Skip to main content
SpringerLink
Log in
SpringerLink
Log in

Sports Injuries to the Hip Joint

  • Chapter
  • First Online:
General Principles of Orthopedics and Trauma

  • 1346 Accesses

Abstract

Sports-related hip pathologies are not uncommon. They are less represented in the literature compared to the other large joints in the body. Sports injuries to the hip joint can be grouped according to the structures injured into intra-articular or extra-articular injuries. Knowledge of the surgical anatomy, clinical assessment, and imaging options that helps in arriving at the diagnosis is discussed. Specific diagnostic challenges and management options are explored, which include surgical and nonsurgical techniques. Appropriately managed resolution of symptoms can be expected in majority of patients.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

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

    Article  Google Scholar 

  2. Philippon MJ, Nepple JJ, Campbell KJ, Dornan GJ, Jansson KS, LaPrade RF, Wijdicks CA. The hip fluid seal—Part I: the effect of an acetabular labral tear, repair, resection, −and reconstruction on hip fluid pressurization. Knee Surg Sports Traumatol Arthrosc. 2014;22(4):722–9.

    Article  PubMed  Google Scholar 

  3. Cashin M, Uhthoff H, O’Neill M, Beaulé PE. Embryology of the acetabular labral-chondral complex. J Bone Joint Surg Br. 2008;90(8):1019–24.

    Article  CAS  PubMed  Google Scholar 

  4. Kılıçarslan K, Kılıçarslan A, Demirkale İ, Aytekin MN, Aksekili MA, Uğurlu M. Immunohistochemical analysis of mechanoreceptors in transverse acetabular ligament and labrum: a prospective analysis of 35 cases. Acta Orthop Traumatol Turc. 2015;49(4):394–8.

    PubMed  Google Scholar 

  5. Gerhardt M, Johnson K, Atkinson R, Snow B, Shaw C, Brown A, Vangsness CT Jr. Characterisation and classification of the neural anatomy in the human hip joint. Hip Int. 2012;22(1):75–81.

    Article  PubMed  Google Scholar 

  6. Kalhor M, Horowitz K, Beck M, Nazparvar B, Ganz R. Vascular supply to the acetabular labrum. J Bone Joint Surg Am. 2010;92(15):2570–5.

    Article  PubMed  Google Scholar 

  7. 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.

    Article  PubMed  Google Scholar 

  8. Smith MV, Panchal HB, Ruberte Thiele RA, Sekiya JK. Effect of acetabular labrum tears on hip stability and labral strain in a joint compression model. Am J Sports Med. 2011;39(Suppl):103S–10S.

    Article  PubMed  Google Scholar 

  9. Lim S-J, Park Y-S. Plain radiography of the hip: a review of radiographic techniques and image features. Hip Pelvis. 2015;27(3):125–34.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Lin Y-T, Wang T-G. Ultrasonographic examination of the adult hip. J Med Ultrasound. 2012;20(4):201–9.

    Article  Google Scholar 

  11. Aubry S, Bélanger D, Giguère C, Lavigne M. Magnetic resonance arthrography of the hip: technique and spectrum of findings in younger patients. Insights Imaging. 2010;1(2):72–82.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Plotz GM, Brossmann J, von Knoch M, Muhle C, Heller M, Hassenpflug J. Magnetic resonance arthrography of the acetabular labrum: value of radial reconstructions. Arch Orthop Trauma Surg. 2001;121(8):450–7.

    Article  CAS  PubMed  Google Scholar 

  13. Kubo T, Horii M, Harada Y, Noguchi Y, Yutani Y, Ohashi H, Hachiya Y, Miyaoka H, Naruse S, Hirasawa Y. Radial-sequence magnetic resonance imaging in evaluation of acetabular labrum. J Orthop Sci. 1999;4(5):328–32.

    Article  CAS  PubMed  Google Scholar 

  14. Beck M, Kalhor M, Leunig M, Ganz R. Hip morphology influences the pattern of damage to the acetabular cartilage: femoroacetabular impingement as a cause of early osteoarthritis of the hip. J Bone Joint Surg Br. 2005;87(7):1012–8.

    Article  CAS  PubMed  Google Scholar 

  15. Czerny C, Hofmann S, Neuhold A, Tschauner C, Engel A, Recht MP, Kramer J. Lesions of the acetabular labrum: accuracy of MR imaging and MR arthrography in detection and staging. Radiology. 1996;200(1):225–30.

    Article  CAS  PubMed  Google Scholar 

  16. Blanken baker DG, DeSmet AA, Keene JS, Fine JP. Classification and localization of acetabular labral tears. Skelet Radiol. 2007;36(5):391–7.

    Article  CAS  Google Scholar 

  17. Lage LA, Patel JV, Villar RN. The acetabular labral tear: an arthroscopic classification. Arthroscopy. 1996;12(3):269–72.

    Article  CAS  PubMed  Google Scholar 

  18. Magee T, Hinson G. Association of paralabral cysts with acetabular disorders. AJR Am J Roentgenol. 2000;174(5):1381–4.

    Article  CAS  PubMed  Google Scholar 

  19. Ganz R, Parvizi J, Beck M, Leunig M, Notzli H, Siebenrock KA. Femoroacetabular impingement: a cause for osteoarthritis of the hip. Clin Orthop Relat Res. 2003;(417):112–20.

    Google Scholar 

  20. Tanzer M, Noiseux N. Osseous abnormalities and early osteoarthritis: the role of hip impingement. Clin Orthop Relat Res. 2004;429:170–7.

    Article  Google Scholar 

  21. Kassarjian A, Yoon LS, Belzile E, Connolly SA, Millis MB, Palmer WE. Triad of MR arthrographic findings in patients with cam type femoroacetabular impingement. Radiology. 2005;236(2):588–92.

    Article  PubMed  Google Scholar 

  22. Notzli HP, Wyss TF, Stoecklin CH, Schmid MR, Treiber K, Hodler J. The contour of the femoral head-neck junction as a predictor for the risk of anterior impingement. J Bone Joint Surg Br. 2002;84(4):556–60.

    Article  CAS  PubMed  Google Scholar 

  23. Siebenrock KA, Schoeniger R, Ganz R. Anterior femoroacetabular impingement due to acetabular retroversion. Treatment with periacetabular osteotomy. J Bone Joint Surg Am. 2003;85-A(2):278–86.

    Article  CAS  PubMed  Google Scholar 

  24. Nishii T, Tanaka H, Nakanishi K, Sugano N, Miki H, Yoshikawa H. Fat-suppressed 3D spoiled gradient-echo MRI and MDCT arthrography of articular cartilage in patients with hip dysplasia. AJR Am J Roentgenol. 2005;185(2):379–85.

    Article  Google Scholar 

  25. Neumann G, Mendicuti AD, Zou KH, Minas T, Coblyn J, Winalski CS, Lang P. Prevalence of labral tears and cartilage loss in patients with mechanical symptoms of the hip: evaluation using MR arthrography. Osteoarthr Cartil. 2007;15(8):909–17.

    Article  CAS  PubMed  Google Scholar 

  26. Martin RRL, McGovern RP, Martin HD, Kivlan BR. A mechanism for ligamentum teres injuries in femoroacetabular impingement: an anatomical study. Int J Sports Phys Ther. 2018;13(2):208–13.

    Article  PubMed  PubMed Central  Google Scholar 

  27. O’Donnell J, Economopoulos K, Singh P, et al. The ligamentum teres test: a novel and effective test in diagnosing tears of the ligamentum teres. Am J Sports Med. 2014;42:138–43.

    Article  PubMed  Google Scholar 

  28. O’Donnell JM, Pritchard M, Salas AP, Singh PJ. The ligamentum teres—its increasing importance. J Hip Preserv Surg. 2014;1(1):3–11.

    Article  PubMed  PubMed Central  Google Scholar 

  29. De SD, Phillips M, Philippon MJ, et al. Ligamentum teres injuries of the hip: a systematic review examining surgical indications, treatment options, and outcomes. Arthroscopy. 2014;30:1634–41.

    Article  Google Scholar 

  30. Martin RL, Martin HD. Function and clinical relevance of the ligamentum teres: a current concept. Curr Orthop Pract. 2015;26:1–3.

    Article  Google Scholar 

  31. Lequesne M, Djian P, Vuillemin V, Mathieu P. Prospective study of refractory greater trochanter pain syndrome. MRI findings of gluteal tendon tears seen at surgery. Clinical and MRI results of tendon repair. Joint Bone Spine. 2008;75:458.

    Article  PubMed  Google Scholar 

  32. Verhelst L, Guevara V, De Schepper J, et al. Extra-articular hip endoscopy: a review of the literature. Bone Joint Res. 2012;1:324.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  33. Lewis CL. Extra-articular snapping hip-a literature review. Sports Health. 2010;2(3):186–90.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Ilizaliturri VM Jr, Villalobos FE Jr, Chaidez PA, Valero FS, Aguilera JM. Internal snapping hip syndrome: treatment by endoscopic release of the iliopsoas tendon. Arthroscopy. 2005;21(11):1375–80.

    Article  PubMed  Google Scholar 

  35. Beals RK. Painful snapping hip in young adults. West J Med. 1993;159(4):481–2.

    CAS  PubMed  PubMed Central  Google Scholar 

  36. Larsen E, Johansen J. Snapping hip. Acta Orthop Scand. 1986;57(2):168–70.

    Article  CAS  PubMed  Google Scholar 

  37. Provencher MT, Hofmeister EP, Muldoon MP. The surgical treatment of external coxa saltans (the snapping hip) by Z-plasty of the iliotibial band. Am J Sports Med. 2004;32(2):470–6.

    Article  PubMed  Google Scholar 

  38. Gruen GS, Scioscia TN, Lowenstein JE. The surgical treatment of internal snapping hip. Am J Sports Med. 2002;30(4):607–13.

    Article  PubMed  Google Scholar 

  39. Cheatham SW, Kolber MJ, Salamh PA. Merelgia paresthetica: a review of literature. Int J Sports Phys Ther. 2013;8(6):883–93.

    PubMed  PubMed Central  Google Scholar 

  40. TL S, Chandran KN. Neurolysis for meralgia paresthetica: an operative series of 45 cases. Surg Neurol. 2005;63(1):19–23.

    Article  Google Scholar 

  41. Kho KH, Blijham PJ, Zwarts MJ. Meralgia paresthetica after strenuous exercise. Muscle Nerve. 2005;31:761.

    Article  PubMed  Google Scholar 

  42. Benezis I, Boutaud B, Leclerc J, et al. Lateral femoral cutaneous neuropathy and its surgical treatment: a report of 167 cases. Muscle Nerve. 2007;36:659.

    Article  PubMed  Google Scholar 

  43. Jankovic D, Peng P, van Zundert A. Brief review: piriformis syndrome: etiology, diagnosis, and management. Can J Anesth. 2013;60(10):1003–12.

    Article  PubMed  Google Scholar 

  44. Hopayian K, Song F, Riera R, Sambandan S. The clinical features of the piriformis syndrome: etiology, diagnosis, and management. Eur Spine J. 2010;60:1003.

    Google Scholar 

  45. Ro TH, Edmonds L. Diagnosis and management of piriformis syndrome: a rare anatomic variant analyzed by magnetic resonance imaging. J Clin Imaging Sci. 2018;8:6.

    Article  PubMed  PubMed Central  Google Scholar 

  46. Sheen AJ, Stephenson BM, Lloyd DM, et al. Treatment of the sportsman’s groin’: British Hernia Society’s 2014 position statement based on the Manchester Consensus Conference. Br J Sports Med. 2014;48:1079.

    Article  PubMed  Google Scholar 

  47. Paajanen H, Brinck T, Hermunen H, Airo I. Laparoscopic surgery for chronic groin pain in athletes is more effective than nonoperative treatment: a randomized clinical trial with magnetic resonance imaging of 60 patients with sportsman’s hernia (athletic pubalgia). Surgery. 2011;150:99.

    Article  PubMed  Google Scholar 

  48. Radic R, Annear P. Use of pubic symphysis curettage for treatment-resistant osteitis pubis in athletes. Am J Sports Med. 2008;36:122.

    Article  PubMed  Google Scholar 

  49. Williams PR, Thomas DP, Downes EM. Osteitis pubis and instability of the pubic symphysis. When nonoperative measures fail. Am J Sports Med. 2000;28:350.

    Article  CAS  PubMed  Google Scholar 

  50. Mulhall KJ, McKenna J, Walsh A, McCormack D. Osteitis pubis in professional soccer players: a report of outcome with symphyseal curettage in cases refractory to conservative management. Clin J Sport Med. 2002;12:179.

    Article  PubMed  Google Scholar 

  51. Ekstrand J, Ringborg S. Surgery versus conservative treatment in soccer players with chronic groin pain: a prospective randomised study in soccer players. Eur J Sports Traumatol. 2001;23:141.

    Google Scholar 

  52. Zini R, Panascì M. Post-traumatic ossifications of the rectus femoris: arthroscopic treatment and clinical outcome after 2 years. Injury. 2018;49(Suppl 3):S100–4.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Warrington and Halton Hospitals NHS Foundation Trust, Warrington, UK

    Prakash Chandran & Rohit Singhal

Authors
  1. Prakash Chandran
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Rohit Singhal
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Formerly Locum Consultant Orthopaedic Surgeon, Royal Free Hampstead NHS trust, Royal Free Hospital, London, UK

    K. Mohan Iyer

  2. Division of Trauma and Orthopaedic Surgery, Addenbrooke’s Hospital, University of Cambridge, Cambridge, Cambridgeshire, UK

    Wasim S. Khan

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Chandran, P., Singhal, R. (2019). Sports Injuries to the Hip Joint. In: Iyer, K., Khan, W. (eds) General Principles of Orthopedics and Trauma. Springer, Cham. https://doi.org/10.1007/978-3-030-15089-1_24

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-15089-1_24

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-15088-4

  • Online ISBN: 978-3-030-15089-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation