Prevalence of hip femoroacetabular impingement deformities in high-level (La Liga) male professional football players

Abstract Background Femoroacetabular impingement (FAI) is considered one of the main causes of hip osteoarthritis in young adults, especially in athletes. In recent years, morphological changes in FAI in the hip have been linked to early and intense sports participation, but studying top-level athle...

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Main Authors: Rafael Arriaza, Miguel Saavedra-García, Alvaro Arriaza, Antonio Cruz-Cámara, Manuel Leyes, Luis Cerezal, Antonio Maestro
Format: Article
Language:English
Published: BMC 2024-02-01
Series:BMC Musculoskeletal Disorders
Subjects:
Online Access:https://doi.org/10.1186/s12891-024-07247-x
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author Rafael Arriaza
Miguel Saavedra-García
Alvaro Arriaza
Antonio Cruz-Cámara
Manuel Leyes
Luis Cerezal
Antonio Maestro
author_facet Rafael Arriaza
Miguel Saavedra-García
Alvaro Arriaza
Antonio Cruz-Cámara
Manuel Leyes
Luis Cerezal
Antonio Maestro
author_sort Rafael Arriaza
collection DOAJ
description Abstract Background Femoroacetabular impingement (FAI) is considered one of the main causes of hip osteoarthritis in young adults, especially in athletes. In recent years, morphological changes in FAI in the hip have been linked to early and intense sports participation, but studying top-level athlete samples is not easy. This paper presents the prevalence of FAI radiological markers in 120 active white male professional football players in the Spanish First Division League (La Liga) and compares the morphological changes with those of a control group of healthy individuals without significant sport activity. Methods The precontract medical evaluation hip X-rays of 120 white male professional football players from four different First Division Spanish football teams were prospectively filed and retrospectively reviewed by a dedicated skeletal radiologist. The footballers’ hip X-rays were compared with those of a control group of 80 healthy individuals (age-sex matched) without significant sport activity (obtained from routine work medical checks). Results The femoral head-neck deformity associated with the Cam type of femoroacetabular impingement was observed in 61.6% of professional football players and only in 11.6% of the control group (p <0.01). The presence of “herniation pit” (11.6%) and os acetabuli (13.3%) also reached statistical significance in the professional football players group. In the other analyzed parameters, no statistically significant differences between the groups were observed. Conclusions White professional top-level football players have an increased incidence of abnormal lateral epiphyseal extension ("pistol grip deformity"), os acetabuli and herniation pits.
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spelling doaj.art-0df979ea702948a3a606c7b4960bad5b2024-03-05T17:24:50ZengBMCBMC Musculoskeletal Disorders1471-24742024-02-012511710.1186/s12891-024-07247-xPrevalence of hip femoroacetabular impingement deformities in high-level (La Liga) male professional football playersRafael Arriaza0Miguel Saavedra-García1Alvaro Arriaza2Antonio Cruz-Cámara3Manuel Leyes4Luis Cerezal5Antonio Maestro6Instituto Médico Arriaza y AsociadosGrupo INCIDE-Universidade da CoruñaInstituto Médico Arriaza y AsociadosCentro Traumatólogos SantanderCentro OlympiaCentro Diagnóstico Médico CantabriaHospital BegonaAbstract Background Femoroacetabular impingement (FAI) is considered one of the main causes of hip osteoarthritis in young adults, especially in athletes. In recent years, morphological changes in FAI in the hip have been linked to early and intense sports participation, but studying top-level athlete samples is not easy. This paper presents the prevalence of FAI radiological markers in 120 active white male professional football players in the Spanish First Division League (La Liga) and compares the morphological changes with those of a control group of healthy individuals without significant sport activity. Methods The precontract medical evaluation hip X-rays of 120 white male professional football players from four different First Division Spanish football teams were prospectively filed and retrospectively reviewed by a dedicated skeletal radiologist. The footballers’ hip X-rays were compared with those of a control group of 80 healthy individuals (age-sex matched) without significant sport activity (obtained from routine work medical checks). Results The femoral head-neck deformity associated with the Cam type of femoroacetabular impingement was observed in 61.6% of professional football players and only in 11.6% of the control group (p <0.01). The presence of “herniation pit” (11.6%) and os acetabuli (13.3%) also reached statistical significance in the professional football players group. In the other analyzed parameters, no statistically significant differences between the groups were observed. Conclusions White professional top-level football players have an increased incidence of abnormal lateral epiphyseal extension ("pistol grip deformity"), os acetabuli and herniation pits.https://doi.org/10.1186/s12891-024-07247-xFemoroacetabular impingementProfessional football playersFootballer’s hipHip deformity
spellingShingle Rafael Arriaza
Miguel Saavedra-García
Alvaro Arriaza
Antonio Cruz-Cámara
Manuel Leyes
Luis Cerezal
Antonio Maestro
Prevalence of hip femoroacetabular impingement deformities in high-level (La Liga) male professional football players
BMC Musculoskeletal Disorders
Femoroacetabular impingement
Professional football players
Footballer’s hip
Hip deformity
title Prevalence of hip femoroacetabular impingement deformities in high-level (La Liga) male professional football players
title_full Prevalence of hip femoroacetabular impingement deformities in high-level (La Liga) male professional football players
title_fullStr Prevalence of hip femoroacetabular impingement deformities in high-level (La Liga) male professional football players
title_full_unstemmed Prevalence of hip femoroacetabular impingement deformities in high-level (La Liga) male professional football players
title_short Prevalence of hip femoroacetabular impingement deformities in high-level (La Liga) male professional football players
title_sort prevalence of hip femoroacetabular impingement deformities in high level la liga male professional football players
topic Femoroacetabular impingement
Professional football players
Footballer’s hip
Hip deformity
url https://doi.org/10.1186/s12891-024-07247-x
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