Hip passive range of motion and frequency of radiographic hip osteoarthritis in former elite handball players

Abstract

Objective: To establish the relation between handball playing, passive hip range of motion (ROM), and the development of radiological hip osteoarthritis (OA) in former elite handball players. Two related issues are addressed: (a) the relation between long term elite handball playing and the incidence of hip OA; (b) the relations between hip ROM, OA, and pain. Methods: Data on 20 former elite handball players and 39 control subjects were collected. A questionnaire yielded personal details, loading patterns during physical activity, and previous lower limb joint injury. Bilateral radiographs were analysed to diagnose and classify hip OA. Passive hip ROM was measured bilaterally with a goniometer. Results: A close relation was found between long term elite handball practice and the incidence of hip OA: 60% of the handball players were diagnosed with OA in at least one of the hip joints compared with 13% of the control subjects. Passive ROM measured in the handball players was significantly lower for hip flexion and medial rotation and higher for abduction, extension, and lateral rotation than the control values. The handball players with OA reported less pain in the hip joints during daily activities than the control subjects with OA. Conclusion: The risk of developing premature hip OA seems high for retired handball players and significantly greater than for the general population. Pain and discomfort represent two difficult diagnostic challenges to the sports physician, as the repetitive nature of movements that are specific to handball can lead to alterations that are rarely seen in the general population.

The Cam-type Deformity of the Proximal Femur Arises in Childhood in Response to Vigorous Sporting Activity

“…Male athletes, especially those engaged in soccer, handball, and competitive track and field activities (running and jumping sports), reportedly have an earlier onset and increased risk of osteoarthritis of the hip [9,21,24,25,28,42,43]. One study [28] suggests there is an increased prevalence of hip pain in athletes, including elite athletes, with cam-type pathomorphologic features of the femur.…”

“…The prevalence of hip osteoarthritis is higher in athletes than in those who do not participate in regular sports, and depends on the intensity of athletic activities and the physical loading of the hip [24,25,42]. Male athletes, especially those engaged in soccer, handball, and competitive track and field activities (running and jumping sports), reportedly have an earlier onset and increased risk of osteoarthritis of the hip [9,21,24,25,28,42,43].…”

“…Male athletes, especially those engaged in soccer, handball, and competitive track and field activities (running and jumping sports), reportedly have an earlier onset and increased risk of osteoarthritis of the hip [9,21,24,25,28,42,43]. The prevalence of hip osteoarthritis is 3 to 8.5 times higher than in nonathletes, depending on the intensity of athletic activities and the physical loading of the hip [24,25,42].…”

Perfil óptimo de flexibilidad del miembro inferior en jugadoras de fútbol sala / Optimal Data of Lower-Limb Muscle Flexibility in Female Futsal Players

“…Mientras que las porteras presentan solamente valores superiores en la flexibilidad en el glúteo mayor. También, otro objetivo fundamental de la valoración de la flexibilidad es detectar grupos musculares con cortedad (ROM limitado [P<20]) y/o asimetrías bilaterales de flexibilidad por su correlación con un incremento del riesgo potencial de lesión deportiva (L'Hermette, Polle, Tourny-Chollet y Dujardin, 2006;Ellenbecker et al, 2007;Daneshjoo, Rahnama, Halim Mokhtar y Yusof, 2013). El análisis estadístico ha mostrado que de las 20 jugadoras se encontraron 4 jugadoras (3 jugadoras de campo y 1 portera) con cortedad muscular en cada movimiento evaluado, las cuales presentan una mayor probabilidad de riesgo de sufrir una lesión deportiva.…”

Les facteurs de risque de survenue de la coxarthrose

“…Ce sont les études des sportifs d'élite qui ont apporté les meilleures preuves du rôle arthrogène du sport de compétition. Une étude récente comparant 20 anciens handballeurs professionnels (37-54 ans) ayant pratiqué pendant en moyenne 15 ans à 39 témoins montre une prévalence de 60 % de la coxarthrose d'au moins une hanche contre seulement 13 % chez les témoins [33]. Ces coxarthroses sont moins douloureuses chez les grands sportifs que chez ceux qui pratiquent peu ou pas, probablement en raison d'un seuil plus élevé à la douleur [33].…”