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Treatment of Femoroacetabular Impingement and Labral Injuries in Tennis Players

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Tennis Medicine

Abstract

Tennis participation continues to grow and has quickly become one of the most popular sports in the world with over 75 million players globally [1]. The unique functional demands of the sport require multidirectional movements, repetitive loading, and rapid torsional forces across the lower extremity for on-court performance. Importantly, the ability to generate energy from the lower extremity and trunk muscle groups can translate to greater force applied to the eventual racquet strike via the kinetic chain. However, these same gameplay characteristics can also lead to an increased risk for lower extremity injury in tennis players [2]. Anecdotally, we have seen an increase in the diagnosis and treatment of hip-related pain in these athletes. While traditionally hip injuries have been thought of being muscular in origin (hip flexor and adductor), intra-articular sources of hip pain have become more commonplace. Furthermore, professional tennis players are undergoing hip arthroscopy more frequently for related injuries. While early experiences with hip arthroscopy showed more modest results, recent reports demonstrate the growing success with this modality of treatment. Nonetheless, hip injuries in this population can be particularly difficult to manage, often due to the high-demand activity and the innate desire for earlier return to play.

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Safran, M.R., Costantini, A. (2018). Treatment of Femoroacetabular Impingement and Labral Injuries in Tennis Players. In: Di Giacomo, G., Ellenbecker, T., Kibler, W. (eds) Tennis Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-71498-1_24

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