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Risk Factors for Athletic Pubalgia in Collegiate Football Student-Athletes: A Retrospective Cohort Study
Alexander J Neuville1, Clint L Benge2, Vehniah K Tjong1
1Department of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, Evanston, Illinois.
Sports Health
|September 29, 2022
Summary
College football players who participate in Olympic weightlifting (OWL) or play skill positions have higher odds of developing athletic pubalgia (AP). Identifying these risk factors can help prevent AP injuries in athletes.
Area of Science:
- Sports Medicine
- Orthopedic Surgery
- Athletic Training
Background:
- Athletic pubalgia (AP) is a recognized injury in young athletes.
- This study focuses on identifying characteristics associated with AP in college football players.
Purpose of the Study:
- To evaluate factors contributing to athletic pubalgia (AP) in collegiate football players.
- To determine the association between Olympic weightlifting (OWL), playing position, and AP development.
Main Methods:
- Retrospective cohort study of Division I collegiate football players (2010-2019).
- Logistic regression analysis to assess the odds of AP surgery based on OWL exposure, playing position (skill vs. non-skill), and BMI.
- 1154 student-athlete exposures were analyzed.
Main Results:
- Student-athletes exposed to Olympic weightlifting (OWL) had 2.86 times higher odds of developing AP.
- Skill position players had 9.32 times higher odds of AP compared to non-skill players.
- Both OWL exposure and playing a skill position were significant predictors of AP.
Conclusions:
- Modifiable factors like Olympic weightlifting (OWL) and playing a skill position are associated with increased risk of athletic pubalgia (AP).
- Understanding these factors is crucial for prevention strategies in athletes.
- AP has multifactorial causes that require further investigation.
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