The size and prevalence of bony hip morphology does not differ between football players with and without hip and/or groin pain: findings from the FORCe cohort

Key Points

1. The size and prevalence of cam morphology did not differ in male football players between hips with and without hip and/or groin pain.

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BACKGROUND & OBJECTIVE

Hip and groin pain are common in athletes competing in the football codes, with impacts on participation, sports performance, and quality of life. The hip joint is recognized as a common source of nociception, with bony morphological features such as cam morphology, pincer morphology, and acetabular dysplasia variably linked with symptoms.

This study of sub-elite football (soccer and Australian Football) players reported on baseline measures of the femoroacetabular impingement and hip osteoarthritis cohort (FORCe). The study aimed to: (i) compare the size and prevalence of bony hip morphology separately in men and women; and (ii) determine the relationship between the size of bony hip morphology and hip and/or groin-related symptoms and pain.

Hip and groin pain are common in athletes competing in the football codes.

Bony morphology is unlikely to be the only reason for the development of hip pain.

METHODS

Sub-elite football players were recruited from soccer and Australian Football clubs. Imaging was performed on 184 players (290 hips; 20% women) with hip and/or groin pain and a positive FADIR test; and 55 asymptomatic players (110 hips; 25% women) with

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