Strategies to Deter Primary Cam Morphology in Youth Athletes: A Clinical Commentary and Call for Investigation

BACKGROUND: Primary prevention is a desirable path to decrease the incidence of primary cam morphology (PCM). This commentary provides specific attention to peak height velocity timing and training load management during critical growth periods in adolescent athletes. CLINICAL QUESTION: Can physical literacy and load management distribute epiphyseal loads and reduce the occurrence of primary cam morphology through periodized cycles of hip extension? KEY RESULTS AND CLINICAL APPLICATION: We suggest this as a line of research that can be investigated by multiple independent researchers. JOSPT Open 2025;3(4):386-394. Epub 26 May 2025. doi:10.2519/josptopen.2025.0128