JALISSA VALENCIAMIRIAM CASTANEDA

Hip Injuries

Hip Bursitis

•A bursa is a small fluid-filled sac which is located between a bone , muscle or tendon

Bursa prevents friction between the bone and overlying soft tissue.

The most commonly injured bursa is the trochanteric bursa. This can be injured in one of two ways:

Direct impact- traumatic bursitis

Repetitive friction- inflamed and swollen

Symptoms of Trochanteric Bursitis includes:

Pain on the outside of the hip which is worse during activities such as running, climbing stairs, or getting out of a car.

Pain which gradually gets worse.Pain when you press in on the outside of the

hip.Pain which radiates down the outer thigh.

Treating Hip Bursitis

See your athletic trainer.Rest until there is no pain.Rest until there is no pain.Apply ice to the area.Run only on flat, even surfaces.

Snapping Hip

• Snapping Hip -is a condition that results in a snapping noise and feeling around the hip joint. • Often seen in dancers or sports with repetitive motions

Lateral Snapping Hip -is felt at the outside of the hip and is caused by the muscle fibers rolling across the greater trochanter (bony protrusion on the upper part of the femur). The clicking feeling is usually not painful.

Internal snapping hip-is caused by the Iliopsoas muscle as it rolls across the hip bone (Iliopectineal eminence). This form is more likely to produce pain.

Symptoms of snapping hip include:

External Snapping- A feeling of snapping or clicking on the outside of the hip

Internal Snapping- A feeling of snapping or clicking at the front of the hip

Pain is more likely in internal cases, although occasionally occur in external cases.

Swelling and point tenderness may occur

Treating a Snapping

Hip

- See your Athletic Trainer or Orthopedic Doctor

-Rest

-Ice consistently

•-Stretch the muscles around the thigh and hip

•-Get a coach to check your technique/ form in your sport

Hip Dislocations

Force trauma are the most common causes of hip dislocations: Motor Vehicle Accidents Pedestrian struck by automobile Football Rugby Snowboarding Water Skiing Gymnastics Horse back riding/ Racing Bull Riding

Thompson- Epstein classification -radiographic findings.

Thompson- Epstein classification -radiographic findings.

Steward and Milford classification- functional hip stability

Steward and Milford classification- functional hip stability

Type 1 – With or without minor fracture

Type 2 – With large, single fracture of posterior acetabular rim

Type 3 – With comminution of rim of acetabulum, with or without major fragments

Type 4 – With fracture of the acetabular floor

Type 5 – With fracture of the femoral head

Type 1 – No fracture or insignificant fracture

Type 2 – Associated with a single or comminuted posterior wall fragment, but the hip remains stable through a functional range of motion

Type 3 – Associated with gross instability of the hip joint secondary to loss of structural support

Type 4 – Associated with femoral head fracture

Hip Dislocations- classifications

Hip Dislocation- Treatment

If the patient has no other complications, the physician will administer an anesthetic or a sedative and manipulate the hip joint into it’s proper position.

Sometimes hip dislocations require an operating room reduction with incision.

Following treatment, the surgeon will request another set of X-rays and scan to make sure that the bones are in the proper position.

Weeks of rehabilitation are expected after a hip dislocation

Work Cited Page

sportsinjuryclinic.netnata.orgemedicine.comaaos.org