title: Assessment of congruence and impingement of the hip joint in professional ballet dancers: a motion capture study.
abstract: BACKGROUND
  Early hip osteoarthritis in dancers could be explained by femoroacetabular impingements. However, there is a lack of validated noninvasive methods and dynamic studies to ascertain impingement during motion. Moreover, it is unknown whether the femoral head and acetabulum are congruent in typical dancing positions.
  
  
  OBJECTIVE
  The practice of some dancing movements could cause a loss of hip joint congruence and recurrent impingements, which could lead to early osteoarthritis.
  
  
  METHODS
  Descriptive laboratory study.
  
  
  METHODS
  Eleven pairs of female dancer's hips were motion captured with an optical tracking system while performing 6 different dancing movements. The resulting computed motions were applied to patient-specific hip joint 3-dimensional models based on magnetic resonance images. While visualizing the dancer's hip in motion, the authors detected impingements using computer-assisted techniques. The range of motion and congruence of the hip joint were also quantified in those 6 recorded dancing movements.
  
  
  RESULTS
  The frequency of impingement and subluxation varied with the type of movement. Four dancing movements (développé à la seconde, grand écart facial, grand écart latéral, and grand plié) seem to induce significant stress in the hip joint, according to the observed high frequency of impingement and amount of subluxation. The femoroacetabular translations were high (range, 0.93 to 6.35 mm). For almost all movements, the computed zones of impingement were mainly located in the superior or posterosuperior quadrant of the acetabulum, which was relevant with respect to radiologically diagnosed damaged zones in the labrum. All dancers' hips were morphologically normal.
  
  
  CONCLUSIONS
  Impingements and subluxations are frequently observed in typical ballet movements, causing cartilage hypercompression. These movements should be limited in frequency.
  
  
  CONCLUSIONS
  The present study indicates that some dancing movements could damage the hip joint, which could lead to early osteoarthritis.
authors.affiliation: MIRALab, University of Geneva, 7 Route de Drize, Carouge, Switzerland. caecilia@charbonnier.ch
authors.forename: Caecilia
authors.initials: C
authors.lastname: Charbonnier
authors.forename: Frank C
authors.initials: FC
authors.lastname: Kolo
authors.forename: Victoria B
authors.initials: VB
authors.lastname: Duthon
authors.forename: Nadia
authors.initials: N
authors.lastname: Magnenat-Thalmann
authors.forename: Christoph D
authors.initials: CD
authors.lastname: Becker
authors.forename: Pierre
authors.initials: P
authors.lastname: Hoffmeyer
authors.forename: Jacques
authors.initials: J
authors.lastname: Menetrey
mesh_terms: D000077:Acetabulum / Q000502:physiology; D000293:Adolescent; D000328:Adult; D003615:Dancing / Q000502:physiology*; D003936:Diagnosis, Computer-Assisted / Q000379:methods; D005260:Female; D057925:Femoracetabular Impingement / Q000209:etiology / Q000503:physiopathology*; D005270:Femur Head / Q000502:physiology; D006621:Hip Joint / Q000502:physiology* / Q000503:physiopathology; D006801:Humans; D009068:Movement / Q000502:physiology*; D009784:Occupational Diseases / Q000209:etiology / Q000503:physiopathology*; D015207:Osteoarthritis, Hip / Q000209:etiology; D055815:Young Adult