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J Am Acad Orthop Surg. 2017 Apr;25(4):269-279. doi: 10.5435/JAAOS-D-16-00171.

Athletic Hip Injuries.

Author information

1
From Columbia Orthopaedics, the Center for Shoulder, Elbow and Sports Medicine, Columbia University Medical Center, New York, NY (Dr. Lynch), the Department of Orthopaedic Surgery, MedSport, University of Michigan Medical School, Ann Arbor, MI (Dr. Bedi), and the Minnesota Orthopedic Sports Medicine Institute at Twin Cities Orthopedics, Edina, MN (Dr. Larson).

Abstract

Historically, athletic hip injuries have garnered little attention; however, these injuries account for approximately 6% of all sports injuries and their prevalence is increasing. At times, the diagnosis and management of hip injuries can be challenging and elusive for the team physician. Hip injuries are seen in high-level athletes who participate in cutting and pivoting sports that require rapid acceleration and deceleration. Described previously as the "sports hip triad," these injuries consist of adductor strains, osteitis pubis, athletic pubalgia, or core muscle injury, often with underlying range-of-motion limitations secondary to femoroacetabular impingement. These disorders can happen in isolation but frequently occur in combination. To add to the diagnostic challenge, numerous intra-articular disorders and extra-articular soft-tissue restraints about the hip can serve as pain generators, in addition to referred pain from the lumbar spine, bowel, bladder, and reproductive organs. Athletic hip conditions can be debilitating and often require a timely diagnosis to provide appropriate intervention.

PMID:
28252476
DOI:
10.5435/JAAOS-D-16-00171
[Indexed for MEDLINE]

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