Srino Bharam, MD, Marc J. Philippon, MD
The recent popularity of hip arthroscopy has led to a new focus on hip injuries in athletes for the sports medicine practitioner. Five to six percent of all adult athletic injuries and 24% of pediatric athletic injuries are hip-related injuries. Hip loading increases up to 5%-8% during athletic activity and may place the athlete at risk of injury during athletic participation.
Hip pain in the recreational to elite athlete in both men and women can result from either acute injury or repetitive hip-demanding activity, affecting athletic participation. These sports-specific injuries are seen in multiple sports, including cutting activities (football, soccer), repetitive rotational activities (golfers, martial artists), dancers, and skaters.
Evaluation of hip pain in the athlete can be challenging to the sports medicine practitioner. This requires a detailed history and hip exam and appropriate imaging studies. Communication with trainers and physical therapists is also essential in the evaluation process.
Recent advancements in hip arthroscopy have expanded our knowledge of the management of athletes with hip injury. Adaptations to arthroscopic instrumentation have been established to overcome the constrained hip joint and dense muscular envelope. Flexible instrumentation has also been developed for improving access to the hip joint in both the central and peripheral compartments.
Refined arthroscopic techniques have improved our ability to manage labral tears, chondral injuries, capsular laxity, impingement, loose bodies, ligamentum teres tears, and snapping hip syndrome. Structural abnormalities predisposing athletes to intra-articular hip injury can also be addressed with arthro-scopic intervention.
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Managing athletic hip injuries with hip arthroscopy and a well-defined rehabilitation protocol can safely return athletes back to competition.
We would like to thank our authors for their dedication in providing us their expertise and update on this subspecialty field of sports medicine.
Srino Bharam, MD St. Vincent's Medical Center Lenox Hill Hospital 36 7th Avenue, Suite #502 New York, NY 10011, USA E-mail address: [email protected]
Marc J. Philippon, MD Steadman-Hawkins Clinic 181 West Meadow Drive, Suite 1000 Vail, CO 81657, USA E-mail address: [email protected]
Clin Sports Med 25 (2006) 179-197
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