Background:

The body of literature comparing hip arthroscopy between athletes and nonathletes is relatively scarce. Analyzing these groups can help to shed light on the severity of intra-articular damage and end-stage osteoarthritis that may result from participation in strenuous activities.

Purpose:

(1) To compare the intra-articular damage at the time of hip arthroscopy between athletes and nonathletes, and (2) to compare the pre- and postoperative outcomes between the groups.

Study Design:

Cohort study; Level of evidence, 3.

Methods:

Patients were considered eligible for analysis if they had received a primary hip arthroscopy between August 2008 and June 2018, were participating in competitive athletics, and had preoperative baseline scores and minimum 2-year follow-up for the following patient-reported outcomes: modified Harris Hip Score, Nonarthritic Hip Score (NAHS), Hip Outcome Score–Sports Specific Subscale, and visual analog scale. Propensity score matching was used to match eligible patients in a 1:1 ratio to patients who were not participating in any sports greater than a recreational level before surgery.

Results:

A total of 234 patients were included. There were no significant differences in the severity of labral tears, ligamentum teres tears, or cartilage damage (P > .05). The procedures performed between cohorts were similar (P > .05). The athlete population had higher preoperative means scores for the modified Harris Hip Score and NAHS (each P < .001). Likewise, the athlete population had higher postoperative means scores for the NAHS, Hip Outcome Score–Sports Specific Subscale, and visual analog scale (P = .031, P = .030, and P = .032, respectively). Additionally, the athlete cohort reported higher minimum 2-year outcomes than the nonathlete cohort for the 12-Item Short Form Health Survey (mental component; P = .003) and Veterans RAND 12-Item Health Survey (mental component, P = .032; physical component, P = .005).

Conclusion:

At the time of hip arthroscopy, athletes demonstrate similar intra-articular damage to their nonathlete counterparts. Given their higher preoperative scores, it is possible that athletes better tolerate the damage to the hip joint. Despite their strenuous activities and potentially higher tolerance to pain, athletes should not necessarily be expected to have greater severity of intra-articular pathology.

中文翻译：

---

运动员和非运动员髋关节镜术后关节内损伤和患者预后比较

背景：

比较运动员和非运动员髋关节镜检查的文献相对较少。分析这些群体有助于了解参与剧烈活动可能导致的关节内损伤和终末期骨关节炎的严重程度。

目的：

(1) 比较运动员和非运动员在髋关节镜检查时关节内损伤情况，(2) 比较两组患者的术前和术后结果。

学习规划：

队列研究；证据水平，3。

方法：

如果患者在 2008 年 8 月至 2018 年 6 月期间接受了初次髋关节镜检查，正在参加竞技体育，并且对以下患者报告的结果进行了术前基线评分和至少 2 年的随访，则认为患者有资格进行分析：改良 Harris髋关节评分、非关节炎髋关节评分 (NAHS)、髋关节结果评分 - 运动特定分量表和视觉模拟量表。倾向评分匹配用于将符合条件的患者以 1:1 的比例与手术前未参加任何高于娱乐水平的运动的患者进行匹配。

结果：

共纳入 234 名患者。盂唇撕裂、圆韧带撕裂或软骨损伤的严重程度无显着差异（P > .05）。队列之间进行的程序相似（P > .05）。运动员群体的改良哈里斯髋关节评分和 NAHS 的术前平均评分较高（每个P < .001）。同样，运动员群体在 NAHS、髋关节结果评分——运动特定分量表和视觉模拟量表（P = .031、P = .030 和P= .032，分别）。此外，在 12 项简短健康调查（心理成分； P = .003）和退伍军人兰德 12 项健康调查（心理成分，P = .032 ）中，运动员队列报告的至少 2 年结果高于非运动员队列; 物理成分，P = .005)。

结论：

在髋关节镜检查时，运动员表现出与其非运动员同行相似的关节内损伤。鉴于他们较高的术前评分，运动员可能更好地耐受髋关节的损伤。尽管他们进行剧烈的活动并且对疼痛的耐受性可能更高，但不一定期望运动员具有更严重的关节内病变。