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As mechanical load during growth affects the resulting bone shape, there is strong evidence in males that cam morphology develops during skeletal growth while physes are open, rather than as an adaptation after growth plates are closed (skeletal maturity). This adaptation is particularly evident in athletes who participate at elite levels prior to skeletal maturity. The research providing this evidence, however, has primarily focused on male athletes. Despite the lack of inclusion in the research, females consistently comprise two thirds of the clinical and surgical populations with structural hip pain or pathology. Knowledge gained from male\u2010dominated cohorts may not appropriately transfer to female athletes, especially at the hip. This perspectives article briefly reviews differences between females and males in femoral and acetabular structure, hormones, timing of puberty\/maturation, hypermobility, activity level and movement control\u2014factors which affect hip structure development and loading. Without female\u2010focused research, the application of research findings from male athletes to female athletes may lead to ineffective or even inappropriate recommendations and treatments. Thus, there is a critical need for investment in research to promote life\u2010long hip health for females.<\/jats:p>","DOI":"10.1002\/jor.25860","type":"journal-article","created":{"date-parts":[[2024,4,22]],"date-time":"2024-04-22T02:38:50Z","timestamp":1713753530000},"page":"2054-2060","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Lost in research translation: Female athletes are not male athletes, especially at the hip"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9888-4902","authenticated-orcid":false,"given":"Cara L.","family":"Lewis","sequence":"first","affiliation":[{"name":"Department of Physical Therapy, Sargent College of Health &amp; Rehabilitation Sciences Boston University Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4011-9044","authenticated-orcid":false,"given":"Sandra 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