Download PDF
CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2023; 58(06): e862-e868
DOI: 10.1055/s-0043-1776772
Artigo Original
Artroscopia

Relationship between Femoroacetabular Impingement and Pubalgia in Professional Soccer Players

Article in several languages: português | English
Jean Klay Santos Machado 
1   Coordenador do Serviço de Ortopedia e Traumatologia pelo Hospital Porto Dias, Belém Pará, Brasil
,
Gabriel Henrique dos Santos Guimarães 
2   Residente em Ortopedia e Traumatologia pelo Hospital Porto Dias, Belém Pará, Brasil
,
Maurício da Camara Ferreira 
3   Médico ortopedista e traumatologista no Hospital Porto Dias, Belém Pará, Brasil
,
Jaime Gomes Nogueira 
2   Residente em Ortopedia e Traumatologia pelo Hospital Porto Dias, Belém Pará, Brasil
› Author Affiliations Financial Support This study received no specific funding from public, commercial, or not-for-profit sector agencies.
› Further Information
Also available at
   Permissions and Reprints

Abstract

Objective To analyze the relationship between pubalgia and femoroacetabular impingement (FAI) in professional athletes of a soccer club, defining the prevalence of these conditions in the sample studied.

Methods It is an epidemiological, cross-sectional, and analytical study including 90 professional soccer players active from 2019 to 2021. We accessed the medical records of the subjects to retrieve information from the modified Pre-Competition Medical Assessment (PCMA) protocol, orthopedic physical examination, and anteroposterior pelvic radiographs to assess pubalgia and FAI, respectively. Inclusion criteria were athletes playing in the professional soccer club in the 2019 to 2021 season, who underwent a modified PCMA upon admission, and who signed an informed consent form.

Results FAI was highly prevalent (85.6%) in the sample. This prevalence may occur because, in Brazil, people start playing sports early, not always in suitable fields, or with no proper equipment and supervision. In addition, the CAM-type impingement was the most frequent (62.2%). These injuries are related to high-intensity movements, including those associated with soccer. Furthermore, there is no dependency correlation between pubalgia and FAI. FAI was present in only 20% of athletes with pubalgia complaints.

Conclusion There was a high prevalence of FAI in professional soccer players in the studied population (85.6%) but with no relationship between FAI and pubalgia.

Keywords

athletes - femoracetabular impingement - pubic bone - soccer

Study developed at the Orthopedics and Traumatology Service, Hospital Porto Dias, Belém, Pará, Brazil




Publication History

Received: 09 March 2023

Accepted: 29 May 2023

Article published online:
08 December 2023

© 2023. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 

  • Referências

  • 1 DiSilvestro K, Quinn M, Tabaddor RR. A Clinician's Guide to Femoacetabular Impingement in Athletes. R I Med J (2013) 2020; 103 (07) 41-48
    PubMedGoogle Scholar
  • 2 Varada S, Moy MP, Wu F, Rasiej MJ, Jaramillo D, Wong TT. The prevalence of athletic pubalgia imaging findings on MRI in patients with femoroacetabular impingement. Skeletal Radiol 2020; 49 (08) 1249-1258
    CrossrefPubMedGoogle Scholar
  • 3 Yépez AK, Abreu M, Germani B, Galia CR. Prevalence of femoroacetabular impingement morphology in asymptomatic youth soccer players: magnetic resonance imaging study with clinical correlation. Rev Bras Ortop 2017; 52 (Suppl. 01) 14-20
    PubMedGoogle Scholar
  • 4 Johnson AC, Shaman MA, Ryan TG. Femoroacetabular impingement in former high-level youth soccer players. Am J Sports Med 2012; 40 (06) 1342-1346
    CrossrefPubMedGoogle Scholar
  • 5 Fukushima K, Takahira N, Imai S. et al. Prevalence of radiological findings related to femoroacetabular impingement in professional baseball players in Japan. J Orthop Sci 2016; 21 (06) 821-825
    CrossrefPubMedGoogle Scholar
  • 6 Elattar O, Choi HR, Dills VD, Busconi B. Groin Injuries (Athletic Pubalgia) and Return to Play. Sports Health 2016; 8 (04) 313-323
    CrossrefPubMedGoogle Scholar
  • 7 Lee WY, Kang C, Hwang DS, Jeon JH, Zheng L. Descriptive Epidemiology of Symptomatic Femoroacetabular Impingement in Young Athlete: Single Center Study. Hip Pelvis 2016; 28 (01) 29-34
    CrossrefPubMedGoogle Scholar
  • 8 Azar F, Beaty JH. Campbell's Operative Orthopaedics. 14th. ed. Philadelphia: Elsevier; 2021
    Google Scholar
  • 9 Gerhardt MB, Romero AA, Silvers HJ, Harris DJ, Watanabe D, Mandelbaum BR. The prevalence of radiographic hip abnormalities in elite soccer players. Am J Sports Med 2012; 40 (03) 584-588
    CrossrefPubMedGoogle Scholar
  • 10 Mercurio M, Corona K, Galasso O. et al. Soccer players show the highest seasonal groin pain prevalence and the longest time loss from sport among 500 athletes from major team sports. Knee Surg Sports Traumatol Arthrosc 2022; 30 (06) 2149-2157
    CrossrefPubMedGoogle Scholar
  • 11 Economopoulos KJ, Milewski MD, Hanks JB, Hart JM, Diduch DR. Radiographic evidence of femoroacetabular impingement in athletes with athletic pubalgia. Sports Health 2014; 6 (02) 171-177
    CrossrefPubMedGoogle Scholar
  • 12 Falotico GG, Arliani GG, Yamada AF, Fernandes ADRC, Ejnisman B, Cohen M. Professional soccer is associated with radiographic cam and pincer hip morphology. Knee Surg Sports Traumatol Arthrosc 2019; 27 (10) 3142-3148
    CrossrefPubMedGoogle Scholar
  • 13 Strosberg DS, Ellis TJ, Renton DB. The Role of Femoroacetabular Impingement in Core Muscle Injury/Athletic Pubalgia: Diagnosis and Management. Front Surg 2016; 3: 6
    CrossrefPubMedGoogle Scholar
  • 14 Munegato D, Bigoni M, Gridavilla G, Olmi S, Cesana G, Zatti G. Sports hernia and femoroacetabular impingement in athletes: A systematic review. World J Clin Cases 2015; 3 (09) 823-830
    CrossrefPubMedGoogle Scholar
  • 15 Bisciotti GN, Di Marzo F, Auci A. et al. Cam morphology and inguinal pathologies: is there a possible connection?. J Orthop Traumatol 2017; 18 (04) 439-450
    CrossrefPubMedGoogle Scholar