在因股骨髋臼撞击症接受髋关节镜手术的大学生运动员中，由于运动类型、撞击类型和严重软骨损伤患病率的差异，女性恢复运动的比例高于男性。
Females Have Higher Return-to-Sport Rate Than Males Among Collegiate Athletes After Hip Arthroscopy for Femoroacetabular Impingement Due to the Difference in the Type of Sports, Type of Impingement, and Prevalence of Severe Cartilage Damage.
作者信息
Nishimura Haruki, Comfort Spencer, Brown Jarrod, Garcia Alexander R, Afetse Eddie, Jochl Olivia, Yamaura Kohei, Felan Nicholas A, Speshock Alyson, Dornan Grant J, Philippon Marc J
机构信息
Steadman Philippon Research Institute, Vail, CO, U.S.A.
Steadman Philippon Research Institute, Vail, CO, U.S.A.; The Steadman Clinic, Vail, CO, U.S.A..
出版信息
Arthroscopy. 2025 Jul;41(7):2320-2329. doi: 10.1016/j.arthro.2024.10.016. Epub 2024 Oct 21.
PURPOSE
To investigate the return to sport (RTS) rate and the sex-based difference of collegiate athletes after arthroscopic treatment for femoroacetabular impingement (FAI).
METHODS
Patients who were collegiate athletes at the time of surgery and underwent hip arthroscopy for treatment of FAI between January 2009 and June 2020 were included. Patients were excluded if they were in their final year of eligibility, graduated, retired, or had plans to retire from collegiate play before surgery. Publicly available data were collected regarding each patient's collegiate team and division and RTS status after surgery. Comparisons were made based on the RTS status and gender.
RESULTS
Of the 181 hips (144 athletes) who met the inclusion criteria, 114 were male (63%) and 67 were female (37%), with a median age of 20.4 (range: 18.0-24.5). Eighty-six percent (155 hips) returned to sport at the collegiate level after hip arthroscopy. Males were significantly less likely to return to sport compared with females (82% vs 93%, odds ratio = 2.8, 95% confidence interval: 1.003-7.819, P = .042). Males participated in more contact sports (26% vs 1.5%, P < .001) and had more mixed-type FAI (95.6% vs 80.6%, P = .003) compared with females. In addition, males had more grade 3/4 chondral defects (28% vs 13%, P = .023) and underwent microfracture more frequently (11% vs 3%, P = .047). Further, males had significantly larger postoperative alpha angles (46.2 vs 43.6, P < .001).
CONCLUSIONS
Collegiate athletes were found to have a high RTS rate of 86% after arthroscopy for the treatment of FAI; however, males were less likely to RTS compared with females. Sex-based differences were identified in the type of sports, type of FAI, prevalence of severe cartilage damage, and postoperative alpha angle.
LEVEL OF EVIDENCE
Level IV, retrospective case series.
目的
探讨关节镜治疗股骨髋臼撞击症（FAI）后大学生运动员的运动恢复（RTS）率及性别差异。
方法
纳入2009年1月至2020年6月期间接受髋关节镜治疗FAI的在校大学生运动员患者。如果患者处于资格的最后一年、已毕业、已退役或在手术前有从大学比赛中退役的计划，则将其排除。收集了关于每位患者的大学运动队、级别以及手术后RTS状态的公开数据。根据RTS状态和性别进行比较。
结果
在符合纳入标准的181个髋关节（144名运动员）中，男性114例（63%），女性67例（37%），中位年龄为20.4岁（范围：18.0 - 24.5岁）。髋关节镜检查后，86%（155个髋关节）的患者恢复了大学水平的运动。与女性相比，男性恢复运动的可能性显著降低（82%对93%，优势比 = 2.8，95%置信区间：1.003 - 7.819，P = 0.042）。与女性相比，男性参加更多的接触性运动（26%对1.5%，P < 0.001），且混合型FAI更多（95.6%对80.6%，P = 0.003）。此外，男性3/4级软骨损伤更多（28%对13%，P = 0.023），更频繁地接受微骨折治疗（11%对3%，P = 0.047）。而且，男性术后α角明显更大（46.2对43.6，P < 0.001）。
结论
发现大学生运动员在关节镜治疗FAI后RTS率较高，为86%；然而，与女性相比，男性RTS的可能性较小。在运动类型、FAI类型、严重软骨损伤的患病率和术后α角方面发现了性别差异。
证据水平
IV级，回顾性病例系列。
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