FIFA Diploma in Football Medicine: Hip Injuries
1. Types of injuries: muscle strains, impingement, damage to the labrum (inner lining of hip joint)
2. Risk (Contributing) Factors
- Forceful kick
- Forceful stop (hard stop after sprinting or changing direction)
- Frequency/intensity/volume of training
- Family history of hip problems
3. Suspect a Possible Hip Injury if:
- You have deep pain in the groin area
- Crouching, getting in and out of the car hurt in the groin hip area
- Internal rotation (think the right or rear hip in a right hitting baseball player or golfer. As the baseball player golfer swings toward the ball, the right or rear hip moves into internal rotation). If this causes pain, suspect a possible hip injury.
- If hopping up and down on the painful side causes increased pain
- Pain to the touch on bony prominence in front of hip/pelvis
- You get repetitive groin strains
4. Examination Procedures (what the doctor does in order to make an accurate diagnosis)
- Different movements which are intended to reproduce the pain
- X-ray, MRI, or CT Scan depending on what the doctor suspects
5. Diagnosis (the name the doctor gives to the problem)
- Impingement (called FAI or Femoral Acetabular Impingement – the femur is the hip bone and the acetabulum is the hip socket). The ball at the upper end of the femur does not move properly in the acetabulum.
- Anatomy: The hip bone can have a bony prominence and/or the hip socket can have an overhang. Either way, this anatomical change can cause the hip bone to rub against the socket. The more rubbing the more damage over time.
- Labrum or lining of socket can get damaged due to soccer.
Physical Therapy: This typically consists of activity modification, anti-inflammatory medication, core muscular strengthening, balance and coordination training, alterations in pelvic and lumbar (low back) positioning affecting “functional” impingement, and range-of-motion exercises. Physical therapy may not be effective with an impingement problem.
Injections: “The use of diagnostic injections within or around the hip joint in cases where there is uncertainty as to the location of the primary pain generator should be considered, recognizing that the use of corticosteroid as well as some local anesthetic agents may result in regional cartilage damage.”
Surgery: “Continued pain despite a trial of conservative measures including activity modifications, physical therapy, non-steroidal anti-inflammatory medications, and functional core training … Clear evidence of treatable structural pathoanatomy that correlates with soft-tissue injury patterns and pain on clinical exam”
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The above information is intended solely for the general information for the reader. The contents of this article are not intended to offer personal medical advice, diagnose health problems or for treatment purposes. It is not a substitute for medical care provided by a licensed and qualified health professional. Please consult your health care provider for any advice on medications and medical conditions.