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Hip Pointer Injuries

Hip Pointer Injuries. What is a hip pointer injury?. A hip pointer refers to a direct contact injury to the iliac crest of the pelvis. The iliac crest is commonly known as the "hip bone." . Red Arrows outline the Iliac Crest where many hip and pelvis muscles attach.

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Hip Pointer Injuries

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  1. Hip Pointer Injuries

  2. What is a hip pointer injury? • A hip pointer refers to a direct contact injury to the iliac crest of the pelvis. The iliac crest is commonly known as the "hip bone."

  3. Red Arrows outlinethe Iliac Crest where many hip and pelvis muscles attach

  4. What are the tissues being injured? • The rectus femoris (one of the quadriceps muscles) and the abdominal muscles attach to a bone called the ilium. The abdominal muscles attach to a part of the ilium called the iliac crest. A hip pointer results from either a contusion to the iliac crest or from a separation of the muscle fibers from the iliac crest.

  5. How is a hip pointer caused? • Like thigh contusions, a hip pointer usually results from a direct blow to the iliac crest. A severe hip pointer can occur after a significant stretch injury that leads to tearing of the muscle fiber insertions at the iliac crest. Whether from a direct hit from a helmet, or a hard fall. Hip pointers are common in contact sports such as football, and soccer.

  6. Sport Examples… • It can occur in football from a helmet tackle into the pelvic bone • It can occur in hockey from a direct blow of another player • Even though it’s common in contact sports it can also occur in non contact sports like volleyball- as a result of a fall onto the hip or side.

  7. Any certain age group? • Adolescents and young adults • Hip injuries generally comprise 5-9% of high school athletic injuries.

  8. Hip Pointer Injury • This is a soccer athlete who reported to the athletic training room two days post injury. He fell on his hip while executing a slide tackle during a game.

  9. Signs and Symptoms? • The patient present with the sudden hip pain in the iliac crest or greater trochanteric region after sustaining trauma. • The pain is localized and may be intensified with activities such as running, jumping, twisting, or bending. • The pain can limit range of motion (ROM) at the hip joint and/or rotation of the trunk if the abdominal musculature is involved.

  10. Treatment • Non operative: Initial treatment consists of icing, compression and rest. Anti-inflammatory medication and gentle stretching should begin at about 48 hours after the injury. A personalized program of strengthening, flexibility and coordination exercises is then designed for the patient. If the bruising of the muscle and bone from the injury is severe, however, return to full activity may take several weeks.

  11. Prevention

  12. How to prevent… • Maintaining excellent flexibility, strength and endurance of the hip, pelvis and lower back muscles may prevent some hip pointers. Most, however, are the unfortunate result of significant contact and are not preventable.

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