Risk of intra-articular hip injury in adolescent athletes: a five-year multicentre cohort study

Int Orthop. 2020 Oct;44(10):1965-1969. doi: 10.1007/s00264-020-04598-7. Epub 2020 Jun 26.

Abstract

Purpose: The purpose of the current study was to establish a risk stratification for hip injury by presenting the classification of sports among adolescent athletes undergoing hip arthroscopy.

Methods: A multicentre registry was queried to examine the incidence of adolescent athletes undergoing hip arthroscopy. Patients were identified and grouped according to their sport-specific risk classification (level I-III). Chi-square analysis was performed to determine the relationship of classification of sport and gender in adolescent athletes to hip arthroscopy. A second chi-square analysis was performed to determine the relationship of classification of sport and number of sports the adolescent athlete was participating in prior to arthroscopic hip surgery.

Results: A total of 297 adolescent athletes were included in the study with 129 (43.4%) participating in level I sports compared with 84 (28.3%) in level II and 84(28.3%) in level III sports. Chi-square testing demonstrated a significant effect on gender and sport classification, X2 (2, N = 297) = 31.18, p < 0.01. There was a greater percentage of athletes participating in a single sport (65.3%) compared with multiple sports (34.6%), but was not statistically significant, X2 (1, N = 297) = 1.88, p = 0.17.

Conclusion: The current study was successful in stratifying a large, multicentre cohort of adolescent athletes requiring hip arthroscopy based on classification levels of sport. There were more male athletes participating in level I sports, while more female athletes participated in level II and level III sports.

Keywords: Chondrolabral pathologies; Dysplasia; FAI; Injury prevention.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Arthroscopy
  • Athletes
  • Cohort Studies
  • Female
  • Femoracetabular Impingement*
  • Hip Joint / surgery
  • Humans
  • Male
  • Return to Sport
  • Sports*