Risk of intra-articular hip injury in adolescent athletes: a five-year multicentre cohort study
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Risk of intra-articular hip injury in adolescent athletes: a five-year multicentre cohort study Ryan P. McGovern 1,2 & Benjamin R. Kivlan 3 & John J. Christoforetti 1,2 & Shane J. Nho 4 & Andrew B. Wolff 5 & John P. Salvo 6 & Dean Matsuda 7 & Dominic S. Carreira 8 Received: 17 February 2020 / Accepted: 27 April 2020 # SICOT aisbl 2020
Abstract Purpose The purpose of the current study was to establish a risk stratification for hip injury by presenting the classification of sports among adolescent athletes undergoing hip arthroscopy. Methods A multicentre registry was queried to examine the incidence of adolescent athletes undergoing hip arthroscopy. Patients were identified and grouped according to their sport-specific risk classification (level I–III). Chi-square analysis was performed to determine the relationship of classification of sport and gender in adolescent athletes to hip arthroscopy. A second chi-square analysis was performed to determine the relationship of classification of sport and number of sports the adolescent athlete was participating in prior to arthroscopic hip surgery. Results A total of 297 adolescent athletes were included in the study with 129 (43.4%) participating in level I sports compared with 84 (28.3%) in level II and 84(28.3%) in level III sports. Chi-square testing demonstrated a significant effect on gender and sport classification, X2 (2, N = 297) = 31.18, p < 0.01. There was a greater percentage of athletes participating in a single sport (65.3%) compared with multiple sports (34.6%), but was not statistically significant, X2 (1, N = 297) = 1.88, p = 0.17. Conclusion The current study was successful in stratifying a large, multicentre cohort of adolescent athletes requiring hip arthroscopy based on classification levels of sport. There were more male athletes participating in level I sports, while more female athletes participated in level II and level III sports. Keywords FAI . Dysplasia . Chondrolabral pathologies . Injury prevention
Introduction Arthroscopic hip surgery is a minimally invasive procedure commonly utilized for the treatment of intra-articular pathology including femoroacetabular impingement and chondrolabral
lesions [1, 2]. Hip arthroscopy techniques are employed to address structural abnormalities, relieve pain, and improve their abilities during common daily activities [3]. For many patients, this includes participation in sports-related activities. While arthroscopic procedures are most commonly performed in the
Institutional Review Board approval for pre-hoc collection and storage of agreed upon de-identified clinical data points was granted at each contributing center. * Ryan P. McGovern [email protected] 1
Department of Orthopaedic Surgery, Texas Health Sports Medicine, Dallas/Fort Worth, TX, USA
4
Department of Orthopedic Surgery, Hip Preservation Center, Rush University Medical Center, Chicago, IL, USA
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Department of Orthopaedic Surgery, Washington Orthopaedics and Sports Medicine, Washington, DC, USA
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Departmen
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