PDF(Pubmed)
Abstract：
UNASSIGNED: Knowledge of clinical outcomes and return to artistic activities after endoscopic shelf acetabuloplasty (ESA) for acetabular dysplasia in artistic athletes is lacking.
UNASSIGNED: Hip arthroscopic surgery including ESA will enable artistic athletes to return to their activities with a high success rate, significantly improved acetabular coverage, and preserved joint cartilage.
UNASSIGNED: Case series; Level of evidence, 4.
UNASSIGNED: We reviewed 28 hips in 23 female artistic athletes (14 ballet, 9 rhythmic gymnastics, 4 dance, and 1 baton twirling) who underwent arthroscopic labral preservation, capsular plication, and ESA. Their mean age was 25.8 ± 10.2 years. Preoperatively, all patients had generalized joint laxity (Beighton score, 7.1 ± 1.8). We evaluated preoperative and postoperative radiographs and outcome scores including the modified Harris Hip Score (mHHS), Nonarthritic Hip Score (NAHS), International Hip Outcome Tool 12 (iHOT-12), Vail Hip Score (VHS), and Hip Outcome Score-Sports (HOS- Sports). Statistical analysis was performed using paired t tests and Bonferroni correction.
UNASSIGNED: The mean follow-up was 32.5 ± 12.5 months. The mean lateral center-edge angle significantly increased from preoperatively (15.7° ± 5.3°) to postoperatively (39.8° ± 8.2°; P < .001) and at the final follow-up (33.7° ± 8.6°; P < .001). The vertical-center-anterior angle significantly improved from preoperatively (16.2° ± 8.8°) to final follow-up (33.6° ± 8.0°; P < .001). All hips maintained a Tönnis grade of 0 or 1 at the final follow-up. Overall, 20 patients (87%) were able to return to their preinjury level. All outcome scores improved from preoperatively to postoperatively: mHHS, from 68.5 ± 18.1 to 88.3 ± 18.5; NAHS, from 50.8 ± 17.7 to 69.0 ± 11.4; iHOT-12, from 36.9 ± 19.3 to 75.2 ± 19.8; VHS, from 53.8 ± 13.7 to 79.4 ± 19.4; and HOS--Sports, from 59.9 ± 17.0 to 79.6 ± 21.3 (P < .001 for all). In total, 3 patients could not return to artistic activities as the result of postoperative deep gluteal syndrome.
UNASSIGNED: ESA concomitant with labral repair, cam osteoplasty, and capsular plication to treat dysplastic hips in patients with joint laxity enabled artistic athletes to return to their activities with a high success rate.
UNASSIGNED: Hip arthroscopic surgery including ESA will enable artistic athletes to return to their activities with a high success rate, significantly improved acetabular coverage, and preserved joint cartilage.
UNASSIGNED: Case series; Level of evidence, 4.
UNASSIGNED: We reviewed 28 hips in 23 female artistic athletes (14 ballet, 9 rhythmic gymnastics, 4 dance, and 1 baton twirling) who underwent arthroscopic labral preservation, capsular plication, and ESA. Their mean age was 25.8 ± 10.2 years. Preoperatively, all patients had generalized joint laxity (Beighton score, 7.1 ± 1.8). We evaluated preoperative and postoperative radiographs and outcome scores including the modified Harris Hip Score (mHHS), Nonarthritic Hip Score (NAHS), International Hip Outcome Tool 12 (iHOT-12), Vail Hip Score (VHS), and Hip Outcome Score-Sports (HOS- Sports). Statistical analysis was performed using paired t tests and Bonferroni correction.
UNASSIGNED: The mean follow-up was 32.5 ± 12.5 months. The mean lateral center-edge angle significantly increased from preoperatively (15.7° ± 5.3°) to postoperatively (39.8° ± 8.2°; P < .001) and at the final follow-up (33.7° ± 8.6°; P < .001). The vertical-center-anterior angle significantly improved from preoperatively (16.2° ± 8.8°) to final follow-up (33.6° ± 8.0°; P < .001). All hips maintained a Tönnis grade of 0 or 1 at the final follow-up. Overall, 20 patients (87%) were able to return to their preinjury level. All outcome scores improved from preoperatively to postoperatively: mHHS, from 68.5 ± 18.1 to 88.3 ± 18.5; NAHS, from 50.8 ± 17.7 to 69.0 ± 11.4; iHOT-12, from 36.9 ± 19.3 to 75.2 ± 19.8; VHS, from 53.8 ± 13.7 to 79.4 ± 19.4; and HOS--Sports, from 59.9 ± 17.0 to 79.6 ± 21.3 (P < .001 for all). In total, 3 patients could not return to artistic activities as the result of postoperative deep gluteal syndrome.
UNASSIGNED: ESA concomitant with labral repair, cam osteoplasty, and capsular plication to treat dysplastic hips in patients with joint laxity enabled artistic athletes to return to their activities with a high success rate.
摘要：
■缺乏对艺术运动员髋臼发育不良的内窥镜髋臼成形术（ESA）后的临床结果和艺术活动的了解。
■包括ESA在内的髋关节镜手术将使艺术运动员以高成功率重返活动，显著改善髋臼覆盖率，和保留的关节软骨。
■案例系列；证据级别，4.
■我们回顾了23名女艺术运动员的28个臀部（14个芭蕾舞，9艺术体操，4跳舞，和1个接力棒旋转)接受关节镜唇瓣保存的人，囊袋折叠,和ESA。他们的平均年龄为25.8±10.2岁。术前,所有患者均有全身关节松弛(Beighton评分，7.1±1.8)。我们评估了术前和术后的X光片和结果评分，包括改良的Harris髋关节评分（mHHS），非关节炎髋关节评分（NAHS），国际髋关节结果工具12（iHOT-12），韦尔髋关节评分（VHS），和髋关节结果得分-运动(HOS-运动)。使用配对t检验和Bonferroni校正进行统计分析。
■平均随访32.5±12.5个月。从术前（15.7°±5.3°）到术后（39.8°±8.2°；P<.001）和最终随访（33.7°±8.6°；P<.001），平均外侧中心边缘角明显增加。垂直中心前角从术前（16.2°±8.8°）到最终随访（33.6°±8.0°；P<.001）显着改善。在最后的随访中，所有臀部的Tönnis等级均为0或1。总的来说,20名患者（87％）能够恢复到受伤前的水平。从术前到术后，所有结局评分均有所改善：mHHS，从68.5±18.1到88.3±18.5；NAHS，从50.8±17.7到69.0±11.4；iHOT-12，从36.9±19.3到75.2±19.8；VHS，从53.8±13.7到79.4±19.4；和HOS-体育，从59.9±17.0到79.6±21.3（全部P<.001）。总的来说,3例患者因术后臀深综合征而无法恢复艺术活动。
■ESA伴随唇修复，凸轮骨成形术，和包膜折叠术治疗关节松弛患者的髋关节发育不良，使艺术运动员能够以高成功率恢复活动。
■包括ESA在内的髋关节镜手术将使艺术运动员以高成功率重返活动，显著改善髋臼覆盖率，和保留的关节软骨。
■案例系列；证据级别，4.
■我们回顾了23名女艺术运动员的28个臀部（14个芭蕾舞，9艺术体操，4跳舞，和1个接力棒旋转)接受关节镜唇瓣保存的人，囊袋折叠,和ESA。他们的平均年龄为25.8±10.2岁。术前,所有患者均有全身关节松弛(Beighton评分，7.1±1.8)。我们评估了术前和术后的X光片和结果评分，包括改良的Harris髋关节评分（mHHS），非关节炎髋关节评分（NAHS），国际髋关节结果工具12（iHOT-12），韦尔髋关节评分（VHS），和髋关节结果得分-运动(HOS-运动)。使用配对t检验和Bonferroni校正进行统计分析。
■平均随访32.5±12.5个月。从术前（15.7°±5.3°）到术后（39.8°±8.2°；P<.001）和最终随访（33.7°±8.6°；P<.001），平均外侧中心边缘角明显增加。垂直中心前角从术前（16.2°±8.8°）到最终随访（33.6°±8.0°；P<.001）显着改善。在最后的随访中，所有臀部的Tönnis等级均为0或1。总的来说,20名患者（87％）能够恢复到受伤前的水平。从术前到术后，所有结局评分均有所改善：mHHS，从68.5±18.1到88.3±18.5；NAHS，从50.8±17.7到69.0±11.4；iHOT-12，从36.9±19.3到75.2±19.8；VHS，从53.8±13.7到79.4±19.4；和HOS-体育，从59.9±17.0到79.6±21.3（全部P<.001）。总的来说,3例患者因术后臀深综合征而无法恢复艺术活动。
■ESA伴随唇修复，凸轮骨成形术，和包膜折叠术治疗关节松弛患者的髋关节发育不良，使艺术运动员能够以高成功率恢复活动。
