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Sports Trauma: The Hip

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Abstract

Hip injuries are common among athletes, representing approximately 6% of all sports injuries [1]. Furthermore, hip injuries have received increased attention in recent years as a result of identification of sources of non-arthritic hip pain and damage, improved evaluation techniques, such as physical examination and imaging, as well as less morbid approaches to evaluation and management of hip problems, such as hip arthroscopy.

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References

  1. Anderson K, Strickland SM, Warren R. Hip and groin injuries in athletes. Am J Sports Med. 2001;29(4):521–33. https://doi.org/10.1177/03635465010290042501.

    Article  CAS  PubMed  Google Scholar 

  2. Zarins B, Ciullo JV. Acute muscle and tendon injuries in athletes. Clin Sports Med. 1983;2(1):167–82.

    CAS  PubMed  Google Scholar 

  3. Feeley BT, Powell JW, Muller MS, Barnes RP, Warren RF, Kelly BT. Hip injuries and labral tears in the national football league. Am J Sports Med. 2008;36(11):2187–95. https://doi.org/10.1177/0363546508319898.

    Article  PubMed  Google Scholar 

  4. Tyler TF, Nicholas SJ, Campbell RJ, Donellan S, McHugh MP. The effectiveness of a preseason exercise program to prevent adductor muscle strains in professional ice hockey players. Am J Sports Med. 2002;30(5):680–3. https://doi.org/10.1177/03635465020300050801.

    Article  PubMed  Google Scholar 

  5. DeLee J. DeLee & Drez’s orthopaedic sports medicine: principles and practice. Philadelphia: Saunders; 2003.

    Google Scholar 

  6. Hall M, Anderson J. Hip pointers. Clin Sports Med. 2013;32(2):325–30. https://doi.org/10.1016/j.csm.2012.12.010.

    Article  PubMed  Google Scholar 

  7. Jackson DW, Feagin JA. Quadriceps contusions in young athletes. Relation of severity of injury to treatment and prognosis. J Bone Joint Surg Am. 1973;55(1):95–105.

    Article  CAS  Google Scholar 

  8. Aronen JG, Garrick JG, Chronister RD, McDevitt ER. Quadriceps contusions: clinical results of immediate immobilization in 120 degrees of knee flexion. Clin J Sport Med. 2006;16(5):383–7. https://doi.org/10.1097/01.jsm.0000244605.34283.94.

    Article  PubMed  Google Scholar 

  9. Walczak BE, Johnson CN, Howe BM. Myositis ossificans. J Am Acad Orthop Surg. 2015;23(10):612–22. https://doi.org/10.5435/JAAOS-D-14-00269.

    Article  PubMed  Google Scholar 

  10. Petersen W, Petersen F, Tillmann B. Structure and vascularization of the acetabular labrum with regard to the pathogenesis and healing of labral lesions. Arch Orthop Trauma Surg. 2003;123(6):283–8. https://doi.org/10.1007/s00402-003-0527-7.

    Article  PubMed  Google Scholar 

  11. Seldes RM, Tan V, Hunt J, Katz M, Winiarsky R, Fitzgerald RH. Anatomy, histologic features, and vascularity of the adult acetabular labrum. Clin Orthop Relat Res. 2001;382:232–40.

    Article  Google Scholar 

  12. Myers CA, Register BC, Lertwanich P, et al. Role of the acetabular labrum and the iliofemoral ligament in hip stability: an in vitro biplane fluoroscopy study. Am J Sports Med. 2011;39(1_Suppl):85S–91S. https://doi.org/10.1177/0363546511412161.

    Article  PubMed  Google Scholar 

  13. Safran MR, Giordano G, Lindsey DP, et al. Strains across the acetabular labrum during hip motion: a cadaveric model. Am J Sports Med. 2011;39(Suppl(1_suppl)):92S–102S. https://doi.org/10.1177/0363546511414017.

    Article  PubMed  Google Scholar 

  14. Kapron AL, Peters CL, Aoki SK, et al. The prevalence of radiographic findings of structural hip deformities in female collegiate athletes. Am J Sports Med. 2015;43(6):1324–30. https://doi.org/10.1177/0363546515576908.

    Article  PubMed  Google Scholar 

  15. Agricola R, Bessems JHJM, Ginai AZ, et al. The development of Cam-type deformity in adolescent and young male soccer players. Am J Sports Med. 2012;40(5):1099–106. https://doi.org/10.1177/0363546512438381.

    Article  PubMed  Google Scholar 

  16. Agricola R, Heijboer MP, Ginai AZ, et al. A cam deformity is gradually acquired during skeletal maturation in adolescent and young male soccer players: a prospective study with minimum 2-year follow-up. Am J Sports Med. 2014;42(4):798–806. https://doi.org/10.1177/0363546514524364.

    Article  PubMed  Google Scholar 

  17. Lerebours F, Robertson W, Neri B, Schulz B, Youm T, Limpisvasti O. Prevalence of Cam-type morphology in Elite ice hockey players. Am J Sports Med. 2016;44(4):1024–30. https://doi.org/10.1177/0363546515624671.

    Article  PubMed  Google Scholar 

  18. Trofa DP, Mayeux SE, Parisien RL, Ahmad CS, Lynch TS. Mastering the physical examination of the athlete’s hip. Am J Orthop. 2017;46(1):10–6.

    PubMed  Google Scholar 

  19. Byrd JWT, Jones KS. Diagnostic accuracy of clinical assessment, magnetic resonance imaging, magnetic resonance arthrography, and intra-articular injection in hip arthroscopy patients. Am J Sports Med. 2004;32(7):1668–74. https://doi.org/10.1177/0363546504266480.

    Article  PubMed  Google Scholar 

  20. Krych AJ, Thompson M, Knutson Z, Scoon J, Coleman SH. Arthroscopic labral repair versus selective labral debridement in female patients with femoroacetabular impingement: a prospective randomized study. Arthroscopy. 2013;29(1):46–53. https://doi.org/10.1016/j.arthro.2012.07.011.

    Article  PubMed  Google Scholar 

  21. Espinosa N, Beck M, Rothenfluh DA, Ganz R, Leunig M. Treatment of femoro-acetabular impingement: preliminary results of labral refixation. Surgical technique. J Bone Joint Surg Am. 2007;89(Suppl 2 Pt.1):36–53. https://doi.org/10.2106/JBJS.F.01123.

    Article  PubMed  Google Scholar 

  22. Larson CM, Giveans MR. Arthroscopic debridement versus refixation of the acetabular labrum associated with femoroacetabular impingement. Arthroscopy. 2009;25(4):369–76. https://doi.org/10.1016/j.arthro.2008.12.014.

    Article  PubMed  Google Scholar 

  23. Domb BG, Hartigan DE, Perets I. Decision making for labral treatment in the hip: repair versus débridement versus reconstruction. J Am Acad Orthop Surg. 2017;25(3):e53–62. https://doi.org/10.5435/JAAOS-D-16-00144.

    Article  PubMed  Google Scholar 

  24. Nho SJ, Magennis EM, Singh CK, Kelly BT. Outcomes after the arthroscopic treatment of femoroacetabular impingement in a mixed group of high-level athletes. Am J Sports Med. 2011;39(Suppl):14S–9S. https://doi.org/10.1177/0363546511401900.

    Article  PubMed  Google Scholar 

  25. Alradwan H, Philippon MJ, Farrokhyar F, et al. Return to preinjury activity levels after surgical management of femoroacetabular impingement in athletes. Arthroscopy. 2012;28(10):1567–76. https://doi.org/10.1016/j.arthro.2012.03.016.

    Article  PubMed  Google Scholar 

  26. Nwachukwu BU, Bedi A, Premkumar A, Draovitch P, Kelly BT. Characteristics and outcomes of arthroscopic femoroacetabular impingement surgery in the National Football League. Am J Sports Med. 2018;46(1):144–8. https://doi.org/10.1177/0363546517729163.

    Article  PubMed  Google Scholar 

  27. Shibata KR, Matsuda S, Safran MR. Arthroscopic hip surgery in the Elite athlete: comparison of female and male competitive athletes. Am J Sports Med. 2017;45(8):1730–9. https://doi.org/10.1177/0363546517697296.

    Article  PubMed  Google Scholar 

  28. Moorman CT, Warren RF, Hershman EB, et al. Traumatic posterior hip subluxation in American football. J Bone Joint Surg Am. 2003;85-A(7):1190–6.

    Article  Google Scholar 

  29. Pallia CS, Scott RE, Chao DJ. Traumatic hip dislocation in athletes. Curr Sports Med Rep. 2002;1(6):338–45.

    Article  Google Scholar 

  30. Mayer SW, Abdo JCM, Hill MK, Kestel LA, Pan Z, Novais EN. Femoroacetabular impingement is associated with sports-related posterior hip instability in adolescents: a matched-cohort study. Am J Sports Med. 2016;44(9):2299–303. https://doi.org/10.1177/0363546516651119.

    Article  PubMed  Google Scholar 

  31. Berkes MB, Cross MB, Shindle MK, Bedi A, Kelly BT. Traumatic posterior hip instability and femoroacetabular impingement in athletes. Am J Orthop. 2012;41(4):166–71.

    PubMed  Google Scholar 

  32. Paletta GA, Andrish JT. Injuries about the hip and pelvis in the young athlete. Clin Sports Med. 1995;14(3):591–628.

    PubMed  Google Scholar 

  33. Foulk DM, Mullis BH. Hip dislocation: evaluation and management. J Am Acad Orthop Surg. 2010;18(4):199–209.

    Article  Google Scholar 

  34. Philippon MJ, Kuppersmith DA, Wolff AB, Briggs KK. Arthroscopic findings following traumatic hip dislocation in 14 professional athletes. Arthroscopy. 2009;25(2):169–74. https://doi.org/10.1016/j.arthro.2008.09.013.

    Article  PubMed  Google Scholar 

  35. Boykin RE, Anz AW, Bushnell BD, Kocher MS, Stubbs AJ, Philippon MJ. Hip instability. J Am Acad Orthop Surg. 2011;19(6):340–9.

    Article  Google Scholar 

  36. Shibata KR, Matsuda S, Safran MR. Is there a distinct pattern to the acetabular labrum and articular cartilage damage in the non-dysplastic hip with instability? Knee Surg Sports Traumatol Arthrosc. 2017;25(1):84–93. https://doi.org/10.1007/s00167-016-4342-4.

    Article  PubMed  Google Scholar 

  37. Kalisvaart MM, Safran MR. Hip instability treated with arthroscopic capsular plication. Knee Surg Sports Traumatol Arthrosc. 2017;25(1):24–30. https://doi.org/10.1007/s00167-016-4377-6.

    Article  PubMed  Google Scholar 

  38. Byrd JW. Lateral impact injury. A source of occult hip pathology. Clin Sports Med. 2001;20(4):801–15.

    Article  CAS  Google Scholar 

  39. Marquez-Lara A, Mannava S, Howse EA, Stone AV, Stubbs AJ. Arthroscopic management of hip chondral defects: a systematic review of the literature. Arthroscopy. 2016;32(7):1435–43. https://doi.org/10.1016/j.arthro.2016.01.058.

    Article  PubMed  Google Scholar 

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Correspondence to Marc R. Safran .

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Meadows, M.C., Safran, M.R. (2019). Sports Trauma: The Hip. In: Rocha Piedade, S., Imhoff, A., Clatworthy, M., Cohen, M., Espregueira-Mendes, J. (eds) The Sports Medicine Physician. Springer, Cham. https://doi.org/10.1007/978-3-030-10433-7_26

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  • DOI: https://doi.org/10.1007/978-3-030-10433-7_26

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-10432-0

  • Online ISBN: 978-3-030-10433-7

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