Professional soccer is associated with radiographic cam and pincer hip morphology

Falótico, Guilherme Guadagnini; Arliani, Gustavo Gonçalves; Yamada, André Fukunishi; Fernandes, Artur da Rocha Corrêa; Ejnisman, Benno; Cohen, Moisés

doi:10.1007/s00167-018-5008-1

Cited by 21 publications

(39 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This would indicate that development of a cam deformity in athletes may be progressive and not restricted to the early adolescent period. 39 The cam deformity is most likely a secondary phenomenon and not due to epiphyseal overgrowth; 18,[40][41][42] we believe the cam deformity develops from a combination of repeated impingement from a prominent acetabular rim (pincer deformity) during flexion, adduction and internal rotation (kicking/jumping) and from pulling, rubbing and abrasion of the hip capsule, zona orbicularis and iliofemoral ligament against the femoral head and neck primarily during extension and external rotation (running/twisting). 30 A greater LCEA, indicative of overcoverage, demonstrated a highly significant correlation with increased alpha angle (AP and Dunn) supporting the theory that a cam deformity may develop secondary to recurrent pincer impingement.…”

Section: Discussionmentioning

confidence: 89%

The clinical presentation, diagnosis and pathogenesis of symptomatic sports-related femoroacetabular impingement (SRFAI) in a consecutive series of 1021 athletic hips

Carton

Filan

2019

HIP International

View full text Add to dashboard Cite

Aim: To examine the pathogenesis and clinical presentation of sports-related femoroacetabular impingement (SRFAI) in a large consecutive series of symptomatic athletes. Methods: Between January 2009 and February 2017 prospectively collected data from competitive athletes within the Gaelic Athletic Association (GAA), and who subsequently underwent arthroscopic treatment for symptomatic FAI, were analysed. Data was collected using internationally validated health questionnaires (Harris Hip Score, UCLA, SF-36, WOMAC) and recognised clinical (ROM, symptom presentation, provocation tests) and radiological (AP pelvis, Dunn, False profile) indicators/measures of FAI. Results: A total of 1021 consecutive cases (mean 26.6 ± 6.2 years) were included. In every case, conservative treatment failed to resolve symptoms with athletes attending an average of 2.4 ± 1.1 health care professionals prior to referral. Symptoms developed gradually (78%) and consisted primarily of groin pain (76.1%) and hip stiffness (76.5%) following activity. An acetabular rim deformity (pincer) was present in all cases; a cam deformity in 72.1%. The prevalence and degree of cam deformity increased with progressing age groups ( p < 0.001); mean lateral centre-edge angle remained static ( p = 0.456). Increasing CEA, alpha angle and presence of rim fracture was associated with a reduction in all ranges of hip movement ( p < 0.001). Conclusion: Symptomatic SRFAI presented in this large series of GAA athletes failed to resolve with non-operative treatment. Increasing hip deformity resulted in poorer ROM. Abnormal acetabular morphology remains static with increasing athletic age while cam deformity is progressive and most likely a secondary pathology.

show abstract

Section: Discussionmentioning

confidence: 89%

The clinical presentation, diagnosis and pathogenesis of symptomatic sports-related femoroacetabular impingement (SRFAI) in a consecutive series of 1021 athletic hips

Carton

Filan

2019

HIP International

View full text Add to dashboard Cite

show abstract

“…10 Aside from cutting and running, the most repetitive movement in soccer is kicking, which involves forced hip flexion, adduction, and external/internal rotation 14,16,18 which is comparable with maneuvers used to provoke symptomatic hip impingement. A higher prevalence of radiographic FAI deformities has been shown in young male club soccer players 2 and professional male soccer players 7 when compared with nonathletic controls of the same age. Moreover, elite male and female soccer players have been shown to have an increased prevalence of radiographic FAI morphology, 10 including higher rates of high-grade anterior inferior iliac spine (AIIS) morphology, when compared with that of nonkicking athletes.…”

mentioning

confidence: 92%

“…Moreover, elite male and female soccer players have been shown to have an increased prevalence of radiographic FAI morphology, 10 including higher rates of high-grade anterior inferior iliac spine (AIIS) morphology, when compared with that of nonkicking athletes. 25 Recent evidence also has shown an association between FAI morphological changes in the hip and greater exposure to soccer, 7,28 particularly at earlier ages. 2,7,28…”

mentioning

confidence: 99%

“…25 Recent evidence also has shown an association between FAI morphological changes in the hip and greater exposure to soccer, 7,28 particularly at earlier ages. 2,7,28…”

mentioning

confidence: 99%

“…However, while most descriptive epidemiology studies on soccer-specific radiographic hip characteristics have investigated nonsymptomatic players, 1,2,7,10,19,28 the current literature is lacking a large soccer-specific cohort study on the demographics, injury characteristics, and clinical and radiographic findings in symptomatic players with established FAI. Furthermore, there is a lack of sex- and competitive level–specific data.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Characteristics of Soccer Players Undergoing Primary Hip Arthroscopy for Femoroacetabular Impingement: A Sex- and Competitive Level–Specific Analysis

et al. 2020

View full text Add to dashboard Cite

Background: Radiographic features of femoroacetabular impingement (FAI) are prevalent in kicking athletes, especially soccer players. However, there remains a paucity of data on the characteristics of symptomatic soccer players with an established diagnosis of FAI. Purpose: To report on patient demographics, injury, and clinical and radiographic characteristics in a large cohort of soccer players who underwent primary hip arthroscopy for FAI and to perform a sex- and competition level–specific analysis of these data. Study Design: Cross-sectional study; Level of evidence, 3. Methods: An institutional hip preservation registry containing 3318 consecutive primary hip arthroscopies for FAI performed between March 2010 and January 2016 was retrospectively reviewed for patients identified as soccer players. Patient demographics, injury characteristics, and clinical and radiographic findings were recorded, and sex- and competition level–specific differences were analyzed. Results: A total of 421 hips (336 soccer players) were identified, including 257 (61.0%) men and 164 (39.0%) women. Of these, 105 (24.9%) were reported as highly competitive, 194 (46.1%) as competitive, 75 (17.8%) as recreational, and 47 (11.2%) did not report a level. The majority of the 336 soccer players (231 hips; 55%) reported chronic hip pain lasting >6 months with no acute injury at the initial visit. Alpha angle, coronal center-edge angle, and femoral version on computed tomography scan measured 64.5°± 12°, 32.3°± 9°, and 13.7°± 10° (mean ± SD), respectively. There were 230 (55%) hips with a type 2 anterior inferior iliac spine (AIIS), 78 (18.5%) with a type 1 AIIS, and 19 (4.5%) with a type 3 AIIS. When compared with male athletes, female athletes had more hip internal rotation on physical examination (14.9° vs 8°; P < .001), lower alpha angles (57.5° vs 68.5°; P < .001), and lower-grade AIIS morphology ( P = .003). Acute injury as the reason for hip symptoms was most likely in the highly competitive group ( P < .001). Conclusion: Female soccer players were more likely to have less severe clinical and radiographic findings than were male soccer players. Acute injury as the cause of hip symptoms was more common in highly competitive players. Clinical Relevance: Focusing on soccer players with an established FAI diagnosis, the findings of this study suggest that there are sex- and competition level–based differences in the presentation, physical examination, and imaging characteristics among the players. These findings can better guide clinicians in the diagnostic evaluation of symptomatic soccer players with FAI and in tailoring treatment recommendations to specific cohorts.

show abstract

Management der FAIS-Sportlerhüfte im Profifußball und „return to sports“

Budde

Ezechieli

2022

Orthopädie

View full text Add to dashboard Cite

Professional soccer is associated with radiographic cam and pincer hip morphology

Abstract: III.

Cited by 21 publications

References 34 publications

The clinical presentation, diagnosis and pathogenesis of symptomatic sports-related femoroacetabular impingement (SRFAI) in a consecutive series of 1021 athletic hips

The clinical presentation, diagnosis and pathogenesis of symptomatic sports-related femoroacetabular impingement (SRFAI) in a consecutive series of 1021 athletic hips

Characteristics of Soccer Players Undergoing Primary Hip Arthroscopy for Femoroacetabular Impingement: A Sex- and Competitive Level–Specific Analysis

Management der FAIS-Sportlerhüfte im Profifußball und „return to sports“

Contact Info

Product

Resources

About