Femoroacetabular Impingement (FAI) in Football Traumatology
Sports most frequently involved with hip pathology are those requiring a lot of bending and twisting at the hip. Soccer forces the athlete to perform kicking, twisting, and cutting maneuvers throughout the pelvis, thus exposing this area to mechanical and soft tissue stress. Among athletes with impingement, repetitive microtraumas to the hip joint anatomically predisposes to a morphological variation of head-neck offset and acetabular version. The threshold for breakdown is much lower in this subpopulation, occurring with loads and activities tolerated by their counterparts with a normal joint anatomy. Overload or repetitive loading with vigorous activity can lead to chondrolabral dysfunction as the labrum separates from the articular margin. In addition, the combination of the underlying bony abnormalities and positioning, along with the repetition, may predispose players to encountering overuse-type hip injuries. Thus, severe joint damage is often faced in these athletes who start to have findings of osteoarthritis at an early age. Advances have made hip arthroscopy a safe and effective surgical technique with a tremendous advantage in treating early hip conditions that ultimately could advance to end-stage arthritis.
KeywordsArthroscopy Hip FAI Sport Traumatology
- 2.Nepple JJ et al (2015) What is the association between sports participation and the development of proximal femoral cam deformity? A systematic review and meta-analysis. Am J Sports MedGoogle Scholar
- 24.Bennell KL, O’Donnell JM, Takla A, Spiers LN, Hunter DJ, Staples M, Hinman RS (2014) Efficacy of a physiotherapy rehabilitation program for individuals undergoing arthroscopic management of femoroacetabular impingement – the FAIR trial: a randomised controlled trial protocol. BMC Musculoskelet Disord 26(15): 1471-2474-15-58Google Scholar