Hip Replacement After Sports Injuries
Knee OA and sport injuries have been linked to higher likelihood of Knee Replacement.
The link between sports injury and hip replacement (HR) for OA is not clear.
Moderate to strong evidence suggests high- intensity sporting activity is a risk factor for hip OA.
Ackerman et al. (2020), aimed to:
Quantify the likelihood of Hip Replacement within 10-15 years after sports-related hip or thigh injury.
Tracking Hospital Admissions and Injury Coding sets from 2000-2005 across the 6.4 million people in Victoria Australia.
64,750 sports injuries occurred.
815 hip/thigh musculoskeletal injuries.
49% (age 20-29)
23% (age 30-39)
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%)
Of thee 815 Hip injuries, 42 received Hip Replacements.
82% that received HR, had a diagnosis consistent with hip OA.
Median time was 5.3 years (0.3-14), from Injury to HR.
Compared to all other sports injuries, having a hip or thigh injury tripled the hazard of subsequent Hip Replacement.
Main hip or thigh injury types significantly associated with HR:
Soft tissue/repeat injuries were not associated with an increased likelihood of HR.
Sports-related hip or thigh musculoskeletal injury is associated with a significantly higher likelihood of HR within 15 years. .
Effective injury prevention and management are needed to curtail this population burden. .
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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.