Slawaska-Eng David, Bouchard Marc Daniel, Del Sordo Luigi, Weber Alexander E, Ayeni Olufemi
Division of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.
Michael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada.
Knee Surg Sports Traumatol Arthrosc. 2025 Aug;33(8):2994-3001. doi: 10.1002/ksa.12720. Epub 2025 Jun 12.
Intra-articular hip disorders, such as femoroacetabular impingement syndrome (FAIS), labral tears and chondral damage are common in ice hockey players, particularly in the National Hockey League (NHL). However, evidence on return-to-sport (RTS) rates and performance outcomes post-hip arthroscopy remains limited. This study evaluates RTS rates, career longevity, and performance metrics, including games played, points per game (PPG), save percentage, and performance scores (PS), following hip arthroscopy.
NHL players who underwent hip arthroscopy for intra-articular pathology between 2000 and 2024 were identified using public records. RTS rates, career duration, and performance metrics were analysed pre- and post-surgery. Paired t-tests and analyses of variance (ANOVA) were performed across positions (forwards, defensemen and goaltenders).
A total of 92 NHL players (103 hips) met inclusion criteria. The overall RTS rate was 79.3%, increasing to 84.9% when excluding players still recovering. RTS was significantly higher in players <30 years (90.0% vs. 64.3%, p = 0.003). The average number of post-operative seasons played was 2.7, with no positional differences. Forwards showed significant declines in PPG (pre: 0.63 ± 0.38; post: 0.51 ± 0.37; p = 0.013) and PS (pre: 0.60 ± 0.74; post: 0.37 ± 0.69; ∆PS = -0.23; p = 0.026). Defensemen showed no significant change in PPG (p = 0.648) or PS (p = 0.509). Goaltenders had a decline in save percentage (pre: 0.91 ± 0.01; post: 0.89 ± 0.03; p = 0.038), while wins per season were unchanged (p = 0.205). RTS did not significantly differ by position.
NHL players undergoing hip arthroscopy have high RTS rates and often resume multi-season careers. However, forwards experience greater declines in performance, while defensemen and goaltenders are less affected. These results underscore position-specific recovery trends and may inform rehabilitation strategies in elite hockey athletes.
Level V.
髋关节内疾病，如股骨髋臼撞击综合征（FAIS）、盂唇撕裂和软骨损伤在冰球运动员中很常见，尤其是在美国国家冰球联盟（NHL）。然而，关于髋关节镜检查后恢复运动（RTS）率和运动表现结果的证据仍然有限。本研究评估了髋关节镜检查后的RTS率、职业生涯长度和运动表现指标，包括比赛场次、场均得分（PPG）、扑救成功率和表现评分（PS）。
利用公开记录确定2000年至2024年间因关节内病变接受髋关节镜检查的NHL球员。分析手术前后的RTS率、职业生涯时长和运动表现指标。对不同位置（前锋、后卫和守门员）进行配对t检验和方差分析（ANOVA）。
共有92名NHL球员（103个髋关节）符合纳入标准。总体RTS率为79.3%，排除仍在恢复的球员后升至84.9%。年龄<30岁的球员RTS显著更高（90.0%对64.3%，p = 0.003）。术后平均参赛赛季数为2.7个，无位置差异。前锋的PPG（术前：0.63±0.38；术后：0.51±0.37；p = 0.013）和PS（术前：0.60±0.74；术后：0.37±0.69；∆PS = -0.23；p = 0.026）显著下降。后卫的PPG（p = 0.648）或PS（p = 0.509）无显著变化。守门员的扑救成功率下降（术前：0.91±0.01；术后：0.89±0.03；p = 0.038），而赛季胜场数无变化（p = 0.205）。RTS在不同位置之间无显著差异。
接受髋关节镜检查的NHL球员RTS率较高，且通常能恢复多个赛季的职业生涯。然而，前锋的表现下降幅度更大，而后卫和守门员受影响较小。这些结果强调了特定位置的恢复趋势，并可能为精英冰球运动员的康复策略提供参考。
V级。
