ORIGINAL PAPER
Radiographic parameters of hip joints in the course of femoroacetabular impingement in people practising recreational long-distance running
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1
Department of Recreology and Biological Regeneration, Academy of Physical Culture, Krakow, Poland
2
Department of Biomechanics, Academy of Physical Culture, Krakow, Poland
3
Med Coach, Non-public Continuing Education Institution, Krakow, Poland
These authors had equal contribution to this work
Submission date: 2025-01-23
Final revision date: 2025-06-09
Acceptance date: 2025-06-14
Publication date: 2026-06-29
Corresponding author
Robert Walaszek
Department of Recreology
and Biological Regeneration
Academy of Physical Culture
Al. Jana Pawła II 78,
31-571 Krakow, Poland
Medical Studies 2026;42(2):180-185
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Changes in hip joint morphology include distortions, deformities, or abnormalities in the anatomy that can affect its function and cause pain. Femoroacetabular impingement is one of them. Frequent running may increase the risk of this condition; regular feet hitting against the ground at each running step can lead to significant strain on hip joints.
Aim of the research:
The aim of the study was to assess the effect of a conservative 6-month therapeutic intervention on changes in the values of selected radiographic parameters of hip joints in people practising recreational long-distance running.
Material and methods:
The study included 44 men, aged 30 to 50 years, who regularly practised recreational long-distance running. Diagnosis of femoroacetabular impingement was made based on X-ray examination of hip joints in A-P and axial views with measurements of the width of the hip joint space laterally (JSW_L) and centrally (JSW_C), of the OS INSPACE distance, and of the alpha, beta, and Wiberg angles.
Results and conclusions:
Analysis of variables showed statistically significant intergroup differences in values of the central joint space width (JSW_C), OS INSPACE distance, and alpha (A_ANG) and beta (B_ANG) angles in the measurements both before and after the intervention. Statistically significant differences in the measured values of X-ray parameters between the two examinations were noted only in the affected limb in the experimental group. An increase in the OS INSPACE distance (p < 0.05), a decrease in the alpha angle (A_ANG) (p < 0.001), and an increase in the beta angle (B_ANG) (p < 0.05) were shown.
REFERENCES (23)
1.
Bo L, Si-Kai L, Tao W, Ze-Ming L, Xiao C, Meng-Nan L, Hui-Jie L, Yong-Tai H. Risk factors for intraoperative periprosthetic femoral fractures in patients with hip dysplasia undergoing total hip arthroplasty with uncemented prostheses. Orthop Surg. 2021; 13(6): 1870-1881.
2.
Ganz R, Parvizi J, Beck M, Leunig M, Nötzli H, Siebenrock K. Femoroacetabular impingement: a cause for osteoarthritis of the hip. Clin Orthop Relat Res. 2003; 417: 112-120.
3.
Menge TJ, Truex NW. Femoroacetabular impingement: a common cause of hip pain. Phys Sportsmed. 2018; 46(2): 139-144.
4.
Boling MC, Padua DA, Marshall SW, Guskiewicz K, Pyne S, Beutler A. A prospective investigation of biomechanical risk factors for Patellofemoral pain syndrome: the joint undertaking to monitor and prevent ACL injury (JUMP-ACL) Cohort. Am J Sports Med. 2009; 37(11): 2108-2116.
5.
Dempster J, Dutheil F, Ugbolue UC. The prevalence of lower extremity injuries in running and associated risk factors: a systematic review. Phys Act Health. 2021; 5(1): 133-145.
6.
Lopes AD, Hespanhol LC, Yeung SS, Costa LOP. What are the main running-related musculoskeletal injuries? A systematic review. Sports Med. 2012; 42(10): 891-905.
7.
Mentiplay BF, Kemp JL, Crossley KM, Scholes MJ, Co- burn SL, Jones DM, de Oliveira Silva D, Johnston RTR, Pazzinatto MF, King MG. Relationship between hip muscle strength and hip biomechanics during running in people with femoroacetabular impingement syndrome. Clin Biomech. 2022; 92: 105587.
8.
Palmer A, Ayyar-Gupta V, Dutton S, Rombach I, Cooper C, Pollard T. Protocol for the Femoroacetabular Impingement Trial (FAIT): a multi-centre randomised controlled trial comparing surgical and non-surgical management of femoroacetabular impingement. Bone Joint Res. 2014; 3(11): 321-327.
9.
Mielnik M, Hermanson J, Wawrzynek W. Femoroacetabular impingement as a cause of hip pain in young adult patients. Diagnosis and treatment methods using arthroscopy. Chirurgia Pol. 2015; 17(1-2): 69-74.
10.
Hernández-Molina G, Reichenbach S, Zhang B, LaVal- ley M, Felson D. Effect of therapeutic exercise for hip osteoarthritis pain: results of a meta-analysis. Arthritis Rheum. 2008; 59(9): 1221-1228.
11.
Loudon J, Reiman M. Conservative management of femoroacetabular impingement (FAI) in the long distance runner. Phys Ther Sport. 2014; 15(2): 82-90.
12.
Griffin D, Wall P, Realpe , Adams A, Parsons N, Hobson R, Achten J, Fry J, Costa M, Petrou S, Foster N, Donavan J. UK FASHIoN: feasibility study of a randomised controlled trial of arthroscopic surgery for hip impingement compared with best conservative care. Health Technol Assess. 2016; 20(32): 1–172.
13.
Drouin J, Valovich-McLeod T, Shultz S, Gansneder B, Perrin D. Reliability and validity of the Biodex system 3 pro isokinetic dynamometer velocity, torque and position measurements. Eur J Appl Physiol. 2004; 91(1): 22-29.
14.
Emara K, Samir W, Motasem EH, Ghafar KAE. Conservative treatment for mild femoroacetabular impingement. J Orthop Surg. 2011; 19(1): 41-45.
15.
Xu C, Wen XX, Huang LY, Shang L, Cheng XX, Yan YB, Lei W. Normal foot loading parameters and repeatability of the Footscan® platform system. J Foot Ankle Res. 2017; 10: 30.
16.
Bastos RM, de Carvalho Júnior JG, da Silva SAM, Cam- pos SF, Rosa MV, de Moraes Prianti B. Surgery is no more effective than conservative treatment for Femoroacetabular impingement syndrome: systematic review and meta-analysis of randomized controlled trials. Clin Rehabil. 2021; 35(3): 332-341.
17.
Harris JD, Erickson BJ, Bush-Joseph CA, Nho SJ. Treatment of femoroacetabular impingement: a systematic review. Curr Rev Musculoskelet Med. 2013; 6(3): 207-218.
18.
Smeatham A, Powell R, Moore S, Chauhan R, Wilson M. Does treatment by a specialist physiotherapist change pain and function in young adults with symptoms from femoroacetabular impingement? A pilot project for a randomised controlled trial. Physiotherapy. 2017; 103(2): 201-207.
19.
Migliorini F, Liu Y, Catalano G, Trivellas A, Eschweiler J, Tingart M, Maffulli N. Medium-term results of arthroscopic treatment for femoroacetabular impingement. Br Med Bull. 2021; 138(1): 68-84.
20.
Sheean AJ, Schmitz MR, Ward CL, Barrow AE, Tennent DJ, Roach CJ, Burns TC, Wilken JM. Assessment of disability related to femoroacetabular impingement syndrome by use of the patient-reported outcome measure information system (PROMIS) and objective measures of physical performance. Am J Sports Med. 2017; 45(11): 2476-2482.
21.
Philippon MJ, Briggs KK, Yen YM, Kuppersmith DA. Outcomes following hip arthroscopy for femoroacetabular impingement with associated chondrolabral dysfunction: minimum two-year follow-up. J Bone Joint Surg Br. 2009; 91(1): 16-23.
22.
Fairley J, Wang Y, Teichtahl AJ, Seneviwickrama M, Wluka AE, Brady SRE, Hussain SM, Liew S, Cicuttini FM. Management options for femoroacetabular impingement: a systematic review of symptom and structural outcomes. Osteoarthritis Cartilage. 2016; 24(10): 1682-1696.
23.
Wilczyński J, Cieślik M, Maszczyk A, Zwierzchowska A. The importance of posture and body composition for the stability and selected motor abilities of professional handball players. J Hum Kinet. 2022; 82: 264-273.