Márquez W H, Gómez-Hoyos J, Gallo J A, Espinosa B, Rivas N, Llano J F, Osorio J, Martin H D
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.
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.
Rev Esp Cir Ortop Traumatol (Engl Ed). 2019 Mar-Apr;63(2):77-85. doi: 10.1016/j.recot.2018.10.008. Epub 2019 Feb 2.
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.
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.
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).
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.
通过3T磁共振成像确定无症状精英足球运动员髋关节盂唇和关节软骨损伤的患病率。
对42名职业足球运动员的84个无症状髋关节进行评估。纳入年龄超过18岁的男性受试者。凸轮畸形和钳夹畸形分别定义为α角大于55度和外侧中心边缘角大于39度。盂唇损伤采用Czerny分类，软骨损伤采用Outerbridge分类。使用特定的统计测试来确定髋关节解剖变异与软骨和盂唇损伤之间的关系。
股骨髋臼撞击症（FAI）形态患病率为25%。发现了诸如凸轮畸形（22.5%）和盂唇损伤（33.8%）等异常情况。报告有盂唇损伤的病例主要为实质内损伤（18.8%）。发现FAI的解剖特征与股骨软骨损伤（P<0.001）、软骨盂唇损伤（P=0.042）或两者损伤（P<0.001）有关。
在所纳入的职业足球运动员中，25%报告有髋关节无症状盂唇或软骨损伤。这些损伤与FAI的解剖特征有关。
