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Hip Pointers

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Hip Pointers

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    1. Hip Pointers By Erin Shaffer

    2. What exactly is a hip pointer? A hip pointer is a very painful contusion to the iliac crest of the hip or greater trochanter of the femur normally caused by a direct fall or blow to the area.

    3. What sport are you most likely to see a hip pointer injury in? Common sports that hip pointers occur in are contact sports such as: football hockey However, anyone can receive a hip pointer. Examples Volleyball story

    4. History MOI? Where does it hurt? What kind of pain is it? Any sounds? Chief complaint? ADL? Aggravates? Alleviates? Were you able to continue what you were doing?

    5. Palpations and Inspection Palpations: Iliac crest Greater trochanter ASIS Muscles (Rectus Femoris, Sartorius, Tensor fascia latae, Transverse abdominis, external oblique, latissimus dorsi) Inspection: A hip pointer can limit ROM when running/walking Swelling ecchymosis Point tenderness

    6. Prevention Unfortunately, there is no way to really prevent a hip pointer. The best thing to do is wear some sort of padding.

    7. Why is this region susceptible to injury?

    8. How do you treat a hip pointer? Rest Ice Compression NSAIDS PWB or NWB Patient Positioning Padding an athletes injury may help them return to play more quickly. Possible X-ray

    9. Differential Diagnosis A hip fracture must be ruled out. Bursitis of the greater trochanter Iliotibial band syndrome Avulsion fracture

    10. Return to play An athlete can return to play depending on how quickly they are treated and respond to rehab. treatment needs to be started promptly pain has decreased swelling has decreased the athlete can walk with their normal gait Proper treatment and enough rest is key.

    11. Complications Myositis ossificans (new bone formation in the muscle) Scar tissue formation Chronic bursitis

    12. Sources 1 Anderson K., Strickland S., Warren R. Hip and Groin Injuries in Athletes. AJSM. 2001;29: 521 533. 2 Martinez JM. Emedicine. Hip Pointer. 2005. Available at http://www.emedicine.com/SPORTS/topic50.htm. Accessed March 18, 2007 3 Mishara A. Sports Medicine and Fitness Information. Hip Pointer. Available at http://www.emedx.com/emedx/diagnosis_information/hip_pelvis_disorders/hip_pointer_outline.htm. Accessed March 18, 2007. 4 Quin E. About: Sports Medicine. Hip Pointer Injury. Available at http://sportsmedicine.about.com /cs/hip_groin/a/hip3.htm. Accessed March 19, 2007.

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