背景:股骨髋臼撞击(FAI)被认为是年轻人髋关节骨关节炎的主要原因之一,尤其是运动员。近年来,髋关节FAI的形态变化与早期和激烈的运动参与有关,但是研究顶级运动员样本并不容易。本文介绍了西班牙甲级联赛(LaLiga)中120名活跃的白人男性职业足球运动员中FAI放射学标记的患病率,并将其形态变化与没有明显运动活动的健康个体对照组的形态变化进行了比较。
方法:前瞻性地对来自四个不同的西班牙甲级联赛足球队的120名白人职业足球运动员的合同前医学评估髋部X光片进行归档,并由专门的骨骼放射科医生进行回顾性审查。将足球运动员的髋部X射线与80名健康个体(年龄性别匹配)的对照组进行了比较,而没有进行明显的运动活动(从常规工作体检中获得)。
结果:在61.6%的职业足球运动员中观察到与Cam型股髋臼撞击相关的股骨头颈畸形,对照组仅11.6%(p<0.01)。在职业足球运动员组中,“疝窝”(11.6%)和髋臼(13.3%)的存在也具有统计学意义。在其他分析的参数中,两组间无统计学差异.
结论:白人职业顶级足球运动员的异常侧phy骨延伸(“手枪握力畸形”)的发生率增加,髋臼和疝坑。
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.