Hip and Groin Injuries in Dancers: A Systematic Review

Natasha Trentacosta, Dai Sugimoto, Lyle J Micheli, Natasha Trentacosta, Dai Sugimoto, Lyle J Micheli

Abstract

Context: Injury data on hip and groin injuries vary, and these injuries are often misrepresented or overlooked for more commonly seen injuries, such as those to the foot and ankle.

Objective: To provide a systematic review of the injury rates of hip and groin pathology in dancers and look to establish a better understanding of the occurrence of hip and groin injuries in the dancer population.

Data sources: A literature search was performed using PubMed and CINAHL databases for articles published between 2000 and 2016.

Study selection: Inclusion criteria consisted of (1) documentation of the number of hip and/or groin injuries, (2) study population consisting of dancers whose training included some level of ballet, and (3) studies of levels 1 through 3 evidence.

Study design: Systematic review.

Level of evidence: Level 3.

Data extraction: A single reviewer identified studies that met the inclusion criteria. The number of overall injuries, hip/groin injuries, study participants, injured participants, training hours per week, mean age of study group, injury definition, injury reporting method, and study time frame were extracted.

Results: Thirteen unique studies were included in the descriptive analysis. Of the 2001 dancers included in this study, 3527 musculoskeletal injuries were seen in 1553 dancers. Of these, 345 injuries were localized to the hip and groin region (overall rate, 17.2%). An incidence rate of 0.09 hip and groin injuries per 1000 dance-hours was seen in the selected cohort studies. Of 462 professional dancers, 128 hip/groin injuries were recorded, for an injury rate of 27.7%. Of the 1539 student dancers, 217 hip/groin injuries were recorded, for an injury rate of 14.1% ( P < 0.01).

Conclusion: Data on hip and groin injuries have many limitations. However, these injuries represent an important health issue for dancers of all skill levels, encompassing 17.2% of musculoskeletal injuries seen in dancers. An increasing rate of hip/groin injuries is seen in professional dancers compared with students.

Keywords: ballet; dance; groin; hip; injuries.

Conflict of interest statement

The authors report no potential conflicts of interest in the development and publication of this article.<?release-delay 12|0>

References

    1. Air ME, Grierson MJ, Davenport KL, Krabak BJ. Dissecting the doctor-dancer relationship: health care decision making among American collegiate dancers. PM R. 2014;6:241-249.
    1. Allen N, Nevill AM, Brooks JH, Koutedakis Y, Wyon MA. The effect of a comprehensive injury audit program on injury incidence in ballet: a 3-year prospective study. Clin J Sport Med. 2013;23:373-378.
    1. Bronner S, Brownstein B. Profile of dance injuries in a Broadway show: a discussion of issues in dance medicine epidemiology. J Orthop Sports Phys Ther. 1997;26:87-94.
    1. Byhring S, Bo K. Musculoskeletal injuries in the Norwegian National Ballet: a prospective cohort study. Scand J Med Sci Sports. 2002;12:365-370.
    1. Caine D, Goodwin BJ, Caine CG, Bergeron G. Epidemiological review of injury in pre-professional ballet dancers. J Dance Med Sci. 2015;19:140-148.
    1. Coplan JA. Ballet dancer’s turnout and its relationship to self-reported injury. J Orthop Sports Phys Ther. 2002;32:579-584.
    1. Duthon VB, Charbonnier C, Kolo FC, et al. Correlation of clinical and magnetic resonance imaging findings in hips of elite female ballet dancers. Arthroscopy. 2013;29:411-419.
    1. Ekegren CL, Quested R, Brodrick A. Injuries in pre-professional ballet dancers: incidence, characteristics and consequences. J Sci Med Sport. 2014;17:271-275.
    1. Evans RW, Evans RI, Carvajal S, Perry S. A survey of injuries among Broadway performers. Am J Public Health. 1996;86:77-80.
    1. Fulton J, Burgi C, Canizares RC, Sheets C, Butler RJ. Injuries presenting to a walk-in clinic at a summer dance intensive program: a three-year retrospective data analysis. J Dance Med Sci. 2014;18:131-135.
    1. Gamboa JM, Roberts LA, Maring J, Fergus A. Injury patterns in elite preprofessional ballet dancers and the utility of screening programs to identify risk characteristics. J Orthop Sports Phys Ther. 2008;38:126-136.
    1. Garrick JG. Early identification of musculoskeletal complaints and injuries among female ballet students. J Dance Med Sci. 1999;3:80-83.
    1. Garrick JG, Requa RK. Ballet injuries. An analysis of epidemiology and financial outcome. Am J Sports Med. 1993;21:586-590.
    1. Hamilton WG, Hamilton LH, Marshall P, Molnar M. A profile of the musculoskeletal characteristics of elite professional ballet dancers. Am J Sports Med. 1992;20:267-273.
    1. Kish RL, Plastino JG, Martyn-Stevens B. A young dancer survey. Med Probl Perform Artists. 2003;18:161-165.
    1. Kocher MS, Solomon R, Lee BM. Arthroscopic debridement of hip labral tears in dancers. J Dance Med Sci. 2006;10:99-105.
    1. Krasnow D, Mainwaring L, Kerr G. Injury, stress, and perfectionism in young dancers and gymnasts. J Dance Med Sci. 1999;3:51-58.
    1. Leanderson C, Leanderson J, Wykman A, Strender LE, Johansson SE, Sundquist K. Musculoskeletal injuries in young ballet dancers. Knee Surg Sports Traumatol Arthrosc. 2011;19:1531-1535.
    1. Luke AC, Kinney SA, D’Hemevourt PA, Baum J, Owen M, Micheli LJ. Determinants of injuries in young dancers. Med Probl Perform Artists. 2002;17:105-112.
    1. Moher D, Liberati A, Tetzlaff J, Altman DG, Group P. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. BMJ. 2009;339:b2535.
    1. Negus V, Hopper D, Briffa NK. Associations between turnout and lower extremity injuries in classical ballet dancers. J Orthop Sports Phys Ther. 2005;35:307-318.
    1. Nilsson C, Leanderson J, Wykman A, Strender LE. The injury panorama in a Swedish professional ballet company. Knee Surg Sports Traumatol Arthrosc. 2001;9:242-246.
    1. Ramkumar PN, Farber J, Arnouk J, Varner KE, McCulloch PC. Injuries in a professional ballet dance company: a 10-year retrospective study. J Dance Med Sci. 2016;20:30-37.
    1. Rovere GD, Webb LX, Gristina AG, Vogel JM. Musculoskeletal injuries in theatrical dance students. Am J Sports Med. 1983;11:195-198.
    1. Sobrino FJ, de la Cuadra C, Guillen P. Overuse injuries in professional ballet: injury-based differences among ballet disciplines. Orthop J Sports Med. 2015;3:2325967115590114.
    1. Solomon R, Micheli LJ, Solomon J. The “cost” of injuries in a professional ballet company: anatomy of a season. Med Probl Perform Artists. 1995;10:3-10.
    1. Steinberg N, Aujla I, Zeev A, Redding E. Injuries among talented young dancers: findings from the U.K. Centres for Advanced Training. Int J Sports Med. 2014;35:238-244.
    1. Stracciolini A, Yin AX, Sugimoto D. Etiology and body area of injuries in young female dancers presenting to sports medicine clinic: a comparison by age group. Phys Sportsmed. 2015;43:342-347.
    1. Yin AX, Sugimoto D, Martin DJ, Stracciolini A. Pediatric dance injuries: a cross-sectional epidemiological study. PM R. 2016;8:348-355.

Source: PubMed

3
Suscribir