Authors: Gregory G Klingenstein RobRoy Martin Ben Kivlan Bryan T Kelly
Publish Date: 2012/03/14
Volume: 470, Issue: 6, Pages: 1579-1585
Abstract
The overhead athlete is at risk for shoulder and elbow injuries However the mechanics associated with overhead sports also place athletes at risk for hip injuries Advancements in hip arthroscopy have identified femoroacetabular impingement FAI and instability as potential contributors to labral and chondral pathology in this athletic populationWe retrospectively identified highlevel baseball and lacrosse players varsity high school collegiate and professional who underwent arthroscopic treatment for FAI Thirtyfour athletes with an average age of 214 years met study criteria There were 16 baseball players and 18 lacrosse players All patients completed modified Harris hip scores and were assessed for ability to return to preinjury level of play The minimum followup was 12 months average 25 months range 12–41 monthsArthroscopic management of hip injuries in the highlevel overhead throwing athlete can result in a high rate of return to play Mechanical overload of the hip from impingement and secondary instability can have a substantial effect on hip function and may be the cause of deterioration in athletic performance in some casesDr Kelly has consultancies with Pivot Medical Inc Sunnyvale CA USA A2 Surgical SAS Sailles France and Smith Nephew Inc Memphis TN USA and stock options in Pivot Medical The remaining authors certify that they or a member of their immediate family have no commercial associations eg consultancies stock ownership equity interest patent/licensing arrangements etc that might pose a conflict of interest in connection with the submitted articleEach author certifies that his or her institution approved the human protocol for this investigation that all investigations were conducted in conformity with ethical principles of research and that informed consent for participation in the study was obtained
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