May 04, 2017
2 min read
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Higher rate of subspine impingement seen in soccer players vs athletes who played non-kicking sports

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Investigators of this retrospective review of patients who underwent arthroscopic hip surgery for femoroacetabular impingement found a significantly higher rate of subspine impingement among high-level soccer players than athletes who played non-kicking sports, such as basketball, track and hockey.

Perspective from Jeffrey J. Nepple, MD

Using a prospective hip registry, researchers identified 26 soccer players and 87 non-kicking athletes who had 2-year follow-up after surgery. Investigators collected demographic data and plain radiographs and CT scans to evaluate parameters and anterior inferior iliac spine (AIIS) morphology. At 6 months, 1 year, 2 years and 3 years postoperatively, the modified Harris Hip score, Hip Outcome Score – activities of daily living (HOS-ADL) and HOS-sport-specific subscale and the International Hip Outcome Tool-33 (iHOT-33) were collected.

Danyal Nawabi

Results showed abnormality of the AIIS extending to or below the anterior acetabular rim in 84% of the soccer players vs. 52% of the non-kicking athletes. Investigators noted the outcome scores significantly improved in both groups between preoperation and postoperation at the mean follow-up of 35 months. Investigators found comparable outcome scores between soccer players and non-kicking athletes except for iHOT-33. – by Monica Jaramillo

Disclosures: Nawabi reports no relevant financial disclosures. Please see the full study for a list of all other authors’ relevant financial disclosures.