Adolescent Femoroacetabular Impingement: Gender Differences in Hip Morphology

Hooper, Perry O.; Oak, Sameer R.; Lynch, T. Sean; Ibrahim, Gehan F.; Goodwin, Ryan C.; Rosneck, James

doi:10.1016/j.arthro.2016.06.015

Cited by 25 publications

(28 citation statements)

References 24 publications

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“…This could possibly explain why girls performed better on tasks that demand active hip flexion (i.e., inline lunge and ASLR), whereas the different orientation of the acetabulum in boys could limit hip flexion movements. What could be concerning is that a higher prevalence of DFM observed in lower body patterns among boys could predispose them to a higher risk for developing hip orthopedic abnormalities (i.e., femoroacetabular impingement) [36]. (3) Sociocultural-potential effect of cultural engagement in specific sport activity: adolescent boys tend to engage more in sports such as soccer and basketball which have a high prevalence of unilateral and asymmetrical movement patterns [37].…”

Section: Discussionmentioning

confidence: 99%

Does Sex Dimorphism Exist in Dysfunctional Movement Patterns during the Sensitive Period of Adolescence?

Karuc

Jelčić²,

Sorić

et al. 2020

Children

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This study aimed to investigate sex difference in the functional movement in the adolescent period. Seven hundred and thirty adolescents (365 boys) aged 16–17 years participated in the study. The participants performed standardized Functional Movement Screen™ (FMSTM) protocol and a t-test was used to examine sex differences in the total functional movement screen score, while the chi-square test was used to determine sex differences in the proportion of dysfunctional movement and movement asymmetries within the individual FMSTM tests. Girls demonstrated higher total FMSTM score compared to boys (12.7 ± 2.3 and 12.2 ± 2.4, respectively; p = 0.0054). Sex differences were present in several individual functional movement patterns where boys demonstrated higher prevalence of dysfunctional movement compared to girls in patterns that challenge mobility and flexibility of the body (inline lunge: 32% vs. 22%, df = 1, p = 0.0009; shoulder mobility: 47% vs. 26%, df = 1, p < 0.0001; and active straight leg raise: 31% vs. 9%, df = 1, p < 0.0001), while girls underperformed in tests that have higher demands for upper-body strength and abdominal stabilization (trunk stability push-up: 81% vs. 44%, df = 1, p < 0.0001; and rotary stability: 54% vs. 44%, df = 1, p = 0.0075). Findings of this study suggest that sex dimorphisms exist in functional movement patterns in the period of mid-adolescence. The results of this research need to be considered while using FMSTM as a screening tool, as well as the reference standard for exercise intervention among the secondary school-aged population.

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Section: Discussionmentioning

confidence: 99%

Does Sex Dimorphism Exist in Dysfunctional Movement Patterns during the Sensitive Period of Adolescence?

Karuc

Jelčić²,

Sorić

et al. 2020

Children

View full text Add to dashboard Cite

show abstract

“…What could be concerning is that higher prevalence of DFM observed in lower-body patterns among boys could predispose them to higher risk for developing hip orthopedic abnormalities (i.e. femoroacetabular impingement) [37]. 3)…”

Section: Discussionmentioning

confidence: 99%

Does Sex Dimorphism Exist in Dysfunctional Movement Patterns During the Sensitive Period of Adolescence?

Karuc

Jelčić²,

Sorić

et al. 2020

Preprint

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This study aimed to investigate sex differences in the functional movement in the adolescent period. Seven hundred and thirty adolescents (365 boys) aged 16–17 years participated in the study. The participants performed standardized Functional Movement Screen™ (FMS™) protocol and a t-test was used to examine sex differences in the total functional movement screen score while the chi-square test was used to determine sex differences in the proportion of dysfunctional movement and movement asymmetries within the individual FMS tests. Girls demonstrated a higher total FMS™ score compared to boys (12.7 ± 2.3 and 12.2 ± 2.4, respectively; F=8.26, p=0.0054). Also, sex differences were present in several individual functional movement patterns where boys demonstrated a higher prevalence of dysfunctional movement compared to girls in patterns that challenge mobility and flexibility of the body, while girls underperformed in tests that have higher demands for upper-body strength and abdominal stabilization. Findings of this study suggest that sex dimorphism exists in functional movement patterns in the period of mid-adolescence. The results of this research need to be considered while using FMS™ as a screening tool as well as the reference standard for exercise intervention among the secondary school-aged population.

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“…10 These limitations are especially relevant because the incidence of patients undergoing femoroplasty as a function of the alpha angle being larger versus smaller than 55 was similar between the two groups: 66% versus 65%. Similarly, when Hooper et al 2 compared the alpha angle in patients who underwent femoroplasty versus patients who had not, the mean values were similar: 46 versus 44 . These findings raise several important questions in defining causation versus association 11 : What are the criteria necessary to establish the diagnosis of femoroacetabular impingement?…”

mentioning

confidence: 93%

“…One of the key findings of Hooper et al 2 is the higher prevalence of cam morphology (alpha angle >55 ) in male patients compared with female patients, 39% versus 1%, 3 as well as the strong association between the presence of cam morphology and severity of acetabular cartilage damage. 4 These findings corroborate another study, 3 which reported that female patients were at a lesser risk of cam morphology and have a different clinical presentation in regard to range of motion.…”

mentioning

confidence: 94%

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Editorial Commentary: When Is It Just a Labral Tear and Not Femoroacetabular Impingement?

Beaulé

2016

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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How often in medicine do we have a diagnosis or pathology to evaluate and treat that hasn't previously been described? With the introduction of the concept of femoroacetabular impingement in 1999, Ganz and colleagues effectively put forth a not-previously-described diagnosis in the field of orthopaedic surgery that has expanded into the biosphere of musculoskeletal care, where we can find now research on this subject in radiology, rheumatology, biomechanics, biomedical, physical therapy, and sports medicine journals.

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Adolescent Femoroacetabular Impingement: Gender Differences in Hip Morphology

Cited by 25 publications

References 24 publications

Does Sex Dimorphism Exist in Dysfunctional Movement Patterns during the Sensitive Period of Adolescence?

Does Sex Dimorphism Exist in Dysfunctional Movement Patterns during the Sensitive Period of Adolescence?

Does Sex Dimorphism Exist in Dysfunctional Movement Patterns During the Sensitive Period of Adolescence?

Editorial Commentary: When Is It Just a Labral Tear and Not Femoroacetabular Impingement?

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