Abstract
Alterations seen in hip joint have been understood as a combination between “undercoverage” (dysplasia) and “overcoverage” (femoroacetabular impingement).
The prevalence of hip abnormalities in athletes is considerably high, and even though radiologic findings do not always correlate with clinic evaluation, it is very common to have mistreated FAI symptoms.
Among athletes with impingement, repetitive microtraumas to the hip joint anatomically predisposes to a morphological variation of head-neck offset and acetabular version. The threshold for breakdown is much lower in this subpopulation, occurring with loads and activities tolerated by their counterparts with a normal joint anatomy.
Overload or repetitive loading with vigorous activity can lead to chondrolabral dysfunction as the labrum separates from the articular margin. In addition, the combination of the underlying bony abnormalities and positioning, along with the repetition, may predispose players to encountering overuse-type hip injuries. Thus, severe joint damage is often faced in these athletes who start to have findings of osteoarthritis at an early age.
Advances have made hip arthroscopy a safe and effective surgical technique with a tremendous advantage in treating early hip conditions that ultimately could advance to end-stage arthritis.
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Zini, R., Panascì, M., Carraro, A. (2016). Femoroacetabular Impingement (FAI) and Sport. In: Volpi, P. (eds) Arthroscopy and Sport Injuries. Springer, Cham. https://doi.org/10.1007/978-3-319-14815-1_34
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DOI: https://doi.org/10.1007/978-3-319-14815-1_34
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