TY - JOUR
T1 - What is the association between sports participation and the development of proximal femoral cam deformity?
AU - Nepple, Jeffrey J.
AU - Vigdorchik, Jonathan M.
AU - Clohisy, John C.
N1 - Publisher Copyright:
© 2015 The Author(s).
PY - 2015/11/1
Y1 - 2015/11/1
N2 - Background: Femoroacetabular impingement (FAI) is recognized as a common cause of hip pain and intra-articular disorders in athletes. Studies have suggested a link between participation in athletics during adolescence and the development of cam-type deformities of the proximal femoral head-neck junction. Purpose: To investigate the association of sporting activity participation during adolescence and the development of cam deformity. Study Design: Systematic review. Methods: The PubMed, EMBASE, and Cochrane databases were searched to identify potential studies. Abstracts and manuscripts (when applicable) were independently reviewed by 2 reviewers. Nine studies met the inclusion criteria, including 8 studies that compared the prevalence of cam deformity in athletes with that in controls and 3 studies that compared the prevalence of cam deformity before and after physeal closure (2 with both). A meta-analysis was performed with pooling of data and random-effects modeling to compare rates of cam deformity between athletes and controls. Results: High-level male athletes are 1.9 to 8.0 times more likely to develop a cam deformity than are male controls. The pooled prevalence rate (by hip) of cam deformity in male athletes was 41%, compared with 17% for male controls. The pooled mean alpha angle among male athletes was 61°, compared with 51° for male controls. Conclusion: Males participating in specific high-level impact sports (hockey, basketball, and possibly soccer) are at an increased risk of physeal abnormalities of the anterosuperior head-neck junction that result in a cam deformity at skeletal maturity.
AB - Background: Femoroacetabular impingement (FAI) is recognized as a common cause of hip pain and intra-articular disorders in athletes. Studies have suggested a link between participation in athletics during adolescence and the development of cam-type deformities of the proximal femoral head-neck junction. Purpose: To investigate the association of sporting activity participation during adolescence and the development of cam deformity. Study Design: Systematic review. Methods: The PubMed, EMBASE, and Cochrane databases were searched to identify potential studies. Abstracts and manuscripts (when applicable) were independently reviewed by 2 reviewers. Nine studies met the inclusion criteria, including 8 studies that compared the prevalence of cam deformity in athletes with that in controls and 3 studies that compared the prevalence of cam deformity before and after physeal closure (2 with both). A meta-analysis was performed with pooling of data and random-effects modeling to compare rates of cam deformity between athletes and controls. Results: High-level male athletes are 1.9 to 8.0 times more likely to develop a cam deformity than are male controls. The pooled prevalence rate (by hip) of cam deformity in male athletes was 41%, compared with 17% for male controls. The pooled mean alpha angle among male athletes was 61°, compared with 51° for male controls. Conclusion: Males participating in specific high-level impact sports (hockey, basketball, and possibly soccer) are at an increased risk of physeal abnormalities of the anterosuperior head-neck junction that result in a cam deformity at skeletal maturity.
KW - basketball
KW - femoroacetabular impingement
KW - hip
KW - ice hockey
UR - http://www.scopus.com/inward/record.url?scp=84946093761&partnerID=8YFLogxK
U2 - 10.1177/0363546514563909
DO - 10.1177/0363546514563909
M3 - Article
C2 - 25587186
AN - SCOPUS:84946093761
SN - 0363-5465
VL - 43
SP - 2833
EP - 2840
JO - American Journal of Sports Medicine
JF - American Journal of Sports Medicine
IS - 11
ER -