Jalissa Valencia

1
Hip Injuries

• Jalissa Valencia
• Miriam Castaneda

2
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

3
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.

4
Treating Hip Bursitis

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

5
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.

6
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

7
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

8
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

9
Hip Dislocations- classifications

• Thompson- Epstein classification -radiographic
  findings.

• 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

10
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 its
  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

11
Work Cited Page

• sportsinjuryclinic.net
• nata.org
• emedicine.com
• aaos.org