Background:

Favorable short-term outcomes in competitive basketball players have been reported. Midterm outcomes in these athletes and how they compare with athletes in sports with similar demands have not been well established.

Purpose:

(1) To report minimum 5-year patient-reported outcomes (PROs) and return to sports data in competitive basketball players undergoing primary hip arthroscopy for femoroacetabular impingement syndrome (FAIS) and (2) to compare outcomes with a propensity-matched control group of other cutting sports athletes.

Study Design:

Cohort study, Level of evidence, 3.

Methods:

Data were prospectively collected and retrospectively reviewed for basketball players who competed at the professional, collegiate, high school, or competitive amateur levels and underwent primary hip arthroscopy for FAIS between May 2009 and March 2016. Patients with preoperative and minimum 5-year postoperative outcomes for the modified Harris Hip Score (mHHS), Nonarthritic Hip Score (NAHS), Hip Outcome Score–Sports Specific Subscale (HOS-SSS), and visual analog scale (VAS) for pain were included. Patients were propensity matched to athletes in other cutting sports (soccer, lacrosse, field hockey, and tennis) according to age, sex, body mass index (BMI), and preoperative competition level for comparison.

Results:

A total of 28 competitive basketball players were included, with a mean follow-up time of 67.1 ± 5.1 months and a mean BMI of 23.7 ± 4; there were 12 (42.9%) female athletes. The cohort was composed of 1 professional, 10 collegiate, 13 high school, and 4 organized amateur athletes. They demonstrated significant improvements in all recorded PROs from baseline to the minimum 5-year follow-up (P < .001) and had high rates of achieving the minimal clinically important difference (MCID) for the mHHS (75%), NAHS (75%), HOS-SSS (67.9%), and VAS for pain (71.4%). Furthermore, 76.5% of basketball players who returned to sports were still competing at a minimum of 5 years postoperatively. When compared with a propensity-matched cohort of other cutting athletes, basketball athletes demonstrated a significantly higher acetabular labrum articular disruption (ALAD) grade (P < .001) and trended toward a higher Outerbridge grade of the acetabular cartilage (P = .067). Despite this, basketball players demonstrated similar preoperative, postoperative, and improvement scores in all recorded PROs. Moreover, both groups exhibited similar rates of achieving psychometric thresholds and rates of continued sports participation at minimum 5-year follow-up.

Conclusion:

Competitive basketball players undergoing primary hip arthroscopy for FAIS demonstrated significant improvements in all recorded PROs and high rates of continued play at a minimum 5-year follow-up. When compared with a control group of other cutting sports athletes, basketball players exhibited more severe ALAD grades intraoperatively but similar midterm outcomes.

中文翻译：

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接受初级髋关节镜检查的篮球运动员表现出更高等级的髋臼软骨损伤，但取得了良好的中期结果和恢复运动率，可与其他切割运动运动员的倾向匹配组相媲美

背景：

据报道，有竞争力的篮球运动员在短期内取得了有利的结果。这些运动员的中期结果以及他们如何与具有相似要求的运动中的运动员进行比较尚未得到很好的确定。

目的：

(1) 报告至少 5 年的患者报告结果 (PROs) 并返回竞技篮球运动员因股骨髋臼撞击综合征 (FAIS) 接受初次髋关节镜检查的运动数据，以及 (2) 将结果与倾向匹配的对照组进行比较其他切割运动的运动员。

学习规划：

队列研究，证据水平，3。

方法：

前瞻性收集并回顾性审查了 2009 年 5 月至 2016 年 3 月期间参加专业、大学、高中或业余竞技水平并接受初级髋关节镜检查 FAIS 的篮球运动员的数据。术前和术后至少 5 年结果为包括改良的哈里斯髋关节评分 (mHHS)、非关节炎髋关节评分 (NAHS)、髋关节结果评分-运动特定分量表 (HOS-SSS) 和视觉模拟量表 (VAS) 的疼痛。根据年龄、性别、体重指数 (BMI) 和术前比赛水平，将患者与其他切割运动（足球、长曲棍球、曲棍球和网球）的运动员进行倾向匹配以进行比较。

结果：

共纳入28名竞技篮球运动员，平均随访时间为67.1±5.1个月，平均BMI为23.7±4；女运动员12人（42.9%）。该队列由 1 名专业运动员、10 名大学运动员、13 名高中运动员和 4 名有组织的业余运动员组成。从基线到至少 5 年的随访，他们证明了所有记录的 PRO 有显着改善（P< .001) 并且在 mHHS (75%)、NAHS (75%)、HOS-SSS (67.9%) 和疼痛的 VAS (71.4%) 方面实现最小临床重要差异 (MCID) 的比率很高。此外，76.5% 的重返运动场的篮球运动员在术后至少 5 年仍参加比赛。与倾向匹配的其他切割运动员队列相比，篮球运动员表现出显着更高的髋臼盂唇关节破坏（ALAD）等级（P < .001）并且倾向于更高的髋臼软骨外桥等级（P= .067)。尽管如此，篮球运动员在所有记录的 PROs 中表现出相似的术前、术后和改善分数。此外，在至少 5 年的随访中，两组都表现出相似的达到心理测量阈值的比率和持续参与体育运动的比率。

结论：

接受 FAIS 初次髋关节镜检查的竞技篮球运动员在至少 5 年的随访中显示出所有记录的 PRO 的显着改善和较高的持续比赛率。与其他运动运动员的对照组相比，篮球运动员在术中表现出更严重的 ALAD 等级，但中期结果相似。