Background: Athletes with femoroacetabular impingement (FAI) syndrome have cam and/or pincer morphology, pain on orthopaedic testing, and often have reduced hip range of motion (ROM) and strength. However, cam and pincer morphology are also common in asymptomatic hips. Therefore, it is currently unknown whether the ROM and strength deficits observed in athletes with FAI syndrome result from the variance in their bony hip morphology or hip condition. Objectives: To investigate the relationship between musculoskeletal screening findings and bony hip morphology in asymptomatic male soccer players. Methods: Male professional soccer players in Qatar were screened specifically for hip/groin pain in 2 consecutive seasons. The screening battery included: pain provocation, ROM and strength tests, and hip radiographs. Univariate and multivariate regression analyses using generalised estimating equations evaluated the relationship between musculoskeletal screening findings and each bony hip morphological variant (cam, large cam, pincer, and acetabular dysplasia). Results: Asymptomatic hips with cam and large cam morphology were associated with lower ROM in internal rotation and bent knee fall out, and a higher likelihood of pain on provocation testing. Pincer morphology was associated with lower abduction ROM and higher abduction strength. Acetabular dysplasia was associated with higher abduction ROM. Each association was weak and demonstrated poor or failed discriminatory power. Conclusion: Bony hip morphology is associated with hip joint ROM and abduction strength, but musculoskeletal screening tests have a poor ability to discriminate between the different morphologies.
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