Sports Health. 2022 Nov-Dec;14(6):920-931. doi: 10.1177/19417381221076141. Epub 2022 Mar 23.
It is unknown if football players with femoroacetabular impingement (FAI) syndrome report worse burden than those with other causes of hip/groin pain, and to what extent this is mediated by cartilage defects and labral tears.
Football players with FAI syndrome would report worse burden than other symptomatic players, with the effect partially mediated by cartilage defects and/or labral tears.
Cross-sectional study.
Level 4.
Football (soccer and Australian football) players (n = 165; 35 women) with hip/groin pain (≥6 months and positive flexion-adduction-internal rotation test) were recruited. Participants completed 2 patient-reported outcome measures (PROMs; the International Hip Outcome Tool-33 [iHOT-33] and Copenhagen Hip and Groin Outcome Score [HAGOS]) and underwent hip radiographs and magnetic resonance imaging (MRI). FAI syndrome was determined to be present when cam and/or pincer morphology were present. Cartilage defects and labral tears were graded as present or absent using MRI. Linear regression models investigated relationships between FAI syndrome (dichotomous independent variable) and PROM scores (dependent variables). Mediation analyses investigated the effect of cartilage defects and labral tears on these relationships.
FAI syndrome was not related to PROM scores (unadjusted values ranged from -4.693 ( = 0.23) to 0.337 ( = 0.93)) and cartilage defects and/or labral tears did not mediate its effect ( = 0.22-0.97).
Football players with FAI syndrome did not report worse burden than those with other causes of hip/groin pain. Cartilage defects and/or labral tears did not explain the effect of FAI syndrome on reported burden.
FAI syndrome, cartilage defects, and labral tears were prevalent but unrelated to reported burden in symptomatic football players.
患有髋关节撞击综合征（FAI）的足球运动员报告的负担是否比其他髋关节/腹股沟疼痛原因的运动员更重，以及在何种程度上这与软骨损伤和盂唇撕裂有关，目前尚不清楚。
患有 FAI 综合征的足球运动员报告的负担比其他有症状的运动员更重，其影响部分由软骨损伤和/或盂唇撕裂介导。
横断面研究。
4 级。
招募了 165 名（35 名女性）有髋关节/腹股沟疼痛（≥6 个月且屈伸内收内旋试验阳性）的足球（足球和澳式足球）运动员。参与者完成了 2 项患者报告的结局测量（PROM；国际髋关节结局工具-33 [iHOT-33]和哥本哈根髋关节和腹股沟结局评分 [HAGOS]），并接受了髋关节 X 线和磁共振成像（MRI）检查。当凸轮和/或钳夹形态存在时，确定存在 FAI 综合征。使用 MRI 评估软骨损伤和盂唇撕裂的存在情况。线性回归模型调查了 FAI 综合征（二分变量）与 PROM 评分（因变量）之间的关系。中介分析调查了软骨损伤和盂唇撕裂对这些关系的影响。
FAI 综合征与 PROM 评分无关（未调整的 值范围为-4.693（ = 0.23）至 0.337（ = 0.93）），软骨损伤和/或盂唇撕裂也不能解释其作用（ = 0.22-0.97）。
患有 FAI 综合征的足球运动员报告的负担不比其他髋关节/腹股沟疼痛原因的运动员更重。软骨损伤和/或盂唇撕裂与有症状的足球运动员报告的负担无关。
FAI 综合征、软骨损伤和盂唇撕裂在有症状的足球运动员中很常见，但与报告的负担无关。
