TY  - JOUR
PY  - 2016//
TI  - 95% prevalence of abnormality on hip MRI in elite academy level rugby union: a clinical and imaging study of hip disorders
JO  - Journal of science and medicine in sport
A1  - Farrell, Garreth
A1  - McGrath, Frank
A1  - Hogan, Brian
A1  - Logan, Mark
A1  - Denvir, Karl
A1  - O'Connell, Brendan
A1  - Irwin, Ellevyn
A1  - Gissane, Conor
A1  - Wilson, Fiona
SP  - 893
EP  - 897
VL  - 19
IS  - 11
N2  - OBJECTIVES: To identify the prevalence of hip disorders in elite level academy rugby union players using clinical and radiological investigation comparing findings to active controls. <br><br>DESIGN: Cross-sectional, controlled study. <br><br>METHODS: Participants were assessed clinically using validated questionnaire (HAGOS) and physical testing procedures. Active ROM of all hip movements were measured using a goniometer and hip-specific clinical tests including the FABER and the Thomas test examined functional hip motion. Physical tests were compared to age, gender and activity matched controls. The rugby-playing participants underwent dedicated non-arthrographic 3T MRI imaging of the hip in axial oblique, sagittal and coronal planes to assess anatomical abnormality. <br><br>RESULTS: The rugby cohort had significantly reduced ROM of internal/external rotation, extension and FABER scores compared to the controls. Symptoms were reported by 65% of rugby players (HAGOS symptom score <89.3) versus 15% in controls. There was a 95% prevalence of abnormality on MRI (19 of 20 players); 80% of the elite rugby players had labral pathology, 55% had a cam deformity (45% left sided 30% right-sided) and 25% had either unilateral or bilateral chondral wear. <br><br>CONCLUSIONS: The prevalence of abnormality on MRI of the hip is high in rugby players at 95% of study participants. The percentage reporting symptoms was lower at 65% of the cohort although this was significantly higher than (non-rugby) matched controls at 15% of participants. Rugby players demonstrated significantly reduced ROM of the hip compared to controls. Further prospective research is required to investigate the long term sequelae of these findings.<p />  <p>Language: en</p>
LA  - en
SN  - 1440-2440
UR  - http://dx.doi.org/10.1016/j.jsams.2016.01.005
ID  - ref1
ER  -