Abstract
Purpose
To compare the range of motion (ROM) and radiography of the hip joints in male patients with contact anterior cruciate ligament (ACL) injury and non-contact ACL injury.
Methods
ROM of the ipsilateral hip was evaluated in 35 male patients with contact ACL injury (contact group) and compared to that of 45 male patients with a non-contact ACL injury (non-contact group). Radiographic evaluation of hip joints was also performed to assess the presence of cam and pincer-type deformity .
Results
ROM of the hip joint was statistically higher in patients with contact ACL injury. The average sum of hip rotation in the non-contact group was 66.1 ± 8.4° compared to 79.4 ± 10.6° for the contact group (p < 0.001). Seventy-seven per cent of patients in the non-contact group had a sum of hip rotation <70° and 93 % had <80°, compared to17.1 and 42.9 % in the contact group (p < 0.001). Prevalence of cam or pincer deformity was similar in the groups. Cam or pincer deformity was not more frequent in patients with limited ROM of the hip.
Conclusion
Individuals with contact ACL injury had greater ROM of the hip joints than those with non-contact ACL injury. The presence of cam or pincer deformity was similar in both groups and was not related to decreased ROM of the hip joints. These findings may assist the surgeons to identify new risk factors for non-contact ACL injury and, additionally, develop prevention program of injury.
Level of evidence
III.
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References
Albright JC, Carpenter JE, Graf BK, Richmond JC (1999) Knee and leg: Soft tissue trauma. In: Beaty JH (ed) Orthopaedic knowledge update 6. AAOS Rosemont, IL, pp 533–559
Arendt E, Dick R (1995) Knee injury patterns among men and women in collegiate basketball and soccer: NCAA data and review of literature. Am J Sports Med 23:694–701
Beynnon BD, Johnson RJ, Abate JA, Fleming BC, Nochols CE (2005) Treatment of anterior cruciate ligament injuries. Am J Sports Med (I) 33:1579–1602
Beynnon BD, Johnson RJ, Braun S et al (2006) The relationship between menstrual cycle phase and anterior cruciate ligament injury: a case-control study of recreational alpine skiers. Am J Sports Med 34:757–764
Boden BP, Sheehan FT, Torg JS, Hewett TE (2010) Noncontact anterior cruciate ligament injuries: mechanisms and risk factors. J Am Acad Orthop Surg 18:520–527
Chaudhari AM, Andriacchi TP (2006) The mechanical consequences of dynamic frontal plane alignment for non-contact ACL injury. J Biomech 39:330–338
De Castro JV, Machado KC, Scaramussa K, LE Gomes J (2013) Incidence of decreased hip range of motion in youth soccer players and response to a stretching program: a randomized clinical trial. J Sport Rehabil 22:100–107
Dejour H, Bonin M (1994) Tibial translation after anterior cruciate ligament rupture: two radiological tests compared. J Bone Joint Surg Br 76:745–749
Ellera Gomes JL, Palma HM, Becker R (2010) Radiographic findings in restrained hip joints associated with ACL rupture. Knee Surg Sports Traumatol Arthrosc 18:1562–1570
Ford KR, Myer GD, Hewett TE (2003) Valgus knee during landing in high school female and male basketball players. Med Sci Sports Exerc 35:1745–1750
Gerhardt MB, Romero AA, Silvers HJ, Harris DJ, Watanabe D, Mandelbaum BR (2012) The prevalence of radiographic hip abnormalities in elite soccer players. Am J Sports Med 40:584–588
Gomes JLE, Castro JV, Becker R (2008) Decreased hip range of motion and noncontact injuries of the anterior cruciate ligament. Arthroscopy 24:1034–1037
Griffin LY, Angel J, Alborn MJ et al (2005) Understanding and preventing noncontact anterior cruciate ligament injuries. Am J Sports Med 34:1512–1532
Kanamori A, Zeminski J, Rudy TW, Li G, Fu FH, Woo SL (2002) The effect of tibial torque on the function of the anterior cruciate ligament: a biomechanical study of a simulated pivot shift test. Arthroscopy 18:394–398
Kubia-Langer M, Tannast M, Murphy SB, Siebenrock KA, Langlotz F (2007) Range of motion in femoroacetabular impingement. Clin Orthop Relat Res 458:117–124
Laprade RF, Burnett QM (1994) Femoral intercondylar notch stenosis and correlation to anterior cruciate ligament injuries: a prospective study. Am J Sports Med 22:198–203
Markolf KL, Burchfield DM, Shapiro MM (1995) Combined knee loading states that generate high anterior cruciate ligament forces. J Orthop Res 13:930–935
McLean SG, Huang X, van den Bogert AJ (2005) Association between lower extremity posture at contact and peak knee valgus moment during sidestepping: implications for ACL injury. Clin Biomech 20:863–870
Nussbaumer S, Leunig M, Glatthorn JF, Stauffacher S, Gerber H, Maffiuletti NA (2010) Validity and test-retest reliability of manual goniometers for measuring passive hip range of motion in femoroacetabular impingement patients. BMC Musculoskelet Disord 11:194
Olsen OE, Myklebust G, Engerbretsen L, Bahr R (2004) Injury mechanism for anterior cruciate injuries in team handball. Am J Sports Med 32:1002–1012
Philippon M, Dewing C, Briggs K, Steadman JR (2012) Decreased femoral head-neck offset: a possible risk factor for ACL injury. Knee Surg Sports Traumatol Arthrosc 20:2585–2589
Rosenberg TD, Paulos LE, Parker RD et al (1988) The forty-five degree posterior anterior flexion weight-bearing radiograph of the knee. J Bone Joint Surg Am 70:1479
Shultz SJ, Schmitz RJ, Nguyen AD, Chaudhari AM, Padua DA, McLean SG, Sigward SM (2010) ACL research retreat V: an update on ACL injury risk and prevention, March 25-27, 2010, Greensboro, NC. J Athl Train 45:499–508
Simon RA, Everhart JS, Nagaraja HN, Chaudhari AM (2010) A case-control study of anterior cruciate ligament volume, tibial plateau slopes and intercondylar notch dimensions in ACL-injured knees. J Biomech 43:1702–1707
Souryal TO, Freeman TR (1993) Intercondylar notch size and anterior cruciate ligament injuries in athletes: a prospective study. Am J Sports Med 21:535–539
Tainaka K, Takizawa T, Kobayashi H, Umimura M (2014) Limited hip rotation and non-contact anterior cruciate ligament injury: a case-control study. Knee 21:86–90
Tannast M, Siebenrock KA, Anderson SE (2007) Femoroacetabular impingement: radiographic diagnostic—what the radiologist should know. AJR Am J Roentgenol 188:1540–1552
Todd MS, Lalliss S, Garcia E, DeBerardino TM, Cameron KL (2010) The relationship between posterior tibial slope and anterior cruciate ligament injuries. Am J Sports Med 38:63–70
van Trijffel E, van de Pol RJ, Oostendorp RA, Lucas C (2010) Inter-rater reliability for measurement of passive physiological movement in lower extremity joints is generally low: a systematic review. J Physiother 56:223–235
Wojtys EM, Huston LJ, Boyton MD, Spindler KP, Lindenfeld TN (2002) The effect of menstrual cycle on anterior cruciate ligament injuries in women as determined by hormone levels. Am J Sports Med 30:182–188
Woodford-Rogers B, Cyphert L, Denegar CR (1994) Risk factors for anterior cruciate injury in high school and college athletes. J Athl Train 29:343–346
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Lopes, O.V., Gomes, J.L.E. & de Freitas Spinelli, L. Range of motion and radiographic analysis of the hip in patients with contact and non-contact anterior cruciate ligament injury. Knee Surg Sports Traumatol Arthrosc 24, 2868–2873 (2016). https://doi.org/10.1007/s00167-015-3532-9
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DOI: https://doi.org/10.1007/s00167-015-3532-9