Arthroscopy: The Journal of Arthroscopic & Related Surgery
Original ArticleCharacterization of Symptomatic Hip Impingement in Butterfly Ice Hockey Goalies
Section snippets
Methods
This study was performed under an institutional review board–approved protocol obtained at all participating sites. We performed a retrospective review of a consecutive series of 68 hips in 44 high school, collegiate, and professional butterfly-style hockey goalies. Inclusion criteria included any ice hockey goalie who presented to 2 of the authors' (B.T.K., C.M.L.) clinic with symptomatic hip pain from 2010 to 2013. Additionally, the patients had to be diagnosed with symptomatic FAI by the
Demographics
Sixty-eight hips (44 hockey goalies) were identified during the study period. Thirty-five (51.5%) of the surgical procedures involved the left hip. The average age of the butterfly hockey goalies was 21.1 ± 5.7 years (range, 14 to 43 years). The mean body mass index was 24.7 ± 3.0 kg/m2 (range, 18.5 to 32.1 kg/m2). The demographic data for the comparison positional hockey players were not significantly different when compared with hockey goalies (Table 1).
Plain Film Measurements
Ninety percent (61 of 68) of the hockey
Discussion
Ice hockey players are at increased risk for lower abdominal and groin injuries, which are a common and major cause of disability.2 A National Hockey League study found a cumulative incidence of 20 groin/abdominal injuries per 100 players per year during the 1996 to 1997 season, which was significantly increased from the 1991 to 1992 season.2 Although Stull et al.9 recently pointed to the sprint start position as a potential cause for impingement in positional hockey players, no study has
Conclusions
Symptomatic butterfly hockey goalies have a high prevalence of FAI characterized by a unique femoral cam-type deformity and noted by an elevated alpha angle and loss of offset, which is greater in magnitude and more lateral when compared with that in positional hockey players. Associated acetabular dysplasia is also common among hockey goalies.
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Cited by (35)
β-Angles of hips with femoroacetabular impingement versus asymptomatic normal hips in a Japanese population: A CT-based observational clinical study
2020, Journal of Orthopaedic ScienceCitation Excerpt :We strongly believe that the β-angle should be evaluated using a reproducible method to enable identification of the optimal cutoff value for diagnosing FAI. Almost all previous studies reporting the β-angle have evaluated this angle with the patient in the hip-flexion position [4,5,25,28,30]. We believe that evaluation in this position could not precisely control for pelvic tilt.
Hip Injuries in Ice Hockey Goaltenders
2019, Operative Techniques in Sports MedicineCitation Excerpt :In some cases, diagnostic anesthetic injections can be a useful tool in eliciting or eliminating sources of pain. For example, it is important to recognize acetabular dysplasia in players who undergo surgical treatment for FAI to avoid errant rim resection and the secondary risk of iatrogenic structural instability.14 Furthermore, Hammoud et al found a high incidence of CMI symptoms in professional athletes with FAI of the hip.
Prevalence of knee osteoarthritis in former athletes: a systematic review with meta-analysis
2018, Brazilian Journal of Physical TherapyCitation Excerpt :Although studies with adults did not demonstrate effects of sports participation in cartilage thickness,13 most athletes start participating in sports in childhood or adolescence,14 which may act as a protective factor for knee OA later in life. It should be noted that sports participation also reduces body fat mass,15 a known risk factor for OA,9 prevents the loss of cartilage proteoglicans,16,17 which are responsible for cartilage's viscoelastic properties,18 and increases muscle mass and strength,19,20 which might reduce loading on joint passive components (e.g. cartilage). On the other hand, athletes are under high physical demands during many years, which increases their susceptibility to knee joint injuries.21,22
Posterior Hip Impingement at Maximal Hip Extension in Female Patients With Increased Femoral Version or Increased McKibbin Index and Its Effect on Sports Performance
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The authors report the following potential conflict of interest or source of funding: C.M.L. receives support from Smith & Nephew and A3 Surgical.