Does the Type of Sport Influence Morphology of the Hip? A Systematic Review.
Publication Date
2022-05Journal Title
Am J Sports Med
ISSN
0363-5465
Publisher
SAGE Publications
Volume
50
Issue
6
Pages
1727-1741
Language
en
Type
Article
This Version
VoR
Metadata
Show full item recordCitation
Doran, C., Pettit, M., Singh, Y., Sunil Kumar, K. H., & Khanduja, V. (2022). Does the Type of Sport Influence Morphology of the Hip? A Systematic Review.. Am J Sports Med, 50 (6), 1727-1741. https://doi.org/10.1177/03635465211023500
Abstract
BACKGROUND: Femoroacetabular impingement (FAI) has been extensively investigated and is strongly associated with athletic participation. PURPOSE: To assess (1) the prevalence of cam-type FAI across various sports; (2) whether kinematic variation among sports influences hip morphology; and (3) whether performance level, duration, and frequency of participation or other factors influence hip morphology in a sporting population. STUDY DESIGN: Systematic review; Level of evidence, 4. METHODS: A systematic search of Embase, PubMed, and the Cochrane Library was undertaken following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Prospective and retrospective case series, case reports, and review articles published after 1999 were screened, and those that met the inclusion criteria decided a priori were included for analysis. RESULTS: The literature search identified 58 relevant articles involving 5683 participants. A total of 49 articles described a higher prevalence of FAI across various "hip-heavy" sports, including soccer, basketball, baseball, ice hockey, skiing, golf, and ballet. In studies including nonathlete controls, a greater prevalence of FAI was reported in 66.7% of studies (n = 8/12). The highest alpha angle was identified at the 1-o'clock position (n = 9/9) in football, skiing, golf, ice hockey, and basketball. The maximum alpha angle was located in a more lateral position in goalkeepers versus positional players in ice hockey (1 vs 1:45 o'clock). A positive correlation was also identified between the alpha angle and both age and activity level (n = 5/8 and n = 2/3, respectively) and between prevalence of FAI and both age and activity level (n = 2/2 and n = 4/5). CONCLUSION: Hip-heavy sports show an increased prevalence of FAI, with specific sporting activities influencing hip morphology. There is some evidence to suggest that a longer duration and higher level of training also result in an increased prevalence of FAI. REGISTRATION: CRD4202018001 (PROSPERO).
Keywords
Current Concepts, hip, femoroacetabular impingement, athletic training, anatomy, young adult
Identifiers
10.1177_03635465211023500
External DOI: https://doi.org/10.1177/03635465211023500
This record's URL: https://www.repository.cam.ac.uk/handle/1810/336884
Rights
Licence:
https://creativecommons.org/licenses/by-nc-nd/4.0/
Statistics
Total file downloads (since January 2020). For more information on metrics see the
IRUS guide.
Recommended or similar items
The current recommendation prototype on the Apollo Repository will be turned off on 03 February 2023. Although the pilot has been fruitful for both parties, the service provider IKVA is focusing on horizon scanning products and so the recommender service can no longer be supported. We recognise the importance of recommender services in supporting research discovery and are evaluating offerings from other service providers. If you would like to offer feedback on this decision please contact us on: support@repository.cam.ac.uk