Limitation of hip joint movement as a factor in traumatic osteitis pubis.

Williams, J. G. P.

doi:10.1136/bjsm.12.3.129

Cited by 92 publications

(44 citation statements)

References 6 publications

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“…19 This contraction of the adductor group against a stiffened hip capsule may well be another cause of adductor strain. Williams 20 proposed that sporting activities such as soccer require free internal rotation of the hip joint in both flexion and extension. Whenever such movement is restricted, stress is applied across the hip joint to the hemipelvis on the opposite side.…”

Section: Discussionmentioning

confidence: 99%

Adductor Strain and Hip Range of Movement in Male Professional Soccer Players

Ibrahim

Murrell

Knapman³

2007

J Orthop Surg (Hong Kong)

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Purpose. To determine whether hip range of movement (ROM) can predict the occurrence of adductor strain among male professional soccer players. Methods. 120 subjects were prospectively selected from 6 professional soccer clubs in Australia. Internal rotation, external rotation, and ROM of the hip were measured using a goniometer before and during the course of a soccer season (2003)(2004). When adductor strain occurred, further assessments of the hip were performed. Injured subjects' hip ROMs were measured again at the end of the season. Results. Eight of the 120 subjects had 9 adductor strains (one bilateral). There was a correlation between preseason decreased hip ROM and occurrence of adductor strain. The mean preseason hip ROM was 44.7 degrees in the injured group and 53.7 degrees in the uninjured group. Once the subjects were able to resume playing soccer, their hip ROM increased to near pre-injury levels.Adductor strain and hip range of movement in male professional soccer players A IbrahimSydney Sportsmed Specialists, Sydney, Australia GAC MurrellOrthopaedic Research Institute, St George Hospital, Kogarah, Australia P KnapmanNorth Parramatta Physiotherapy, Sydney, Australia Address correspondence and reprint requests to: Dr Ameer Ibrahim, Sports Physician, Sydney Sportsmed Specialists, Level 3, 187 Macquarie St, Sydney, NSW, 2000, Australia. E-mail: ameeribrahim@bigpond.com Journal of Orthopaedic Surgery 200715(1):46-9 Conclusion. Decreased hip ROM may be considered an aetiological factor in the occurrence of adductor strain in male professional soccer players.

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Section: Discussionmentioning

confidence: 99%

Adductor Strain and Hip Range of Movement in Male Professional Soccer Players

Ibrahim

Murrell

Knapman³

2007

J Orthop Surg (Hong Kong)

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“…Recent studies mentioned the complex structural anatomic variants of the hip joint like femoral or acetabular retroversion, femoral notch geometry, extraarticular impingement and femoroacetabular impingement that are associated with restriction in internal rotation of the hip, which can result in increased risk of ACL injury (4,6,8,9). Femoroacetabular impingement (FAI) is one of the main causes of restriction in hip range of motion, particularly internal rotation (8,10). Therefore, FAI can increase resistance to femoral internal axial rotation during a dynamic maneuver such as a pivot landing and cause ACL rupture (4).…”

Section: Introductionmentioning

confidence: 99%

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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“…Hackney first coined the term sports hernia because of the similar pathology as in inguinal hernia 1 . Several theories exist in the literature regarding the cause of sports hernia 7,[10][11][12][13][14] ; most theories implicating the overuse syndrome. According to one theory, hip abduction, adduction, and flexion-extension with the resultant pelvic motion produce a shearing force across the pubic symphysis, leading to stress on the inguinal wall musculature perpendicular to the fibres of the fascia and muscle 3,15 .…”

mentioning

confidence: 99%

Loss of range of motion of the hip joint: a hypothesis for etiology of sports hernia

Rambani

Hackney

2015

MLTJ

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SummaryBackground: sports hernia is a well-recognized cause of groin pain in athletes involved in sports, especially football and rugby. Loss of range of motion of the hip joint is a possible contributory factor to stress across the symphysis pubis leading to the instability. Methods: twenty-five athletes presenting with sports hernia were matched to age, sex, physical/sports activity and co-morbidities with twenty-five athletes without sports hernia. The range of movement of both the hips was compared in athletes of both the groups. Results: there was marked restriction of internal rotation with the hip flexed to 90 degrees (average 17 degrees) and external rotation (average 26 degrees) in sports hernia group compared to the control group. Other movements of the hip were comparable in both the groups. Conclusion: the study highlights observation of limitation of hip rotation with the hip flexed to 90 degrees as a possible factor in the aetiology of sports hernia. There may be an association with other pathologies of the hip such as impingement that requires further investigation. Though this study has its limitation in being a small number and a case control study, it does helps in understanding the possible mechanism of development of this condition.

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Limitation of hip joint movement as a factor in traumatic osteitis pubis.

Cited by 92 publications

References 6 publications

Adductor Strain and Hip Range of Movement in Male Professional Soccer Players

Adductor Strain and Hip Range of Movement in Male Professional Soccer Players

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

Loss of range of motion of the hip joint: a hypothesis for etiology of sports hernia

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