W H Márquez1, J Gómez-Hoyos2, J A Gallo3, B Espinosa4, N Rivas4, J F Llano5, J Osorio3, H D Martin6. 1. Posgrado de Medicina Aplicada a la Actividad Física y el Deporte, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia; Clínica Las Américas, Medellín, Colombia; Grupo de investigación en Medicina Aplicada a la Actividad Física y el Deporte GRINMADE, Medellín, Colombia. 2. Posgrado de Medicina Aplicada a la Actividad Física y el Deporte, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia; Clínica Las Américas, Medellín, Colombia; Grupo de investigación en Medicina Aplicada a la Actividad Física y el Deporte GRINMADE, Medellín, Colombia; Hip Preservation Center at Baylor Scott and White University Medical Center, Dallas, Estados Unidos. Electronic address: juangomezhoyos@hotmail.com. 3. Posgrado de Medicina Aplicada a la Actividad Física y el Deporte, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia; Grupo de investigación en Medicina Aplicada a la Actividad Física y el Deporte GRINMADE, Medellín, Colombia. 4. Posgrado de Medicina Aplicada a la Actividad Física y el Deporte, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia. 5. Posgrado de Medicina Aplicada a la Actividad Física y el Deporte, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia; Instituto de Alta Tecnología Médica IATM, Medellín, Colombia. 6. Hip Preservation Center at Baylor Scott and White University Medical Center, Dallas, Estados Unidos.
Abstract
OBJECTIVE: To establish the prevalence of lesions of the labrum and articular cartilage of the hip in asymptomatic elite soccer players by performing 3T magnetic resonance imaging. METHODS: Eighty-four asymptomatic hips of 42 professional soccer players were evaluated. Male subjects older than 18 years were included. Cam and pincer deformity were defined as an alpha angle greater than 55 degrees and a lateral centre edge angle greater than 39 degrees, respectively. Labral injuries were classified with the Czerny classification and cartilage damage was classified with the Outerbridge classification. Specific statistical tests were used to establish the relationship between anatomical variances of the hip and the presence of chondral and labral injuries. RESULTS: FAI morphology prevalence was 25%. Abnormalities such as cam (22.5%) and labral injuries (33.8%) were found. Those cases with reported labral injury were predominantly intrasubstance damage (18.8%). Anatomical features of FAI were found to be related to lesions of the femoral cartilage (P<.001), chondrolabral damage (P=.042), or both injuries (P<.001). CONCLUSION: Asymptomatic labral or cartilaginous injuries of the hip were reported in 25% of the included professional soccer players. These injuries were associated with anatomical features of FAI.
OBJECTIVE: To establish the prevalence of lesions of the labrum and articular cartilage of the hip in asymptomatic elite soccer players by performing 3T magnetic resonance imaging. METHODS: Eighty-four asymptomatic hips of 42 professional soccer players were evaluated. Male subjects older than 18 years were included. Cam and pincer deformity were defined as an alpha angle greater than 55 degrees and a lateral centre edge angle greater than 39 degrees, respectively. Labral injuries were classified with the Czerny classification and cartilage damage was classified with the Outerbridge classification. Specific statistical tests were used to establish the relationship between anatomical variances of the hip and the presence of chondral and labral injuries. RESULTS: FAI morphology prevalence was 25%. Abnormalities such as cam (22.5%) and labral injuries (33.8%) were found. Those cases with reported labral injury were predominantly intrasubstance damage (18.8%). Anatomical features of FAI were found to be related to lesions of the femoral cartilage (P<.001), chondrolabral damage (P=.042), or both injuries (P<.001). CONCLUSION: Asymptomatic labral or cartilaginous injuries of the hip were reported in 25% of the included professional soccer players. These injuries were associated with anatomical features of FAI.
Authors: Joshua Heerey; Joanne Kemp; Rintje Agricola; Ramya Srinivasan; Anne Smith; Tania Pizzari; Matthew King; Peter Lawrenson; Mark Scholes; Thomas Link; Richard Souza; Sharmila Majumdar; Kay Crossley Journal: BMJ Open Sport Exerc Med Date: 2021-12-15