Hip Pelvis.  2016 Mar;28(1):29-34. 10.5371/hp.2016.28.1.29.

Descriptive Epidemiology of Symptomatic Femoroacetabular Impingement in Young Athlete: Single Center Study

• Lee WY
• Kang C
• Hwang DS
• Jeon JH
• Zheng L

• KMID: 2161312
• DOI: http://doi.org/10.5371/hp.2016.28.1.29

Abstract

PURPOSE
The purpose of this study was to determine the prevalence of symptomatic femoroacetabular impingement (FAI) in athletic patients.
MATERIALS AND METHODS
From July 2003 to May 2013, 388 patients (422 hips) who underwent arthroscopic surgery for FAI were evaluated demographic characteristics. The patients' age, gender, diagnosis, and type of sports were analyzed using medical records and radiography.
RESULTS
Among 422 hips in 388 patients, 156 hips were involved with sports. Among the 156 hips, 86, 43, and 27 hips were categorized as cam, pincer, and mixed type, respectively. Types of sports were soccer, baseball and taekwondo which showed 44, 36 and 35 hips, respectively. Also, cases related to sports according to age were 63 hips for twenties and 12 hips for teenagers in which the two showed highest association to FAI. The kinds of sports that showed high association were 28 hips of soccer and 20 cases of martial arts such as taekwondo and judo for twenties and 9 hips of martial arts for teenagers which was the highest.
CONCLUSION
FAI usually occurs in young adults and is highly related to sports activity. Most of the FAI type related to sports activity was cam type, and soccer and martial arts such as taekwondo were the most common cause of it.

Keyword

Hip; Femoroacetabular impingement; Prevalence; Sports; Arthroscopy

MeSH Terms

Adolescent
Arthroscopy
Athletes*
Baseball
Diagnosis
Epidemiology*
Femoracetabular Impingement*
Hip
Humans
Martial Arts
Medical Records
Prevalence
Radiography
Soccer
Sports
Young Adult

Figure

• 

  Fig. 1 A plain hip radiograph of a 35-year-old male with chronic right hip pain, who was a master of taekwondo, shows decreased femoral offset and femoral flattening (arrow).

• 

  Fig. 2 Three-dimensional computed tomographic (3D CT) scan images. (A) Preoperative 3D CT image shows spur on femoral head neck junction (arrow). (B) Postoperative 3D CT image shows state underwent arthroscopic femoroplasty (arrowhead).

• 

  Fig. 3 Arthroscopic view images. (A) Arthroscopic view shows partial labral tear. (B) It shows the repair of labral tear. (C) It shows bump on femoral head-neck junction. (D) It shows state underwent arthroscopic femoroplasty.

• 

  Fig. 4 A flowchart shows the process for selection of symptomatic femoroacetabular impingement in athletic patients among the patients who underwent arthroscopic surgery for femoroacetabular impingement.

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