英级别的足球运动员中，需要进行手术修复的运动性耻骨联合疼痛（AP）损伤是严重的损伤，有可能影响球员的上场时间和表现。目前，尚无数据明确分析美国职业足球大联盟（MLS）球员在这些手术后的重返赛场（RTP）率和表现。
方法 对1993年联盟成立至2021年期间所有接受孤立性AP损伤修复手术的MLS球员的公开数据进行回顾性分析。收集受伤时的人口统计学数据。在MLS中成功重返赛场至少两个赛季的运动员按人口统计学和位置以1:2的比例与健康对照组进行匹配。索引年份定义为手术发生的赛季，包括季前赛和季后赛。收集索引年份前后一年和两年的RTP日期和表现指标，并进行统计分析。
结果 1993年至2021年期间，88名球员接受了AP手术修复。85名运动员成功实现了RTP（96.5%）。25名球员符合纳入标准并被纳入最终分析。平均RTP时间为1.08±4.92个月。在手术后的合并赛季中，AP组运动员的上场分钟数与手术前的两个合并赛季相比显著减少（4153±912.77对3405.36±1342.35分钟；p=0.03）。与前一赛季统计数据和匹配队列相比，表现指标没有显著下降（p>0.05）。
结论 在接受孤立性AP手术修复的MLS球员中，RTP率很高。尽管手术后接下来的两个赛季上场总分钟数显著减少，但实现RTP的运动员的表现指标与受伤前赛季以及匹配队列相当。
