Decreased Hip Range of Motion and Noncontact Injuries of the Anterior Cruciate Ligament

Gomes, João Luiz Ellera; Castro, Jaqueline Vieira de; Becker, Ricardo Gehrke

doi:10.1016/j.arthro.2008.05.012

Cited by 74 publications

(96 citation statements)

References 17 publications

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“…Hip range of motion evaluation should become a routine part of surgical decision-making process in ACL injured patients (1,5).…”

Section: Discussionmentioning

confidence: 99%

“…Influence of hip and knee biomechanics on each other has been shown by several studies (1,4,5). Hip physical examination and assessment is very important in operation planning during ACL reconstruction (5).…”

Section: Introductionmentioning

confidence: 99%

“…There is large number of studies that focus on the surgical management of noncontact ACL rupture; on the other hand, there is fewer studies that investigate preventing and predisposing anthropomorphic factors (1)(2)(3). Anterior cruciate ligament injury in athletes has a multi-factorial etiology.…”

Section: Introductionmentioning

confidence: 99%

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Hip Restricted Range of Motion in Physical Examination: A Possible Risk Factor For Non-Contact ACL Injury

et al. 2015

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Background: There is significant evidence of hip and knee kinematic influence on each other. In some studies, hip restricted range of motion is a risk factor of anterior cruciate ligament (ACL) tear. Objectives: This study was designed to compare hip range of motion in physical examination between non-contact ACL injured patients with normal population. Patients and Methods: One hundred and forty patients with arthroscopically confirmed primary ACL ruptures were evaluated to assess their hip range of motion; these findings were compared with a control group of 100 patients with non ACL injury. Results: All parameters of hip range of motion (internal rotation, abduction and adduction) except external rotation were decreased significantly in ACL injured group compared with control group. Patients with sum of internal and external rotation lower than 80° had an increased odds ratio of having ACL injuries (OR = 2.64; 95% CI, 1.4 to 4.7). Conclusions: There was an association between non-contact ACL rupture and decreased hip range of motions including internal rotation, abduction and adduction as well as sum of internal and external rotation. Therefore, it may be possible to use hip physical exam finding as a predictor of ACL rupture.

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“…Hip range of motion evaluation should become a routine part of surgical decision-making process in ACL injured patients (1,5).…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Hip Restricted Range of Motion in Physical Examination: A Possible Risk Factor For Non-Contact ACL Injury

et al. 2015

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“…19 Conversely, in a case-control study of male soccer players with ACL injuries from noncontact mechanisms, 20 the ACL-injured cohort had, on average, 148 less total HIER ROM (primarily driven by decreased hip internal-rotation motion) than the control group. Although these findings suggest that the magnitude of passive hip-joint motion may be associated with higher-risk hip and knee biomechanics and ACL injury potential, the directions of these associations are inconsistent.…”

mentioning

confidence: 99%

“…[13][14][15][16] This is likely due in large part to the lack of instrumented devices to measure laxity at the hip. However, limited research using a clinical measure of passive hip range of motion (hip internal-external-rotation range of motion [HIER ROM ] ¼ range through which the joint can freely and painlessly move, based on the subjective judgment of passive resistance by the investigator) 9,[16][17][18] has identified associations between high-risk biomechanics 16,19 and ACL injury risk, 20 suggesting this is a worthy area of study.…”

mentioning

confidence: 99%

Clinical and Instrumented Measurements of Hip Laxity and Their Associations With Knee Laxity and General Joint Laxity

Fan

Copple

Tritsch

et al. 2014

Journal of Athletic Training

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Context: Hip-joint laxity may be a relevant anterior cruciate ligament injury risk factor. With no devices currently available to measure hip laxity, it is important to determine if clinical measurements sufficiently capture passive displacement of the hip.Objective: To examine agreement between hip internalexternal-rotation range of motion measured clinically (HIER ROM ) versus internal-external-rotation laxity measured at a fixed load (HIER LAX ) and to determine their relationships with knee laxity (anterior- Conclusions: Although HIER ROM and HIER LAX differed in magnitude, they were measured with similar consistency and precision and were similarly correlated with knee laxity and GJL measures. Individuals with greater GJL also had greater hip laxity. These findings are relevant to clinicians and investigators conducting prospective risk factor studies, given the need for accessible, efficient, and low-cost alternatives for characterizing an individual's laxity profile.Key Words: anterior cruciate ligament injuries, risk factors, lower extremity Key PointsDifferences between measures of hip internal-external-rotation range of motion and laxity were large and systematic, even though the measures demonstrated comparable precision and were strongly correlated in relative magnitude. Measures of hip internal-external-rotation range of motion and laxity were strongly correlated with measures of knee laxity and general joint laxity. Clinical measurement of hip internal-external-rotation range of motion may be a reliable, efficient, and low-cost measure of passive hip-joint displacement.

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Physical Examination of the Hip and Pelvis

Hatem

Khoury

Martin

2021

Hip Arthroscopy and Hip Joint Preservation Surgery

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Decreased Hip Range of Motion and Noncontact Injuries of the Anterior Cruciate Ligament

Cited by 74 publications

References 17 publications

Hip Restricted Range of Motion in Physical Examination: A Possible Risk Factor For Non-Contact ACL Injury

Hip Restricted Range of Motion in Physical Examination: A Possible Risk Factor For Non-Contact ACL Injury

Clinical and Instrumented Measurements of Hip Laxity and Their Associations With Knee Laxity and General Joint Laxity

Physical Examination of the Hip and Pelvis

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