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Radiographic findings of femoroacetabular impingement in capoeira players

  • Hip
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Purpose

Capoeira is a Brazilian martial art that requires extreme movements of the hip to perform jumps and kicks. This study evaluated a group of capoeira players to assess the prevalence of femoroacetabular impingement (FAI) in athletes practicing this martial art.

Methods

Twenty-four experienced capoeira players (14 men, 10 women) underwent a diagnostic assessment, including clinical examination and standard radiographs of the pelvis and hips. The α-angle, head–neck offset, crossover sign, acetabular index, lateral centre-edge angle, and the Tönnis grade were assessed using the radiographs. Clinical relationships for any radiographic abnormalities indicating FAI were also evaluated.

Results

Four subjects (17 %) reported pain in their hips. Forty-four hips (91.7 %) had at least one radiographic sign of CAM impingement, and 22 (45.8 %) had an α-angle of more than 60°. Eighteen hips (37.5 %) had at least one sign of pincer impingement and 16 (33.3 %) a positive crossover sign. Sixteen hips (33.3 %) had mixed impingement. There was a significant positive association between having an α-angle of more than 60° and the presence of groin pain (P = 0.002). A reduced femoral head–neck offset (P < 0.001) and an increased α-angle on the anteroposterior radiograph (P = 0.008) were independently associated with a higher Tönnis grade.

Conclusion

High prevalence of radiographic CAM-type FAI among these skilled capoeira players was found. In these subjects, a negative clinical correlation for an increased α-angle was also detected. Additional caution should be exercised whenever subjects with past or present hip pain engage in capoeira.

Level of evidence

Diagnostic, Level III.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, “Federico II” University, Policlinico Federico II, Via S. Pansini 5, bd. 12, 80131, Naples, Italy

    Massimo Mariconda, Andrea Cozzolino & Alessandra Soldati

  2. Department of Diagnostic Imaging, “A.Cardarelli” Hospital, Naples, Italy

    Francesco Di Pietto

  3. Department of Orthopaedic Surgery, University Hospital Dexeus, Barcelona, Spain

    Manuel Ribas & Vittorio Bellotti

Authors
  1. Massimo Mariconda
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  2. Andrea Cozzolino
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  3. Francesco Di Pietto
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  4. Manuel Ribas
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  5. Vittorio Bellotti
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  6. Alessandra Soldati
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Correspondence to Massimo Mariconda.

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Mariconda, M., Cozzolino, A., Di Pietto, F. et al. Radiographic findings of femoroacetabular impingement in capoeira players. Knee Surg Sports Traumatol Arthrosc 22, 874–881 (2014). https://doi.org/10.1007/s00167-014-2850-7

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  • DOI: https://doi.org/10.1007/s00167-014-2850-7

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