Celebration of the tournament typically is every two years. Initially played only in odd years, the tournament has, in recent years, it has moved to even years since 2004. The tournament was not held in either 1979 or 1983, but with those exceptions, the tournament has been held every other year, excepting for subsequent tournaments in 2003 and 2004.
Eight teams participate at the tournament, divided into two groups. The first round of the tournament consists of a round-robin, and then, in the second round, teams compete to define their final position at the tournament's standing.
Panama and Puerto Rico have been multiple medal winners at this event, both considered the strongest teams in the region, even though the Puerto Rican team almost never sends its best players for this competition(it mostly sends it's 2nd team). To date, Puerto Rico has medaled in every tournament that it has participated in.
| Year | Host | Gold medal game | Bronze medal game | ||||||
|---|---|---|---|---|---|---|---|---|---|
| Gold | Score | Silver | Bronze | Score | Fourth place | ||||
| 1965 Details | (Mexico City) | – | – | ||||||
| 1967 Details | (San Salvador) | – | – | ||||||
| 1969 Details | (Havana) | – | ? | – | ? | ||||
| 1971 Details | (Valencia & Caracas) | ? | – | ? | – | ? | |||
| 1973 Details | (San Juan) | – | ? | ? | – | ||||
| 1975 Details | (Santo Domingo) | ? | – | ? | – | ? | |||
| 1977 Details | (Panama City) | – | – | ? | |||||
| 1981 Details | (San Juan) | – | ? | – | ? | ||||
| 1985 Details | (Mexico City) | – | ? | – | |||||
| 1987 Details | (Santo Domingo) | – | – | ||||||
| 1989 Details | (Havana) | – | – | ||||||
| 1991 Details | (Monterrey) | – | – | ||||||
| 1993 Details | (Ponce) | 87–77 | 96–83 | ||||||
| 1995 Details | (Santo Domingo) | – | – | ||||||
| 1997 Details | (Tegucigalpa) | 106–93 | 92–75 | ||||||
| 1999 Details | (Havana) | 67–63 | 86–74 | ||||||
| 2001 Details | (Toluca) | 86–73 | 93–82 | ||||||
| 2003 Details | (Culiacán) | 92–83 | 78–76 | ||||||
| 2004 Details | (Santo Domingo) | 75–74 | 98–89 | ||||||
| 2006 Details | (Panama City) | 73–59 | 93–83 | ||||||
| 2008 Details | (Chetumal & Cancún) | 87–70 | 102–74 | ||||||
| Team | 1965 | 1967 | 1969 | 1971 | 1973 | 1975 | 1977 | 1981 | 1985 | 1987 | 1989 | 1991 | 1993 | 1995 | 1997 | 1999 | 2001 | 2003 | 2004 | 2006 | 2008 | Total |
| ? | ? | ? | ? | ? | ? | ? | ? | ? | - | - | - | - | - | - | - | - | 8th | 7th | - | - | ≥2 | |
| ? | ? | ? | ? | ? | ? | ? | ? | ? | - | 8th | - | - | 5th | - | - | - | 5th | - | - | - | ≥3 | |
| ? | ? | ? | ? | ? | ? | ? | ? | ? | - | - | - | - | 6th | - | - | 7th | - | 6th | - | - | ≥3 | |
| ? | ? | ? | ? | ? | ? | ? | ? | ? | - | - | - | - | - | - | 7th | - | - | - | - | - | ≥1 | |
| ? | ? | ? | ? | ? | ? | ? | ? | ? | - | 7th | 5th | - | 7th | - | 8th | - | 7th | - | 8th | 8th | ≥7 | |
| 3rd | 2nd | ? | ? | ? | ? | ? | ? | ? | 5th | 3rd | 3rd | 2nd | 1st | 1st | 1st | 6th | - | 5th | 6th | 4th | ≥13 | |
| - | - | 5th | 5th | 5th | 4th | 1st | 5th | 4th | 4th | 5th | - | 4th | 2nd | 3rd | 3rd | 5th | 2nd | 1st | 5th | 3rd | 18 | |
| ? | 5th | ? | ? | ? | ? | ? | ? | ? | - | 10th | - | - | - | - | - | - | - | - | - | 7th | ≥3 | |
| ? | 6th | ? | ? | ? | ? | ? | ? | ? | - | - | - | - | - | - | - | - | 6th | 8th | - | - | ≥3 | |
| ? | 7th | ? | ? | ? | ? | ? | ? | ? | - | - | - | - | - | 6th | - | 8th | - | - | - | - | ≥3 | |
| ? | ? | ? | ? | ? | ? | ? | ? | ? | - | - | - | - | - | - | - | - | - | - | 7th | - | ≥1 | |
| 1st | 4th | ? | ? | ? | ? | ? | ? | ? | 3rd | 4th | 2nd | 5th | - | 4th | 5th | 2nd | 3rd | 4th | 4th | 5th | ≥12 | |
| 3rd | 1st | 1st | - | 4th | - | 3rd | 1st | 3rd | 2nd | 2nd | 4th | 3rd | 4th | - | 4th | 3rd | - | 3rd | 1st | 6th | 17 | |
| 2nd | - | 3rd | 2nd | 1st | 2nd | 2nd | 2nd | 1st | 1st | 1st | 1st | 1st | 3rd | 2nd | 2nd | 1st | 1st | 2nd | 3rd | 1st | 21 | |
| ? | ? | ? | ? | ? | ? | ? | ? | ? | 6th | 9th | - | - | - | - | - | - | - | - | - | - | ≥2 | |
| 5th | 3rd | ? | ? | ? | ? | ? | ? | ? | - | 6th | - | 6th | - | 5th | 6th | 4th | 4th | - | 2nd | 2nd | ≥10 |