OBJECTIVE: To compare hip kinematics between early specialized (ES) and not early specialized (NES) ice hockey goaltenders. DESIGN: Cross-sectional study. METHODS: Twenty-six goaltenders’ (13 ES) kinematics were quantified during common goaltending tasks (ie, butterfly drops, power and butterfly slides) performed on a slide board using Theia3D markerless technology. Maximum and minimum hip flexion, adduction, and internal rotation (IR) angles were determined, as were the concurrent hip angles in the two other planes at these positions. The groups were compared using independent t tests or Mann-Whitney U tests for discrete data and statistical parametric mapping for hip angles over time. RESULTS: ES goaltenders had increased IR and abduction at lower flexion and less IR and abduction at higher flexion compared to NES goaltenders. Neither group reached the expected extreme ranges of flexion, adduction, or IR typically associated with mechanical bony impingement of femoroacetabular impingement syndrome (FAIS). CONCLUSION: The ES goaltenders may minimize combined flexion and IR or abduction to avoid pain in hips due to FAIS or labral tears or have adopted advantageous hip control strategies to avoid abnormal hip contact mechanics that contribute to developing these pathologies. JOSPT Open 2025;3(1):1-10. Epub 18 September 2024. doi:10.2519/josptopen.2024.0069
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