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Relationship Between Spinal-Pelvic Sagittal Balance and Pelvic-Femoral Injuries in Professional Soccer Players.

Abstract : Pelvic-femoral injuries are a common problem in football (soccer) players. However, the risk factors for these injuries are unclear. Our knowledge of spinal-pelvic sagittal balance has increased considerably over the past few years, notably as a result of new radiographic techniques such the EOS radiographic imaging system. To investigate the link between spinal-pelvic sagittal balance on EOS imaging and the incidence of pelvic-femoral injuries. Cohort study; Level of evidence, 2. Players in a League 1 professional soccer team were observed for 5 consecutive seasons. All players included in the study underwent EOS radiographic imaging. All acute and microtraumatic injuries to the pelvic-femoral complex were recorded prospectively: hamstrings, psoas, quadriceps, adductors, obturators, and pubic symphysis. We analyzed the relationship between injury incidence and key radiographic parameters involved in pelvic balance. A total of 61 players were included (mean age, 24.5 years; n = 149 injuries; mean pelvic tilt, 9.08° ± 5.6°). A significant link was observed between the incidence of pelvic-femoral injuries and pelvic tilt ( = .02). A significant link was also observed between the incidence of acute pelvic-femoral injuries and pelvic tilt ( = .05). In both cases, a high pelvic tilt was associated with a low incidence of injuries. In professional soccer players, a low pelvic tilt was associated with a high incidence of all pelvic-femoral injuries as well as acute pelvic-femoral injuries. These results could lead to new preventive methods for these musculotendinous injuries through physical therapy.
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https://hal.univ-lille.fr/hal-02569237
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Soumis le : lundi 11 mai 2020 - 10:57:44
Dernière modification le : mardi 12 mai 2020 - 01:31:23

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Antoine Ferenczi, Antoine Moraux, Franck Le Gall, André Thevenon, Valérie Wieczorek. Relationship Between Spinal-Pelvic Sagittal Balance and Pelvic-Femoral Injuries in Professional Soccer Players.. Orthopaedic Journal of Sports Medicine, SAGE Publications, 2020, Orthopaedic Journal of Sports Medicine, 8 (1), pp.2325967119894962. ⟨10.1177/2325967119894962⟩. ⟨hal-02569237⟩

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