Arthroscopy: The Journal of Arthroscopic & Related Surgery
Original ArticleRadiographic Findings of Femoroacetabular Impingement in National Football League Combine Athletes Undergoing Radiographs for Previous Hip or Groin Pain
Section snippets
Methods
We performed a retrospective radiographic review of athletes evaluated at the NFL National Invitational Camp, commonly referred to as the Scouting Combine, from 2007 to 2009. The NFL Scouting Combine database was used to identify athletes in whom anteroposterior (AP) pelvis and frog-lateral hip radiographs were obtained. AP pelvis and frog-lateral radiographs were obtained in 183 hips (154 players) (15.5% of all players) during the study period. Among all NFL Scouting Combine participants
Results
AP pelvis and frog-lateral hip radiographs of 123 hips in 107 players were obtained, and these patients were included in the study. Of the players, 86 (80.4%) were African American whereas 21 (19.6%) were white/non–African American. The mean age of the players was 22.7 years (range, 20 to 25 years). Of the players, 43 had right hip radiographs, 48 had left hip radiographs, and 16 had bilateral radiographs. The mean BMI was 29.8 (range, 23.8 to 43.3). Among these athletes, the most common
Discussion
Our study documents a very high rate of radiographic findings of FAI in a large cohort of athletes undergoing hip radiographs at the NFL Combine for a history of previous hip or groin dysfunction. During the study period, over 15% of all athletes underwent radiographic evaluation of the hip/pelvis. Players in our study had a history of pain around the hip most often attributed to a soft-tissue disorder such as a groin strain, sports hernia, hip flexor strain, or hamstring strain. A standardized
Conclusions
Radiographic indicators of FAI are very common among athletes evaluated at the NFL Scouting Combine subjected to radiographic examination for the clinical suspicion of hip disease. Elite football athletes with significant or recurrent pain about the hip should be evaluated clinically and radiographically for FAI, because pain from FAI may be falsely attributed to or may be present in addition to other disorders.
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The authors report that they have no conflicts of interest in the authorship and publication of this article.