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Clinics in Sports Medicine Apr 2021Hip injuries are common in the athletic population, typically occurring in sports as a result of contact or overuse. Previous literature describes differences in injury... (Review)
Review
Hip injuries are common in the athletic population, typically occurring in sports as a result of contact or overuse. Previous literature describes differences in injury rates between male and female athletes, clinical presentation, treatment, and outcomes. In addition, anatomic differences in acetabular and femoral version, hip alpha angles, lateral center-edge angles, pelvic tilt, and knee biomechanics have been demonstrated. These differences may alter injury patterns between male and female athletes and contribute to differences in hip pathology. Therefore, individualized treatment and rehabilitation strategies should be taken into consideration in order to expedite an athlete's return to play.
Topics: Acetabulum; Athletes; Athletic Injuries; Biomechanical Phenomena; Female; Hip Injuries; Humans; Knee; Knee Joint; Male; Resistance Training; Sex Characteristics; Sports
PubMed: 33673895
DOI: 10.1016/j.csm.2020.12.004 -
Clinics in Sports Medicine Apr 2021The athlete's hip is complex when it comes to the surrounding musculature-approximately 21 different muscles can cross the hip and pelvis region, all synchronously... (Review)
Review
The athlete's hip is complex when it comes to the surrounding musculature-approximately 21 different muscles can cross the hip and pelvis region, all synchronously working to maintain pelvic stability and functional hip activities. Commonly injured muscle groups for high-level athletes include flexors, adductors, abductors, and/or proximal hamstring musculotendinous complex. These muscle groups work in harmony; however, each has an independent function and propensity for injury. Rehabilitation phases for each injury group can be broken down into 3 phases: acute management, strengthening, and return-to-sport or return-to-competition phase. Specific rehabilitation principles and modalities are described for each injury group.
Topics: Athletes; Hamstring Muscles; Hip Injuries; Humans; Muscle, Skeletal; Pelvis; Return to Sport; Soft Tissue Injuries
PubMed: 33673896
DOI: 10.1016/j.csm.2021.01.002 -
Journal of Orthopaedic Surgery (Hong... 2019Gunshot injury of the hip joint was reported to constitute 2-17% of all extremity firearm injuries. However, there are few studies in the literature related to gunshot...
BACKGROUND
Gunshot injury of the hip joint was reported to constitute 2-17% of all extremity firearm injuries. However, there are few studies in the literature related to gunshot injuries of the hip joint. The aim of the current study was to present the results of 10 cases treated with arthroplasty following a gunshot injury to the hip joint together with the recommended treatment algorithm.
METHODS
Patients with a previous medical history of hip joint region gunshot injury who underwent total hip arthroplasty were retrospectively evaluated. Those with incomplete medical records or who were lost to follow-up were excluded. Patients were classified according to the severity of the previous gunshot injury to the hip joint region. Harris hip score (HHS) and Short Form-12 quality of life score were the main outcome measurements. Postoperative complications encountered during follow-up were recorded.
RESULTS
The mean age of the patients at the time of surgery was 29.9 years. The mean preoperative HHS was 25.2 points and it was 65.8 at the final follow-up. Patients with bullet fragments in the hip joint, classified as group 1, had better HHS, whereas those with contaminated hip joint with intestinal flora, classified as group 3, had worst HHS.
CONCLUSION
Hip arthroplasty after hip joint gunshot injury is a good treatment choice in young patients to reduce pain and regain functions. However, very high infection rates can be seen in patients with accompanying intestinal injury.
Topics: Adolescent; Adult; Arthroplasty, Replacement, Hip; Female; Hip Injuries; Hip Joint; Hip Prosthesis; Humans; Incidence; Male; Middle Aged; Postoperative Complications; Quality of Life; Radiography; Retrospective Studies; Treatment Outcome; Turkey; Wounds, Gunshot; Young Adult
PubMed: 31496364
DOI: 10.1177/2309499019873113 -
Journal of Dance Medicine & Science :... Dec 2019Hip hop dance is becoming increasingly popular. It is performed in a variety of environments and can be fused with other dance styles. There is limited research on this...
Hip hop dance is becoming increasingly popular. It is performed in a variety of environments and can be fused with other dance styles. There is limited research on this dance demographic. The object of this study was to record and assess the injury patterns and diagnoses of hip hop dancers who presented to a dancer injury clinic at the Royal National Orthopaedic Hospital (RNOH) in London over a 5-year period. Of the 800 patients who attended the clinic, 73 (28 males, 45 females) identified themselves as hip hop dancers. The mean age of these dancers was 26.1 years (± 6.59 years). The majority were professionals (49%) and the next largest group was students (31.5%). The most common site of injury was the knee (36%), followed by the lumbar spine (19%) and the foot and ankle (15%). The site of injury appeared to be influenced by the sub-style of hip hop the dancer performed. There were gender differences in knee injuries; male dancers predominantly sustained meniscal injuries (45%) and female dancers primarily sustained patellofemoral pain (60%). All lumbar disc injuries were at the L5/S1 level. These results are comparable to those of previous studies investigating injury in hip hop dancers. More research is needed to explore injury etiology, develop injury prevention measures, and increase awareness of the injury complexities in this dance population.
Topics: Adult; Child; Dancing; Female; Hip Injuries; Humans; Incidence; Knee Injuries; Leg Injuries; Risk Factors; Surveys and Questionnaires; Wounds and Injuries; Young Adult
PubMed: 31775952
DOI: 10.12678/1089-313X.23.4.145 -
Journal of Strength and Conditioning... Aug 2009The hip adductor muscle group plays an important role in both movement and stability at the hip joint in many athletic pursuits. Injury to this muscle group has been... (Review)
Review
The hip adductor muscle group plays an important role in both movement and stability at the hip joint in many athletic pursuits. Injury to this muscle group has been reported in a number of sports, among them, ice hockey, soccer, Australian football, and swimming. The identification of muscle characteristics that predispose a muscle to injury is an important step in developing conditioning programs to reduce injury risk. Muscle strength and range of motion are 2 parameters that may influence injury risk. The aim of this review was to examine the relationship between hip adductors' strength, flexibility, and injury risk. Strength testing has involved isokinetic or hand-held dynamometry. Flexibility has usually been assessed by goniometry during maximal hip abduction. An association has been reported between adductor strength deficits and injury for ice hockey players. Low adductor flexibility has also been identified as a risk factor for injury in soccer players. An intervention program that strengthened the hip adductors had some success in reducing injury risk for ice hockey players. There is some low- to moderate-level evidence from cohort studies to suggest that flexibility and strength are related to injury risk in particular sports and that an intervention program may be effective in reducing injury risk. Higher level evidence from randomized controlled trials is required to firmly establish the link between hip adductor flexibility, strength, and injury.
Topics: Athletic Injuries; Hip Injuries; Hip Joint; Humans; Muscle Strength; Muscle Strength Dynamometer; Muscle, Skeletal; Range of Motion, Articular; Risk Factors; Sports
PubMed: 19620912
DOI: 10.1519/JSC.0b013e3181a3c6c4 -
Arthritis Care & Research Jun 2019To evaluate the association between hip injury/giving way and hip pain exacerbations in patients with symptomatic hip osteoarthritis (OA).
OBJECTIVE
To evaluate the association between hip injury/giving way and hip pain exacerbations in patients with symptomatic hip osteoarthritis (OA).
METHODS
We conducted an internet-based case-crossover study to assess hip injury and giving way for hip pain exacerbation. Eligible participants with symptomatic hip OA were followed up for 90 days and asked to complete online questionnaires at baseline and 10-day intervals (control periods). They also logged on to the study web site to complete questionnaires for an episode of a hip pain exacerbation (case periods) defined as an increase of 2 points in pain intensity compared with the baseline rating on a numeric rating scale (range 0-10). The relationship of hip injury and giving way to the risk of pain exacerbation was examined using conditional logistic regression.
RESULTS
Of 252 patients recruited into the study, we included 133 patients (53%) who provided data from both case and control periods. Hip injury during the last 7 days increased the risk of hip pain exacerbation (odds ratio [OR] 2.74 [95% confidence interval (95% CI) 1.62-4.62]). The hip giving way during the last 2 days was associated with an increased risk of hip pain exacerbation (OR 2.10 [95% CI 1.30-3.39]) and showed a significant relationship between the number of hip giving way events and the risk of hip pain exacerbations (P < 0.001).
CONCLUSION
Hip injury and episodes of the hip giving way were significantly related to pain exacerbation in patients with symptomatic hip OA. Methods to prevent exposure to injury may help to reduce the burden of pain in patients with hip OA.
Topics: Aged; Arthralgia; Cross-Over Studies; Disease Progression; Female; Hip Injuries; Hip Joint; Humans; Internet; Joint Instability; Male; Middle Aged; Osteoarthritis, Hip; Pain Measurement; Retrospective Studies; Risk Factors; Time Factors; Weight-Bearing
PubMed: 30044548
DOI: 10.1002/acr.23708 -
Knee Surgery, Sports Traumatology,... Oct 2022The literature on hip injuries in ballet dancers was systematically evaluated to answer (1) whether the prevalence of morphological abnormalities and pathology of hip... (Review)
Review
PURPOSE
The literature on hip injuries in ballet dancers was systematically evaluated to answer (1) whether the prevalence of morphological abnormalities and pathology of hip injuries in dancers differs from the general population (2) if there are any specific risk factors which contribute to a higher rate of hip injury and (3) what are the outcomes of primary and secondary intervention strategies.
METHODS
A systematic literature search of Medline, EMBASE and the Cochrane Library was undertaken for all literature relating to hip injuries in ballet dancers using the PRISMA guidelines. Reference lists were also searched for relevant literature. Clinical outcome studies, prospective/retrospective case series published between 1989 and October 2021 were included. Review articles (non-original data), case reports, studies on animals as well as book chapters were excluded.
RESULTS
The search yielded 445 studies, of which 35 were included for final analyses after screening. This included 1655 participants, of which 1131 were females. The analyses revealed that damage at the chondrolabral junction and degenerative disease of the hip may develop at a higher rate in ballet dancers than in the general population (odds ratio > 1 in 15/18 cohorts). The intra-articular lesions were more frequently found in postero-superior region of the hip suggesting an alternative impingement mechanism. Furthermore, numerous risk factors specific for hip injury in ballet were highlighted amidst a wide body of literature which consistently reports risk factors for a more generic 'dancer vulnerability'.
CONCLUSION
Ballet dancers may suffer from both higher rates of chondrolabral damage and degenerative disease in their hips. In contrast to other sports, the intra-articular lesions are more frequently found in postero-superior region of the hip. Future research clarifying the prevalence of osseous abnormalities and prevention strategies in dancers may be pivotal in delaying the development of hip disease in this cohort.
LEVEL OF EVIDENCE
Level IV.
Topics: Dancing; Female; Hip; Hip Injuries; Humans; Male; Prospective Studies; Retrospective Studies
PubMed: 35305112
DOI: 10.1007/s00167-022-06928-1 -
The Journal of the American Academy of... Apr 2017Historically, athletic hip injuries have garnered little attention; however, these injuries account for approximately 6% of all sports injuries and their prevalence is... (Review)
Review
Historically, athletic hip injuries have garnered little attention; however, these injuries account for approximately 6% of all sports injuries and their prevalence is increasing. At times, the diagnosis and management of hip injuries can be challenging and elusive for the team physician. Hip injuries are seen in high-level athletes who participate in cutting and pivoting sports that require rapid acceleration and deceleration. Described previously as the "sports hip triad," these injuries consist of adductor strains, osteitis pubis, athletic pubalgia, or core muscle injury, often with underlying range-of-motion limitations secondary to femoroacetabular impingement. These disorders can happen in isolation but frequently occur in combination. To add to the diagnostic challenge, numerous intra-articular disorders and extra-articular soft-tissue restraints about the hip can serve as pain generators, in addition to referred pain from the lumbar spine, bowel, bladder, and reproductive organs. Athletic hip conditions can be debilitating and often require a timely diagnosis to provide appropriate intervention.
Topics: Athletic Injuries; Diagnosis, Differential; Hip Injuries; Humans
PubMed: 28252476
DOI: 10.5435/JAAOS-D-16-00171 -
Primary Care Mar 2020Hip and knee injuries are a common presenting concern for patients to a primary care office. This pathology represents a large differential and it can often be a... (Review)
Review
Hip and knee injuries are a common presenting concern for patients to a primary care office. This pathology represents a large differential and it can often be a diagnostic challenge for providers to determine the etiology of a patient's symptoms. This article discusses several of the most common causes for hip and knee pain while providing an evidence based review of physical examination maneuvers, imaging studies and treatment modalities to assist a primary care provider when encountering active patients with underlying hip or knee pain.
Topics: Athletic Injuries; Hip Injuries; Humans; Knee Injuries; Physical Examination; Physical Therapy Modalities; Rest
PubMed: 32014129
DOI: 10.1016/j.pop.2019.10.006 -
Current Sports Medicine Reports 2014Dancers require extreme ranges of motion in their hips. They require this for many styles and performances. Hip pain and hip injury in dancers can lead to lost work and... (Review)
Review
Dancers require extreme ranges of motion in their hips. They require this for many styles and performances. Hip pain and hip injury in dancers can lead to lost work and performance time. There are many potential causes for hip pain in the dancer, including dysplasia, hyperlaxity, both intra- and extra-articular impingement, and soft tissue injuries. This article will review the current literature on these topics in dancers and how they can be applied to the dancer patient.
Topics: Dancing; Femoracetabular Impingement; Hip; Hip Dislocation; Hip Joint; Humans; Joint Instability; Musculoskeletal Pain; Osteoarthritis, Hip; Range of Motion, Articular
PubMed: 25391094
DOI: 10.1249/JSR.0000000000000103