Young elite Alpine and Mogul skiers have a higher prevalence of cam morphology than non-athletes

Knee Surg Sports Traumatol Arthrosc. 2020 Apr;28(4):1262-1269. doi: 10.1007/s00167-018-5236-4. Epub 2018 Oct 27.

Abstract

Purpose: To investigate the prevalence of cam morphology in (1) a group of young elite Mogul and Alpine skiers compared with non-athletes and (2) between the sexes.

Method: The hip joints of 87 subjects [n = 61 young elite skiers (29 females and 32 males) and n = 26 non-athletes (17 females and 9 males)] were examined using MRI, for measurements of the presence of cam morphology (α-angle ≥ 55).

Results: The skiers had a significantly higher prevalence of cam morphology compared with the non-athletes (49% vs 19%, p = 0.009). A significant difference (p < 0.001) was also found between females and males, where 22% of the females and 61% of the males had cam morphology. Among the skiers, there was also a significant difference (p < 0.001) between the sexes, where 28% of the females and 68% of the males had cam morphology. This difference between the sexes was not found in the non-athletic group. No significant differences were found between Mogul and Alpine skiers.

Conclusion: Young male elite skiers have a higher prevalence of cam morphology of the hips compared with non-athletes.

Level of evidence: II.

Keywords: Alpine; Cam morphology; Female athletes; Femoro-acetabular impingement syndrome (FAIS); Growth zone; Hip joint; Mogul; Skiers; Young athletes.

MeSH terms

  • Adolescent
  • Female
  • Femoracetabular Impingement / diagnosis*
  • Femoracetabular Impingement / epidemiology
  • Hip Joint / diagnostic imaging*
  • Humans
  • Magnetic Resonance Imaging / methods*
  • Male
  • Prevalence
  • Skiing*
  • Sweden / epidemiology
  • Young Adult