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Risk of intra-articular hip injury in adolescent athletes: a five-year multicentre cohort study

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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.

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Funding

Financially supported by the Multicenter Arthroscopic Study of the Hip (MASH) outcomes registry and funding from the 2019 International Society of Orthopaedic Surgery and Traumatology (SICOT) Research Academy Grant.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Texas Health Sports Medicine, Dallas/Fort Worth, TX, USA

    Ryan P. McGovern & John J. Christoforetti

  2. Allegheny Health Network, Pittsburgh, PA, USA

    Ryan P. McGovern & John J. Christoforetti

  3. Department of Physical Therapy, Duquesne University, Pittsburgh, PA, USA

    Benjamin R. Kivlan

  4. Department of Orthopedic Surgery, Hip Preservation Center, Rush University Medical Center, Chicago, IL, USA

    Shane J. Nho

  5. Department of Orthopaedic Surgery, Washington Orthopaedics and Sports Medicine, Washington, DC, USA

    Andrew B. Wolff

  6. Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University Hospital, Philadelphia, PA, USA

    John P. Salvo

  7. Department of Orthopaedic Surgery, DISC Sports and Spine Center, Newport Beach, CA, USA

    Dean Matsuda

  8. Department of Orthopaedic Surgery, Peachtree Orthopedics, Atlanta, GA, USA

    Dominic S. Carreira

Authors
  1. Ryan P. McGovern
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  2. Benjamin R. Kivlan
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  3. John J. Christoforetti
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  4. Shane J. Nho
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  6. John P. Salvo
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  7. Dean Matsuda
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  8. Dominic S. Carreira
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Correspondence to Ryan P. McGovern.

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McGovern, R.P., Kivlan, B.R., Christoforetti, J.J. et al. Risk of intra-articular hip injury in adolescent athletes: a five-year multicentre cohort study. International Orthopaedics (SICOT) 44, 1965–1969 (2020). https://doi.org/10.1007/s00264-020-04598-7

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  • DOI: https://doi.org/10.1007/s00264-020-04598-7

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