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Sikma, a 6'8" power forward, played high school basketball for Bellevue High School in Bellevue, Washington. He was a late bloomer, growing 7 inches over two years and only making the varsity team as a junior and senior. As a result, he was not highly recruited. Ultimately he chose to sign with the University of Portland.
College career
Despite his modest reputation coming into the Portland Pilots program in 2007, Sikma was able to make an immediate impact, starting 23 of the team's 31 games and averaging 6.1 points and 7.3 rebounds per game. After steady production as a sophomore and junior, Sikma stepped up his game significantly as a senior. He averaged a double-double at 12.9 points and West Coast Conference-leading 10.5 rebounds per game. He was named to the All-WCC first team. In his college career, Sikma scored 1,048 points (8.3 per game) and graduated as the Pilots' all-time leading rebounder with 987 (7.8 per game).
After spending two years in Canarias with notable performances, Sikma signed for two years with Valencia Basket. In 2017, Sikma won the Liga ACB with Valencia after beating Real Madrid 3–1 in the league finals.
On July 13, 2023, Sikma signed a two-year (1+1) deal with Olympiacos of the Greek Basket League and the EuroLeague. On July 3, 2024, he parted ways with the Greek club.