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πŸ“šπŸ”¬
Hip Replacement After Sports Injuries
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INTRO:
Knee OA and sport injuries have been linked to higher likelihood of Knee Replacement.
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The link between sports injury and hip replacement (HR) for OA is not clear.
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Moderate to strong evidence suggests high- intensity sporting activity is a risk factor for hip OA.
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Ackerman et al. (2020), aimed to:
Quantify the likelihood of Hip Replacement within 10-15 years after sports-related hip or thigh injury.
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METHODS:
Tracking Hospital Admissions and Injury Coding sets from 2000-2005 across the 6.4 million people in Victoria Australia.
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RESULTS:
64,750 sports injuries occurred.
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Of these,
815 hip/thigh musculoskeletal injuries.
49% (age 20-29)
23% (age 30-39)
77% Males
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410 Femoral fractures (50%)
187 Soft tissue injuries (23%)
106 Unspecified hip injury (13%)
76 Hip dislocations (9%)
36 Multiple injuries (4%) were less common. Neuro-vascular injuries (<1%)
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Of thee 815 Hip injuries, 42 received Hip Replacements.
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82% that received HR, had a diagnosis consistent with hip OA.
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Median time was 5.3 years (0.3-14), from Injury to HR.
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Compared to all other sports injuries, having a hip or thigh injury tripled the hazard of subsequent Hip Replacement.
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Main hip or thigh injury types significantly associated with HR:
Femoral fractures
Hip dislocations
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Soft tissue/repeat injuries were not associated with an increased likelihood of HR.
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CONCLUSIONS:
Sports-related hip or thigh musculoskeletal injury is associated with a significantly higher likelihood of HR within 15 years. .
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Effective injury prevention and management are needed to curtail this population burden. .
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Thoughts? Questions? Comments?
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Write them below. .
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SOURCE:
Ackerman, et al. 2020. Quantifying the likelihood and costs of hip replacement surgery after sports injury: A population-level analysis. Physical Therapy in Sport 41, 9e15.

19 Nov 2019

Comments
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    Median age?

    04 Dec 2019

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    20 Nov 2019

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    19 Nov 2019