High prevalence of former elite ice hockey players requiring early hip arthroplasty surgery

IF 1.4 4区 医学 Q3 ORTHOPEDICS
Josefin Abrahamson, Ida Lindman, Pall Jónasson, Yelverton Tegner
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Abstract

The high-impact nature of ice hockey puts the players at a higher risk of developing early hip osteoarthritis (OA). This study aims to evaluate the presence of cam morphology, early radiological findings of OA and total hip arthroplasty (THA) in former Swedish elite ice hockey players. Male elite ice hockey players in the highest league in Sweden seeking orthopedic consultation for hip and groin pain with restricted hip joint range of motion and subsequent radiographs (Antero/posterior view, Lauenstein view and/or Hip frontal view) were included. The radiographs were performed between 1988 and 2009 and retrospectively examined for the presence of cam morphology (evaluated by α-angle ≥ 60°) and hip OA (evaluated by Tönnis classification). All players were contacted between 11 and 33 years after baseline radiograph examination for follow-up investigation of the presence of subsequent THA. A total of 44 male ice hockey players were included, of which 31 had available radiographs and 39 answered the follow-up questions. Cam morphology (α-angle ≥60°) was present in 81% of the players. Seven players (18%) had received a THA with a mean age of 55.7 (SD 6.1) years at time of THA-surgery. Tönnis score at baseline radiographs were associated with THA later in life (P < 0.001). This study conclude that former elite Swedish ice hockey players underwent THA at a younger age than the general population. Despite confirming previous research of high prevalence of cam morphology in elite ice hockey players, no association could be established between cam morphology and the need for THA.
前冰上曲棍球精英运动员需要尽早进行髋关节置换手术的比例很高
冰上曲棍球运动的高冲击性使运动员罹患早期髋关节骨性关节炎(OA)的风险更高。本研究旨在评估前瑞典精英冰上曲棍球运动员是否存在凸轮形态、OA的早期放射学发现以及全髋关节置换术(THA)。研究对象包括瑞典最高级别联赛中因髋部和腹股沟疼痛、髋关节活动范围受限而寻求骨科会诊的男性冰上曲棍球精英运动员,以及随后接受放射线检查(前/后视图、劳恩斯坦视图和/或髋关节正面视图)的运动员。这些照片是在 1988 年至 2009 年期间拍摄的,并对是否存在凸轮形态(通过 α 角≥ 60°进行评估)和髋关节 OA(通过 Tönnis 分类进行评估)进行了回顾性检查。所有球员均在基线射线检查后 11 至 33 年间接受了跟踪调查,以确定是否存在后续的 THA。共纳入 44 名男性冰上曲棍球运动员,其中 31 人有可用的 X 光片,39 人回答了后续问题。81%的球员存在凸轮形态(α角≥60°)。7名球员(18%)接受过全踝关节置换术,全踝关节置换术时的平均年龄为55.7岁(标准差6.1岁)。基线X光片上的Tönnis评分与日后的THA有关(P < 0.001)。这项研究得出结论,前瑞典冰上曲棍球精英运动员接受全膝关节置换术的年龄比一般人要小。尽管之前的研究证实了冰上曲棍球精英运动员凸轮形态的高患病率,但凸轮形态与是否需要接受全膝关节置换术之间并无关联。
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来源期刊
自引率
20.00%
发文量
45
审稿时长
12 weeks
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