Does hip muscle strength and functional performance differ between football players with and without hip dysplasia?

Review written by Sam Blanchard info

Key Points

  1. Similar levels of hip muscle strength and function were found between football players with and without hip dysplasia.
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Hip dysplasia, a prevalent source of hip discomfort, is frequently misdiagnosed. Recent guidelines suggest using a lateral-centre-edge angle (LCEA) of < 25° for diagnosis. In a study of female soccer players, hip dysplasia was found in 16% with an LCEA < 20° cutoff, but this rose to 66% using an LCEA < 25°. The prevalence of hip dysplasia may be underestimated in football players, with limited knowledge about modifiable physical impairments like reduced hip strength and the condition's natural progression. Notably, women experiencing hip-related pain exhibit distinct impairments and are four times more likely to seek treatment for hip dysplasia compared to men.

The aim of this study was to compare hip muscle strength in addition to functional performance in football players with and without hip dysplasia whilst ascertaining if this relationship was modified by gender.

Hip dysplasia is a prevalent source of hip discomfort and is frequently misdiagnosed.
Strengthening around the hip in those with known hip dysplasia may help to limit pain and reduce the risk of further pathology in the hip.


  • This study focused on symptomatic football players diagnosed with hip dysplasia, confirmed through radiographic evidence where the LCEA was less than 25°. This group was referred to as the Hip Dysplasia (HD) group, while a control group consisted of football
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