Hip and groin pain are relatively common complaints among football players of all levels. This chapter will focus on hip joint pathologies (the different entities of sports-related groin pain will be covered in their own module).
Femoroacetabular impingement (FAI) is now recognised as a disorder that can lead to progressive labral and chondral injury in the hip. It commonly occurs in athletes and is thought to contribute to CAM formation in football players. FAI can lead to groin and hip pain. Diagnosing this condition promptly may prevent early degeneration of the hip in kicking athletes.
- understand the different causes of hip joint pathology as well as the evidence regarding their aetiology;
- take an appropriate clinical history from an athlete presenting with him and groin pain;
- be able to identify a player with a hip joint problem by conducting a comprehensive clinical examination;
- be able to order and interpret X-ray studies of the hip and understand the indications for other imaging modalities;
- be able to initiate a non-surgical rehabilitation programme to treat hip pain;
- understand the indications for an orthopaedic opinion and the different surgical procedures available to treat FAI and hip labral pathology;
- have an awareness of how hip joint pathology may be prevented, including the possible importance of controlled loading during adolescence.
- Read the relevant section in the FIFA Medical Manual and other required reading.
- Review the suggested reading
- View, or listen to, any relevant multimedia content
- Complete the course quiz
Chapter 3.4 (pages 182-187)
Brukner and Khan’s
Clinical Sports Medicine, 4th Edition
Chapter 28 (pages 510-544)
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- Ganz R, Parvizi JF, Beck MF, Leunig MF, Notzli H FAU – Siebenrock, Klaus,A., Siebenrock KA. Femoroacetabular impingement: A cause for osteoarthritis of the hip. Clinical orthopaedics and related research JID – 0075674. 0106(0009-921; 0009-921).
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- Agricola R, FAU BJ, FAU GA, et al. The development of cam-type deformity in adolescent and young male soccer players. The American journal of sports medicine JID – 7609541. 0820.
- Gerhardt MB, Romero AA, Silvers HJ, Harris DJ, Watanabe D, Mandelbaum BR. The prevalence of radiographic hip abnormalities in elite soccer players. Am J Sports Med. 2012;40(3):584-588.
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- Nepple JJ, Carlisle JC, Nunley RM, Clohisy JC. Clinical and radiographic predictors of intra-articular hip disease in arthroscopy. Am J Sports Med. 2011;39(2):296-303.
- Byrd JW, Jones KS. Diagnostic accuracy of clinical assessment, magnetic resonance imaging, magnetic resonance arthrography, and intra-articular injection in hip arthroscopy patients. Am J Sports Med. 2004;32(7):1668-1674.
- Toomayan GA, Holman WR, Major NM, Kozlowicz SM, Vail TP. Sensitivity of MR arthrography in the evaluation of acetabular labral tears. AJR Am J Roentgenol. 2006;186(2):449-453.
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- Steffen K, Myklebust G, Olsen OE, Holme I, Bahr R. Preventing injuries in female youth football–a cluster-randomized controlled trial. Scand J Med Sci Sports. 2008;18(5):605-614.
- van Beijsterveldt AM, van de Port IG, Krist MR, et al. Effectiveness of an injury prevention programme for adult male amateur soccer players: A cluster-randomised controlled trial. Br J Sports Med. 2012;46(16):1114-1118.
- Engebretsen AH, Myklebust G, Holme I, Engebretsen L, Bahr R. Prevention of injuries among male soccer players: A prospective, randomized intervention study targeting players with previous injuries or reduced function. Am J Sports Med. 2008;36(6):1052-1060.