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Hip Injuries in the Young Female Athlete

  • Chapter
The Young Female Athlete

Part of the book series: Contemporary Pediatric and Adolescent Sports Medicine ((PASM))

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Abstract

Hip injuries in the young female athlete include a spectrum of disorders ranging from soft tissue strains, apophyseal avulsions or inflammation, to hip dysplasia or impingement, and from the acute and traumatic to the chronic and insidious. Timely diagnosis and identification of potential underlying metabolic or anatomic pathology is of the utmost importance, and a thorough history and focused physical examination will provide most of the information necessary to guide decision-making on the role for radiography, advanced imaging, and further diagnostic testing. Soft tissue injuries are most common around the hip, and most can be treated non-operatively. Injuries as well as chronic issues around the hip and pelvis often require radiographic examination, which helps with both diagnosis of the acute problem as well as the identification of underlying anatomy, which may predispose to injury. Increasing understanding and improved diagnostic modalities have improved our ability to diagnose the young athlete with hip pain. Improvements in arthroscopic and open surgical treatments have significantly advanced our ability to treat these pathologies. The diagnosis of stress fracture and injury around the hip and pelvis is of particular importance in the young female athlete, as is the associated diagnosis and management of the Female Athlete Triad.

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Abbreviations

FABER:

Flexion abduction external rotation

FADIR:

Flexion adduction internal rotation

FAI:

Femoroacetabular impingement

MRI:

Magnetic resonance imaging

SCFE:

Slipped capital femoral epiphysis

SI:

Sacroiliac

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Authors and Affiliations

  1. Orthopaedic Surgery, Children’s Hospital of Eastern Ontario (CHEO), 401 Smyth Rd, Ottawa, ON, Canada, K1H 8L1

    Sasha Carsen MD, MBA, FRCSC

  2. Division of Sports Medicine, Department of Orthopaedic Surgery, Childrens Hospital Boston, 300 Longwood Ave, Hunnewell 206, Boston, MA, 02115, USA

    Yi-Meng Yen MD, PhD

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  1. Sasha Carsen MD, MBA, FRCSC
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  2. Yi-Meng Yen MD, PhD
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Correspondence to Yi-Meng Yen MD, PhD .

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Editors and Affiliations

  1. Division of Sports Medicine, Department of Orthopedics, Boston Children’s Hospital Harvard Medical School, Boston, Massachusetts, USA

    Cynthia J. Stein

  2. Division of Sports Medicine,Department of Orthopedics, Division of Endocrinology, Department of Pediatrics, Neuroendocrine Unit,Department of Medicine, Children’s Hospital; Massachusetts General Hospital; Harvard Medical School, Boston, Massachusetts, USA

    Kathryn E. Ackerman

  3. Division of Sports Medicine, Department of Orthopedics Division of Emergency Medicine, Department of Pediatrics, Boston Children's Hospital; Harvard Medical School, Boston, Massachusetts, USA

    Andrea Stracciolini

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Carsen, S., Yen, YM. (2016). Hip Injuries in the Young Female Athlete. In: Stein, C., Ackerman, K., Stracciolini, A. (eds) The Young Female Athlete. Contemporary Pediatric and Adolescent Sports Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-21632-4_8

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  • DOI: https://doi.org/10.1007/978-3-319-21632-4_8

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