TY - JOUR
PY - 2020//
TI - Relationship between spinal-pelvic sagittal balance and pelvic-femoral injuries in professional soccer players
JO - Orthopaedic journal of sports medicine
A1 - Ferenczi, Antoine
A1 - Moraux, Antoine
A1 - Gall, Franck Le
A1 - Thévenon, André
A1 - Wieczorek, Valérie
SP - e2325967119894962
EP - e2325967119894962
VL - 8
IS - 1
N2 - BACKGROUND: Pelvic-femoral injuries are a common problem in football (soccer) players. However, the risk factors for these injuries are unclear. Our knowledge of spinal-pelvic sagittal balance has increased considerably over the past few years, notably as a result of new radiographic techniques such the EOS radiographic imaging system.
PURPOSE: To investigate the link between spinal-pelvic sagittal balance on EOS imaging and the incidence of pelvic-femoral injuries. STUDY DESIGN: Cohort study; Level of evidence, 2.
METHODS: Players in a League 1 professional soccer team were observed for 5 consecutive seasons. All players included in the study underwent EOS radiographic imaging. All acute and microtraumatic injuries to the pelvic-femoral complex were recorded prospectively: hamstrings, psoas, quadriceps, adductors, obturators, and pubic symphysis. We analyzed the relationship between injury incidence and key radiographic parameters involved in pelvic balance.
RESULTS: A total of 61 players were included (mean age, 24.5 years; n = 149 injuries; mean pelvic tilt, 9.08° ± 5.6°). A significant link was observed between the incidence of pelvic-femoral injuries and pelvic tilt (P =.02). A significant link was also observed between the incidence of acute pelvic-femoral injuries and pelvic tilt (P =.05). In both cases, a high pelvic tilt was associated with a low incidence of injuries.
CONCLUSION: In professional soccer players, a low pelvic tilt was associated with a high incidence of all pelvic-femoral injuries as well as acute pelvic-femoral injuries. These results could lead to new preventive methods for these musculotendinous injuries through physical therapy.
Language: en
LA - en SN - 2325-9671 UR - http://dx.doi.org/10.1177/2325967119894962 ID - ref1 ER -