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Hip pain in adolescents: Results of a cross‐sectional study in German pupils and a review of the literature
Author(s) -
Spahn Gunter,
Schiele Rainer,
Langlotz Anette,
Jung Regina
Publication year - 2005
Publication title -
acta pædiatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/j.1651-2227.2005.tb01941.x
Subject(s) - medicine , cross sectional study , german , physical therapy , hip pain , pediatrics , pathology , archaeology , history
Aim: To determine the prevalence of hip pain (HP) in adolescents in East Germany and to evaluate the potential factors associated with HP. Design: Cross‐sectional epidemiological study of a total of 2368 pupils (1137 males, 1231 females; age 14.5±0.65, range 13–18 y). Demographic data and information on sports activity and consumption of soft legal drugs were obtained using a questionnaire. Physical examination was carried out by school doctors. Odds ratio (OR [95% confidence interval]) was calculated for common factors associated with HP. Results: The prevalence of adolescents suffering from HP was 6.5% ( n =151). Pain episodes were reported as occasional in 3.0%. A total of 69 subjects (2.9%) suffered from permanent pain during physical activity. Permanent pain when at rest was reported in 0.5% ( n =12). Female subjects, students attending high school, smoking adolescents and adolescents with a consumption of alcoholic beverages had a significantly higher prevalence of HP. HP was associated with a significantly higher prevalence of low back pain and knee pain. The prevalence of pathological findings of the hip was 2.5% ( n =60). Factors significantly associated with HP were: female gender (1.9‐fold), attending high school (2.1‐fold) and consumption of tobacco (1.6‐fold). Conclusions: HP in adolescents seems to be mostly caused by functional disorders. There is a possible association between HP and psychological stress or consumption of legal drugs. Prophylactic measures are necessary in this age group in future.