Minnesota Orthopedic Sports Medicine Institute at Twin Cities Orthopedics, Edina, Minnesota, USA.
Arthroscopy. 2013 Mar;29(3):405-10. doi: 10.1016/j.arthro.2012.10.024. Epub 2013 Jan 26.
The first purpose was to evaluate radiographic pathomorphology/abnormalities in a cohort of high-level collegiate football players screened with hip radiographs. The second purpose was to define the radiographic predictors of athletic-related "hip" and "groin" symptoms in this cohort of high-level athletes.
The study population included all male collegiate football players undergoing evaluation and hip radiography at the National Football League (NFL) Scouting Combine in 2009 and 2010. All radiographs were evaluated with a detailed evaluation for hip pathomorphology. Symptoms were recorded as symptomatic or asymptomatic with respect to athletic-related groin/hip pain for comparative purposes.
There were 125 players (239 hips) who had hip radiographs and were included in the final cohort. Ninety percent of players (87% of hips) in this cohort had at least 1 finding consistent with cam-type and/or pincer-type femoroacetabular impingement (FAI). There were 75 hips in the symptomatic group and 164 hips in the asymptomatic group. Although the symptomatic group had a greater prevalence of cam-type FAI (P = .009), combined-type FAI (P < .001), and osteitis pubis (P = .014), increasing alpha angle (larger cam deformities) was the only independent predictor of athletic-related groin pain (P = .01). There was no correlation, however, between FAI and body mass index (P = .659), player position (P = .166), or whether a player was drafted by an NFL team (P = .430).
Radiographic signs of FAI were frequently seen in collegiate NFL prospects who were screened with hip radiographs. Although patients with radiographic evidence of osteitis pubis, cam- and combined-type FAI, and larger cam deformities showed a statistically higher prevalence of symptoms, increasing alpha angle (larger cam deformity) was the only independent predictor of athletic-related hip/groin pain.
Level IV, therapeutic case series.
第一个目的是评估在接受髋关节 X 光检查的高水平大学生足球运动员队列中的放射影像学形态/异常。第二个目的是确定该高水平运动员队列中与运动相关的“髋部”和“腹股沟”症状的放射影像学预测因子。
研究人群包括 2009 年和 2010 年在国家橄榄球联盟（NFL）选秀联合赛中接受评估和髋关节 X 光检查的所有男性大学生足球运动员。所有 X 光片均进行了详细的髋关节形态评估。出于比较目的，症状记录为与运动相关的腹股沟/髋部疼痛的有症状或无症状。
共有 125 名（239 髋）球员进行了髋关节 X 光检查，并纳入最终队列。该队列中有 90%（87%的髋部）的球员至少有 1 种符合凸轮型和/或钳夹型股骨髋臼撞击症（FAI）的表现。在有症状组中有 75 髋，在无症状组中有 164 髋。虽然有症状组的凸轮型 FAI（P =.009）、混合型 FAI（P <.001）和耻骨炎（P =.014）的患病率更高，但增加的 alpha 角（更大的凸轮畸形）是与运动相关的腹股沟疼痛的唯一独立预测因子（P =.01）。然而，FAI 与体重指数（P =.659）、球员位置（P =.166）或球员是否被 NFL 球队选中（P =.430）之间没有相关性。
在接受髋关节 X 光检查的大学生 NFL 前景中，经常可以看到 FAI 的放射影像学迹象。虽然有放射影像学耻骨炎、凸轮型和混合型 FAI 以及更大凸轮畸形证据的患者表现出更高的症状发生率，但增加的 alpha 角（更大的凸轮畸形）是与运动相关的髋部/腹股沟疼痛的唯一独立预测因子。
IV 级，治疗性病例系列。
