Skip to main content

Athletic Populations of Interest in Hip Arthroscopy and Hip Preservation Surgery

  • Living reference work entry
  • Latest version View entry history
  • First Online:
Hip Arthroscopy and Hip Joint Preservation Surgery

Abstract

Hip arthroscopy and hip preservation surgery have experienced a tremendous upsurge in the past two decades. As imaging modalities, diagnostic abilities, and surgical instrumentation/implants continue to improve, indications for arthroscopic hip surgery are expanding at a rapid rate. Understanding the complex anatomy of the hip joint and appreciating the pathology responsible for both intra-articular and extra-articular pathology are crucial to selecting the appropriate patients and procedures. This is of utmost importance in the athletic patient population. Depending on the activity or sport, young athletes with hip pain may present in different ways with a variety of complaints. This chapter will discuss specific populations of interest in hip arthroscopy and hip preservation surgery. Diagnoses pertinent to this patient population will be discussed, with an emphasis on the unique injury patterns encountered in these patients.

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

Access this chapter

Institutional subscriptions

Similar content being viewed by others

References

  1. Colvin AC, Harrast J, Harner C. Trends in hip arthroscopy. J Bone Joint Surg Am. 2012;94:e23.

    Article  PubMed  Google Scholar 

  2. Lynch TS, Terry MA, Bedi A, Kelly BT. Hip arthroscopic surgery: patient evaluation, current indications, and outcomes. Am J Sports Med. 2013;41(5):1174–89.

    Article  PubMed  Google Scholar 

  3. Bedi A, Kelly BT, Khanduja V. Arthroscopic hip preservation surgery: current concepts and perspective. Bone Joint J. 2013;95-B(1):10–9.

    Article  CAS  PubMed  Google Scholar 

  4. Jamil M, Dandachli W, Noordin S, Witt J. Hip arthroscopy: indications, outcomes and complications. Int J Surg. 2018;54(Pt B):341–4. https://doi.org/10.1016/j.ijsu.2017.08.557. ISSN: 1743-9191, 1743-9159.

    Article  PubMed  Google Scholar 

  5. Nathani A, Safran MR. Hip arthroscopy – state of the art in 2018. Sports Med Arthrosc Rev. 2018;26(4):185–9.

    Article  PubMed  Google Scholar 

  6. Kelly BT, Williams RJ 3rd, Philippon MJ. Hip arthroscopy: current indications, treatment options, and management issues. Am J Sports Med. 2003;31(6):1020–37.

    Article  PubMed  Google Scholar 

  7. Luthra JS, Al-Habsi S, Al-Ghanami S, Ghosh S, Al-Muzahemi K. Understanding painful hip in young adults: a review article. Hip Pelvis. 2019;31(3):129–35. https://doi.org/10.5371/hp.2019.31.3.129.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Frank RM, Slabaugh MA, Grumet RC, Bush-Joseph CA, Virkus WW, Nho SJ. Hip pain in active patients: what you may be missing. J Fam Pract. 2012;61(12):736–44.

    PubMed  Google Scholar 

  9. Grumet RC, Frank RM, Slabaugh MA, Virkus WW, Bush-Joseph CA, Nho SJ. Lateral hip pain in an athletic population: differential diagnosis and treatment options. Sports Health. 2010;2(3):191–6.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Frank RM, Slabaugh MA, Grumet RC, Virkus WW, Bush-Joseph CA, Nho SJ. Posterior hip pain in an athletic population: differential diagnosis and treatment options. Sports Health. 2010;2(3):237–46.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Clohisy JC, Beaulé PE, O’Malley A, Safran MR, Schoenecker P. AOA symposium. Hip disease in the young adult: current concepts of etiology and surgical treatment. J Bone Joint Surg Am. 2008;90:2267–81.

    Article  PubMed  Google Scholar 

  12. Wilson JJ, Furukawa M. Evaluation of the patient with hip pain. Am Fam Physician. 2014;89:27–34.

    PubMed  Google Scholar 

  13. Bedi A, Kelly BT. Femoroacetabular impingement. J Bone Joint Surg Am. 2013;95(1):82–92. American volume.

    Article  PubMed  Google Scholar 

  14. Philippon MJ, Kuppersmith DA, Wolff AB, Briggs KK. Arthroscopic findings following traumatic hip dislocation in 14 professional athletes. Arthroscopy. 2009;25(2):169–74.

    Article  PubMed  Google Scholar 

  15. 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 

  16. Hall M, Anderson J. Hip pointers. Clin Sports Med. 2013;32(2):325–30.

    Article  PubMed  Google Scholar 

  17. Orchard JW, Steet E, Massey A, Dan S, Gardiner B, Ibrahim A. Long-term safety of using local anesthetic injections in professional rugby league. Am J Sports Med. 2010;38(11):2259–66.

    Article  PubMed  Google Scholar 

  18. Metzmaker JN, Pappas AM. Avulsion fractures of the pelvis. Am J Sports Med. 1985;13(5):349–58.

    Article  CAS  PubMed  Google Scholar 

  19. Rossi F, Dragoni S. Acute avulsion fractures of the pelvis in adolescent competitive athletes: prevalence, location and sports distribution of 203 cases collected. Skel Radiol. 2001;30(3):127–31.

    Article  CAS  Google Scholar 

  20. Calderazzi F, Nosenzo A, Galavotti C, Menozzi M, Pogliacomi F, Ceccarelli F. Apophyseal avulsion fractures of the pelvis. A review. Acta Biomed. 2018;89(4):470–6. Published 2018 Nov 15. https://doi.org/10.23750/abm.v89i4.7632.

    Article  PubMed  Google Scholar 

  21. Matsuda DK, Calipusan CP. Adolescent femoroacetabular impingement from malunion of the anteroinferior iliac spine apophysis treated with arthroscopic spinoplasty. Orthopedics. 2012;35(3):e460–3.

    Article  PubMed  Google Scholar 

  22. Byrd JW, Jones KS. Traumatic rupture of the ligamentum teres as a source of hip pain. Arthroscopy. 2004;20(4):385–91.

    Article  PubMed  Google Scholar 

  23. Eckard TG, Padua DA, Dompier TP, Dalton SL, Thorborg K, Kerr ZY. Epidemiology of hip flexor and hip adductor strains in National Collegiate Athletic Association athletes, 2009/2010-2014/2015. Am J Sports Med. 2017;45(12):2713–22.

    Article  PubMed  Google Scholar 

  24. Dalton SL, Zupon AB, Gardner EC, Djoko A, Dompier TP, Kerr ZY. The epidemiology of hip/groin injuries in National Collegiate Athletic Association men’s and women’s ice hockey: 2009–2010 through 2014–2015 academic years. Orthop J Sports Med. 2016;4(3):2325967116632692.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Hrysomallis C. Hip adductors’ strength, flexibility, and injury risk. J Strength Cond Res/Natl Strength Cond Assoc. 2009;23(5):1514–7.

    Google Scholar 

  26. Charnock BL, Lewis CL, Garrett WE Jr, Queen RM. Adductor longus mechanics during the maximal effort soccer kick. Sports Biomech/Int Soc Biomech Sports. 2009;8(3):223–34.

    Article  Google Scholar 

  27. Grote K, Lincoln TL, Gamble JG. Hip adductor injury in competitive swimmers. Am J Sports Med. 2004;32(1):104–8.

    Article  PubMed  Google Scholar 

  28. Nicholas SJ, Tyler TF. Adductor muscle strains in sport. Sports Med. 2002;32(5):339–44.

    Article  PubMed  Google Scholar 

  29. Boykin RE, Stull JD, Giphart JE, Wijdicks CA, Philippon MJ. Femoroacetabular impingement in a professional soccer player. Knee Surg Sports Traumatol Arthrosc. 2013;21(5):1203–11.

    Article  PubMed  Google Scholar 

  30. Tyler TF, Nicholas SJ, Campbell RJ, McHugh MP. The association of hip strength and flexibility with the incidence of adductor muscle strains in professional ice hockey players. Am J Sports Med. 2001;29(2):124–8.

    Article  CAS  PubMed  Google Scholar 

  31. Via AG, Frizziero A, Finotti P, Oliva F, Randelli F, Maffulli N. Management of osteitis pubis in athletes: rehabilitation and return to training – a review of the most recent literature. Open Access J Sports Med. 2018;10:1–10. Published 2018 Dec 24. https://doi.org/10.2147/OAJSM.S155077.

    Article  PubMed  PubMed Central  Google Scholar 

  32. Angoules AG. Osteitis pubis in elite athletes. World J Orthop. 2015;6(9):672–9.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Jakoi A, O’Neill C, Damsgaard C, Fehring K, Tom J. Sports hernia in National Hockey League players: does surgery affect performance? Am J Sports Med. 2013;41(1):107–10.

    Article  PubMed  Google Scholar 

  34. Farber AJ, Wilckens JH. Sports hernia: diagnosis and therapeutic approach. J Am Acad Orthop Surg. 2007;15(8):507–14.

    Article  PubMed  Google Scholar 

  35. Hopkins J, Brown W, Lee C. Sports hernia: definition, evaluation, and treatment. JBJS Rev. 2017;5(9):e6.

    Article  PubMed  Google Scholar 

  36. Ross JR, Stone RM, Larson CM. Core muscle injury/sports hernia/athletic pubalgia, and femoroacetabular impingement. Sports Med Arthrosc Rev. 2015;23(4):213–20.

    Article  PubMed  Google Scholar 

  37. Larson CM, Pierce BR, Giveans MR. Treatment of athletes with symptomatic intra-articular hip pathology and athletic pubalgia/sports hernia: a case series. Arthroscopy. 2011;27(6):768–75.

    Article  PubMed  Google Scholar 

  38. Matsuda DK. Endoscopic pubic symphysectomy for reclacitrant osteitis pubis associated with bilateral femoroacetabular impingement. Orthopedics. 2010;33(3):199.

    Article  Google Scholar 

  39. Hammoud S, Bedi A, Magennis E, Meyers WC, Kelly BT. High incidence of athletic pubalgia symptoms in professional athletes with symptomatic femoroacetabular impingement. Arthroscopy. 2012;28(10):1388–95.

    Article  PubMed  Google Scholar 

  40. Klingenstein GG, Martin R, Kivlan B, Kelly BT. Hip injuries in the overhead athlete. Clin Orthop Relat Res. 2012;470(6):1579–85.

    Article  PubMed  PubMed Central  Google Scholar 

  41. Mlynarek RA, Coleman SH. Hip and groin injuries in baseball players. Curr Rev Musculoskelet Med. 2018;11(1):19–25. https://doi.org/10.1007/s12178-018-9455-6.

    Article  PubMed  PubMed Central  Google Scholar 

  42. Scher S, Anderson K, Weber N, Bajorek J, Rand K, Bey MJ. Associations among hip and shoulder range of motion and shoulder injury in professional baseball players. J Athl Train. 2010;45(2):191–7.

    Article  PubMed  PubMed Central  Google Scholar 

  43. Robb AJ, Fleisig G, Wilk K, Macrina L, Bolt B, Pajaczkowski J. Passive ranges of motion of the hips and their relationship with pitching biomechanics and ball velocity in professional baseball pitchers. Am J Sports Med. 2010;38(12):2487–93.

    Article  PubMed  Google Scholar 

  44. Laudner KG, Moore SD, Sipes RC, Meister K. Functional hip characteristics of baseball pitchers and position players. Am J Sports Med. 2010;38(2):383–7.

    Article  PubMed  Google Scholar 

  45. Jack RA, Sochacki KR, Hirase T, et al. Performance and return to sport after hip arthroscopic surgery in Major League Baseball players. Orthop J Sports Med. 2019;7(2):2325967119825835. Published 2019 Feb 22. https://doi.org/10.1177/2325967119825835.

    Article  PubMed  PubMed Central  Google Scholar 

  46. Boykin RE, McFeely ED, Ackerman KE, Yen YM, Nasreddine A, Kocher MS. Labral injuries of the hip in rowers. Clin Orthop Relat Res. 2013;471(8):2517–22.

    Article  PubMed  PubMed Central  Google Scholar 

  47. Harrast MA, Colonno D. Stress fractures in runners. Clin Sports Med. 2010;29(3):399–416.

    Article  PubMed  Google Scholar 

  48. Sugiura Y, Sakuma K, Sakuraba K, Sato Y. Prevention of hamstring injuries in collegiate sprinters. Orthop J Sports Med. 2017;5(1):2325967116681524. Published 2017 Jan 17. https://doi.org/10.1177/2325967116681524.

    Article  PubMed  PubMed Central  Google Scholar 

  49. Askling CM, Tengvar M, Saartok T, Thorstensson A. Acute first-time hamstring strains during high-speed running: a longitudinal study including clinical and magnetic resonance imaging findings. Am J Sports Med. 2007;35(2):197–206.

    Article  PubMed  Google Scholar 

  50. Mucha MD, Caldwell W, Schlueter EL, Walters C, Hassen A. Hip abductor strength and lower extremity running related injury in distance runners: a systematic review. J Sci Med Sport. 2016;20:349.

    Article  PubMed  Google Scholar 

  51. Robertson GA, Wood AM. Femoral neck stress fractures in sport: a current concepts review. Sports Med Int Open. 2017;1(2):E58–68. Published 2017 Mar 15. https://doi.org/10.1055/s-0043-103946.

    Article  PubMed  PubMed Central  Google Scholar 

  52. Carey T, Key C, Oliver D, Biega T, Bojescul J. Prevalence of radiographic findings consistent with femoroacetabular impingement in military personnel with femoral neck stress fractures. J Surg Orthop Adv. 2013;22(1):54–8.

    Article  PubMed  Google Scholar 

  53. Taylor-Haas JA, Paterno MV, Shaffer MD. Femoral neck stress fracture and femoroacetabular impingement. J Orthop Sports Phys Ther. 2011;41(11):905.

    Article  PubMed  Google Scholar 

  54. Kuhn KM, Riccio AI, Saldua NS, Cassidy J. Acetabular retroversion in military recruits with femoral neck stress fractures. Clin Orthop Relat Res. 2010;468(3):846–51.

    Article  PubMed  Google Scholar 

  55. Lee CH, Huang GS, Chao KH, Jean JL, Wu SS. Surgical treatment of displaced stress fractures of the femoral neck in military recruits: a report of 42 cases. Arch Orthop Trauma Surg. 2003;123(10):527–33.

    Article  PubMed  Google Scholar 

  56. Chumanov ES, Heiderscheit BC, Thelen DG.Hamstring musculotendon dynamics during stance and swing phases of high-speed running. Med Sci Sports Exerc. 2011;43(3):525–32.

    Article  PubMed  PubMed Central  Google Scholar 

  57. Domb BG, Linder D, Sharp KG, Sadik A, Gerhardt MB. Endoscopic repair of proximal hamstring avulsion. Arthrosc Tech. 2013;2(1):e35–9.

    Article  PubMed  PubMed Central  Google Scholar 

  58. Dierckman BD, Guanche CA. Endoscopic proximal hamstring repair and ischial bursectomy. Arthrosc Tech. 2012;1(2):e201–7.

    Article  PubMed  PubMed Central  Google Scholar 

  59. Gamboa JM, Roberts LA, Maring J, Fergus A. Injury patterns in elite preprofessional ballet dancers and the utility of screening programs to identify risk characteristics. J Orthop Sports Phys Ther. 2008;38(3):126–36.

    Article  PubMed  Google Scholar 

  60. Lee KS, Rosas HG, Phancao JP. Snapping hip: imaging and treatment. Semin Musculoskelet Radiol. 2013;17(3):286–94.

    Article  PubMed  Google Scholar 

  61. Anderson SA, Keene JS. Results of arthroscopic iliopsoas tendon release in competitive and recreational athletes. Am J Sports Med. 2008;36(12):2363–71.

    Article  PubMed  Google Scholar 

  62. Idjadi J, Meislin R. Symptomatic snapping hip: targeted treatment for maximum pain relief. Phys Sports Med. 2004;32(1):25–31.

    Article  Google Scholar 

  63. Zoltan DJ, Clancy WG Jr, Keene JS. A new operative approach to snapping hip and refractory trochanteric bursitis in athletes. Am J Sports Med. 1986;14(3):201–4.

    Article  CAS  PubMed  Google Scholar 

  64. Dezawa A, Kusano S, Miki H. Arthroscopic release of the piriformis muscle under local anesthesia for piriformis syndrome. Arthroscopy. 2003;19(5):554–7.

    Article  PubMed  Google Scholar 

  65. Hwang DS, Kang C, Lee JB, Cha SM, Yeon KW. Arthroscopic treatment of piriformis syndrome by perineural cyst on the sciatic nerve: a case report. Knee Surg Sports Traumatol Arthrosc. 2010;18(5):681–4.

    Article  PubMed  Google Scholar 

  66. Turner R, O’Sullivan E, Edelstein J. Hip dysplasia and the performing arts: is there a correlation? Curr Rev Musculoskelet Med. 2012;5(1):39–45.

    Article  PubMed  PubMed Central  Google Scholar 

  67. Bronner S, Brownstein B. Profile of dance injuries in a Broadway show: a discussion of issues in dance medicine epidemiology. J Orthop Sports Phys Ther. 1997;26(2):87–94.

    Article  CAS  PubMed  Google Scholar 

  68. Jacobson JA, Bedi A, Sekiya JK, Blankenbaker DG. Evaluation of the painful athletic hip: imaging options and imaging-guided injections. AJR Am J Roentgenol. 2012;199(3):516–24.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Rachel M. Frank .

Editor information

Editors and Affiliations

Section Editor information

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Science+Business Media, LLC, part of Springer Nature

About this entry

Check for updates. Verify currency and authenticity via CrossMark

Cite this entry

Chang, J., Frank, R.M., Mascarenhas, R., Lee, S., Salata, M.J., Nho, S.J. (2021). Athletic Populations of Interest in Hip Arthroscopy and Hip Preservation Surgery. In: Nho, S.J., Asheesh, B., Salata, M.J., Mather III, R.C., Kelly, B.T. (eds) Hip Arthroscopy and Hip Joint Preservation Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7321-3_11-2

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-7321-3_11-2

  • Received:

  • Accepted:

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-7321-3

  • Online ISBN: 978-1-4614-7321-3

  • eBook Packages: Springer Reference MedicineReference Module Medicine

Publish with us

Policies and ethics

Chapter history

  1. Latest

    Athletic Populations of Interest in Hip Arthroscopy and Hip Preservation Surgery
    Published:
    18 June 2021

    DOI: https://doi.org/10.1007/978-1-4614-7321-3_11-2

  2. Original

    Athletic Populations of Interest in Hip Arthroscopy and Hip Preservation Surgery
    Published:
    28 March 2014

    DOI: https://doi.org/10.1007/978-1-4614-7321-3_11-1