| New Study Finds 70 Percent of Able-bodied Hockey Players Have Abnormal Hip and Pelvis MRIs |
| 3/13/2010 |
NEW ORLEANS, LA – Seventy percent of healthy professional and collegiate hockey players had
abnormal hip and pelvis MRIs (magnetic resonance imaging), even though they had no symptoms of injury,
according to a study presented today at the American Orthopaedic Society for Sports Medicine’s Specialty
Day in New Orleans, (March 13). The study’s surprising findings could serve as a warning for surgeons to
not depend excessively on imaging when diagnosing patients.
“This study was done to see if abnormal MRI results are found incidentally in active roster hockey players,”
said Matthew Silvis, MD, Assistant Professor, Department of Family Medicine and Orthopedics at Hershey
Medical Center at Penn State University College of Medicine. “Unexpectedly, the majority of players had
some abnormality in their MRI, but it didn’t limit their playing ability. The study raises many questions, but
its value to surgeons is to recognize that imaging doesn’t replace good clinical judgment, which includes a
detailed history and complete physical exam. This study might make you hesitate to read too much into an
MRI.”
In the study, high-resolution MRIs were taken of the pelvis and hips of 21 professional and 18 collegiate
hockey players, aged 18 – 35. Of the 39 players, only two reported slight pain, which they identified as a 3
on a 10 point scale, with minimal to no disability in relation to their pain. Twenty-one out of the 39 (54
percent) had labral tears (tears in the structure that keeps the hip in place). Twelve of the 39 (31 percent)
had muscle strain injuries of the hips and 2 of 39 (5 percent) had tendinosis (inflammation) of the hips.
Overall, 70 percent of the players had irregular findings on their MRIs, but no clinical symptoms.
MRIs are noninvasive tests that help doctors diagnose and treat medical conditions. MRIs use a powerful
magnetic field, radio frequency pulses and a computer to produce detailed pictures of organs, soft tissues,
bone and many other internal body structures.
“This study raises all sorts of questions that should be examined in further studies. For example, will these
abnormalities cause problems and symptoms later for these athletes?” said Silvis. “But this study shows
the limitations of depending too heavily on an MRI. A surgeon may see something in the image, but it isn’t
causing a problem.”
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The American Orthopaedic Society for Sports Medicine (AOSSM) is a world leader in sports medicine
education, research, communication and fellowship, and includes national and international orthopaedic sports
medicine professionals. The Society works closely with many other sports medicine specialists, including
athletic trainers, physical therapists, family physicians, and others to improve the identification, prevention,
treatment, and rehabilitation of sports injuries.
For more information, please contact either AOSSM Director of Communications Lisa Weisenberger at
847/292-4900. You can also visit the AOSSM newsroom at
www.sportsmed.org.
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