hip & groin – SEMS-journal

sports injury hip & groin knee muscle sports radiology cardiology

Exercise induced Leg Pain due to Vascular Compression Syndrome

Within a sports medicine setting vascular pathologies of the legs represent a rare entity and are often associated with a significant delay of diagnosis and treatment. Nevertheless, timely detection is crucial when it comes to management of athletes.

sports injury hip & groin sports physiotherapy RTS RTS

Return to sport following hip arthroscopy for femoroacetabular impingement syndrome: return to sport rates and methodological considerations

Research studies on “Return to sport” (or return to play) have been recently published also in the field of hip arthroscopy for femoroacetabular impingement (FAI) in athletes. While most published papers discuss cases series (low level of evidence), Lasse Ishoi and the group of K. Thorborg and P. Hölmich (Copenhagen, Denmark) conducted one of the first prospective cohort studies on this topic. The paper has already been published in AJSM and the results were presented at the #SportSuisse2018 conference. One of the key methodological points is the definition of “Return to sport” when conducting studies: is it return to any sport at any level, or return to preinjury sport at preinjury level?

sports injury hip & groin sports physiotherapy

Hip-related pain and femoroacetabular impingement syndrome: How common is it? How does it impact on biomechanics? How does it affect muscle function?

The aims of this study were to describe the prevalence of bony morphology in football players with and without hip related groin pain, and to determine the association between pain and bony morphology in these athletes (soccer and Australian football players; subelite level; mean age: 26 years old, 80% men; 187 symptomatic and 55 asymptomatic). All subjects underwent specific x-rays exams (supine AP pelvis, Dunn 45°) and filled the International Hip Outcome Tool (IHOT-33).

sports injury hip & groin growth

Bony hip morphology and intrinsic risk factors for groin injury in male football players*

There’s a relatively high prevalence of groin pain in male football players across the literature (ca. 21% of all time-loss injuries per season), and it is considered the third most common injury in football. About 2/3 of all groin injuries are adductor related. Andrea Mosler (former Aspetar, Doha, now at La Trobe University, Melbourne) who presented at the #SportSuisse 2018 conference, completed her PhD with a series of prospective studies on risk factors for groin pain in athletes. The aims were to identify the intrinsic risk factors for hip/groin injury, to determine if the “at-risk” individual can be identified through screening, and to examine the association between bony hip morphology and groin injury risk.

sports injury hip & groin sports medicine preparticipation

Clinical Examination of Hip Dysplasia/Instability

Clinical examination is one of the main skill that clinicians acquire through training and experience, and its contribution to diagnosis is a key addition to history taking. Mike Reiman is a physical therapist, author of the excellent textbook «Orthopedic clinical examination», who just conpleted his PhD (congrats!) under the supervision of Kristian Thorborg (Denmark), looking at the validity of the most frequently used clinical examination tests around the hip area. We tend to think that “specialized” tests have great significance for the examination of a particular structure of pathology, yet as we have already learned from multiple studies on this very question around the shoulder examination tests, this is deceptive.

sports and youth sports injury hip & groin

Hip Arthroscopy in the Pediatric and Adolescent Athlete

Hip disorders are increasingly common in pediatric and adolescent athletes, being both idiopathic problems aggravated by sports and overuse injuries caused by sports. These disorders are a major cause of morbidity and their long-term consequences carry into adulthood. In the past these problems have been primarily treated with open surgery using a surgical hip dislocation, but due to improved instruments and techniques, hip arthroscopy is becoming a mainstay in their treatment. Arthroscopic management allows assessment and reconstructive treatment of most problems in practically all parts of the hip.

exercise is medicine joint disease sports and society sports medicine sports radiology hip & groin knee

Sports and ageing with osteoarthritis post joint replacement

Regular sports activity is not only healthy for cardiovascular and psychological reasons, but it is neither a risk factor for increased risk for osteoarthritis, except for posttraumatic osteoarthritis due to sports injuries. But there are few hints that excessice sports activity may lead to increased risk for osteoarthritis. Therefore, adapted and moderate sports activity can be recommended and should be promoted for osteoarthritis or after total joint replacement of the lower extremity. This leads to increased functional and subjective outcome.

$Osteoporosis and fracture risk in the elderly athlete: current guidelines$

exercise is medicine sports medicine sports nutrition hip & groin spine

Osteoporosis and fracture risk in the elderly athlete: current guidelines

Eine «Low Energy Fraktur» ist das wichtigste klinische Symptom einer Osteoporose. Der ältere Sportler weist ein geringes Risiko für das Eintreten dieses Ereignisses auf. Die mit der sportlichen Aktivität verbundenen Stösse und Belastungen auf den Knochen wirken einem drohenden Abbau von Knochensubstanz nämlich entgegen. Sollte es im Rahmen der sportlichen Aktivität dennoch zur Fraktur kommen, dann entspricht der Unfallmechanismus in aller Regel nicht den Kriterien einer «Low Energy Fraktur».