Majority of competitive soccer players return to soccer following hip arthroscopy for femoroacetabular impingement: female and older aged players are less likely to return to soccer.
Majority of competitive soccer players return to soccer following hip arthroscopy for femoroacetabular impingement: female and older aged players are less likely to return to soccer.
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DOI：
10.1007/s00167-023-07349-4
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发表时间：
2023-07
影响因子：
3.8
通讯作者：
Nawabi, Danyal H.
中科院分区：
文献类型：
--
作者：
Marom, Niv;Olsen, Reena;Burger, Joost A.;Dooley, Matthew S.;Coleman, Struan H.;Ranawat, Anil S.;Kelly, Bryan T.;Nawabi, Danyal H.
为了确定一大批有竞争力的足球运动员在接受髋关节镜手术治疗股髋臼撞击（FAI）后重返足球的比率和足球表现，并确定无法重返足球的可能危险因素。回顾性回顾了2010年至2017年期间因FAI接受初级髋关节镜检查的竞技足球运动员的机构髋关节保存登记。记录患者的人口统计学特征、损伤特征以及临床和放射学表现。所有的病人都被联系，使用一份针对足球的回归调查问卷来了解重返足球的信息。采用多变量logistic回归分析确定不重返足球的潜在危险因素。87名足球运动员（119髋）入选。32名运动员（37%）同时或分阶段接受了双侧髋关节镜检查。平均手术年龄21.6±7.0岁。总体而言，65名球员（74.7%）回归足球，其中43名球员（占所有入选球员的49%）恢复到受伤前的比赛水平或更好。最常见的原因是疼痛或不适（50%），其次是害怕再次受伤（31.8%）。恢复踢球的平均时间为33.1±26.3周。在22名没有重返足球的球员中，14名（63.6%）对手术表示满意。多变量logistic回归分析显示，女性球员（优势比[OR] = 0.27；置信区间[CI] = 0.083 ~ 0.872; p = 0.029）和年龄较大的球员（OR = 0.895; 95% CI = 0.832 ~ 0.963; p = 0.003）回归足球的可能性较小。双侧手术没有发现是一个危险因素。对有症状的竞技足球运动员的FAI进行髋关节镜治疗，使其中四分之三的人能够重返足球赛场。尽管没有重返足球，但三分之二没有重返足球的球员对他们的结果感到满意。女性和年龄较大的球员重返足球的可能性较小。这些数据可以更好地指导临床医生和足球运动员对症状性FAI的关节镜治疗有现实的期望。3。
To determine return to soccer rates and soccer performance in a large cohort of competitive soccer players after hip arthroscopic surgery for the treatment of femoroacetabular impingement (FAI) and to identify possible risk factors associated with not returning to soccer. An institutional hip preservation registry was retrospectively reviewed for patients identified as competitive soccer players who underwent primary hip arthroscopy for FAI performed between 2010 and 2017. Patient demographics and injury characteristics as well as clinical and radiographic findings were recorded. All patients were contacted for return to soccer information using a soccer-specific return to play questionnaire. Multivariable logistic regression analysis was used to identify potential risk factors for not returning to soccer. Eighty-seven competitive soccer players (119 hips) were included. 32 players (37%) underwent simultaneous or staged bilateral hip arthroscopy. The mean age at surgery was 21.6 ± 7.0 years. Overall, 65 players (74.7%) returned to soccer, of which 43 players (49% of all included players) returned to pre-injury level of play or better. Most common reasons for not returning to soccer were pain or discomfort (50%) followed by fear of re-injury (31.8%). The mean time to return to soccer was 33.1 ± 26.3 weeks. Among 22 players who did not return to soccer, 14 (63.6%) reported satisfaction from surgery. Multivariable logistic regression analysis revealed female players (odds ratio [OR] = 0.27; confidence interval [CI] = 0.083 to 0.872; p = 0.029) and older aged players (OR = 0.895; 95% CI = 0.832 to 0.963; p = 0.003) were less likely to return to soccer. Bilateral surgery was not found to be a risk factor. Hip arthroscopic treatment for FAI in symptomatic competitive soccer players allowed three-quarters of them to return to soccer. Despite not returning to soccer, two-thirds of players who did not return to soccer were satisfied with their outcome. Female and older aged players were less likely to return to soccer. These data can better guide clinicians and soccer players with realistic expectations related to the arthroscopic management of symptomatic FAI. III.
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影响因子：
4.2
作者：
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通讯作者：
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