成年职业足球运动员无症状髋关节异常的患病率及其与年龄和肢体优势的关系

Q3 Medicine

Arthroscopy Sports Medicine and Rehabilitation Pub Date : 2025-02-01 DOI:10.1016/j.asmr.2024.101004

Eduard Bezuglov Ph.D., M.D. , Georgiy Malyakin M.D. , Andrey Sereda D.Med.Sc., M.D. , Sergey Izmailov M.D. , Alesya Grinchenko M.D. , Gleb Chernov M.D. , Elizaveta Kapralova M.D. , Anastasiya Lyubushkina M.D. , Evgeny Goncharov Ph.D., M.D.

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引用次数: 0

摘要

目的调查成年职业足球运动员无症状髋关节异常的发生率，探讨无症状髋关节异常数量与年龄、肢体优势度的关系以及无症状髋关节异常本身的关系。方法对来自欧洲某顶级足球俱乐部的成年男性职业足球运动员进行1.5台特斯拉磁共振成像，由2名经验丰富的放射科医生独立分析结果。根据Kellgren-Lawrence和评分髋骨关节炎的MRI分类，分析股骨髋臼撞击、髋关节发育不良和髋臼骨缺失的发生率。结果共纳入47例患者（年龄24.5±5.4岁，身高181.5±5.7 cm，体质指数22.8±1.3）。63例（67%）髋关节mri异常1 ~ 5例。髋关节一级和二级骨关节炎分别占46.8%和18.1%。股骨髋臼撞击的总体发生率为32%，其中钳型股骨髋臼撞击占27.7%，cam型占11.7%，混合型占6.4%。这些异常与优势腿无关。凸轮型股骨髋臼撞击与骨关节炎有显著相关性（P = .007），钳型股骨髋臼撞击与骨关节炎有显著相关性(P <；措施)。结论无髋部疾患的足球运动员中有三分之一存在股髋臼撞击。此外，观察到股髋臼撞击与髋关节骨关节炎之间的相关性。然而，这些异常似乎与腿部优势无关。证据等级：IV级，预后研究。

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Prevalence of Asymptomatic Hip Joint Abnormalities Among Adult Professional Soccer Players and Their Association With Age and Limb Dominance

Purpose

To investigate the prevalence of asymptomatic hip joint abnormalities among adult professional soccer players and to determine the relationship between the number of these abnormalities with age and limb dominance as well as the relationship between those abnormalities themselves.

Methods

Adult male professional soccer players from 1 top-division soccer club in a European country underwent magnetic resonance imaging using 1.5 Tesla scanners, the results of which were analyzed independently by 2 experienced radiologists. The incidence of hip osteoarthritis according to the Kellgren-Lawrence and Scoring Hip Osteoarthritis Using MRI classifications, femoroacetabular impingement, hip dysplasia, and presence of os acetabuli was analyzed.

Results

A total of 47 patients were included (age 24.5 ± 5.4 years, height 181.5 ± 5.7 cm, body mass index 22.8 ± 1.3). One to 5 magnetic resonance imaging abnormalities were detected in 63 (67%) hip joints. Osteoarthritis of the first and second degree was determined in 46.8% and 18.1% of all hip joints accordingly. The overall prevalence of femoroacetabular impingement was 32%, with pincer-type femoroacetabular impingement occurring in 27.7% of cases, cam type in 11.7%, and mixed type in 6.4% of images. These abnormalities were not related to the dominant leg. Significant correlations were found between cam-type femoroacetabular impingement and osteoarthritis (P = .007), as well as between pincer-type femoroacetabular impingement and osteoarthritis (P < .001).

Conclusions

Femoroacetabular impingement was found among one-third of the soccer players with no hip complaints. Additionally, a correlation between the presence of femoroacetabular impingement and hip osteoarthritis was observed. However, these abnormalities do not appear to be associated with leg dominance.