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Hip pain in athletes.

S B Adkins1, R A Figler

  • 1Department of Family Medicine, East Carolina University School of Medicine, Greenville, North Carolina 27858, USA.

American Family Physician
|April 25, 2000
PubMed
Summary

Hip pain in athletes has many causes, varying by age. A thorough physical exam is key to diagnosing injuries like apophyseal injuries, bursitis, and stress fractures in athletes.

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Area of Science:

  • Sports Medicine
  • Orthopedics
  • Athletic Training

Background:

  • Hip pain in athletes presents a broad differential diagnosis.
  • Age-related differences in hip injuries are significant, with adolescents at risk for growth plate injuries and older athletes for tendinitis.

Purpose of the Study:

  • To outline the differential diagnosis of hip pain in athletes.
  • To highlight age-specific hip conditions prevalent in athletic populations.
  • To emphasize the importance of a methodical physical examination for accurate diagnosis.

Main Methods:

  • Review of common hip pathologies in athletes across different age groups.
  • Description of physical examination techniques for diagnosing hip pain.
  • Identification of specific conditions based on patient age and athletic activity.

Main Results:

  • Adolescents and young adults are susceptible to apophyseal and epiphyseal injuries.
  • Common conditions include trochanteric bursitis, iliotibial band syndrome, transient synovitis, Legg-Calvé-Perthes disease, and slipped capital femoral epiphysis.
  • Adult athletes may develop femoral neck stress fractures, while older athletes might experience degenerative joint disease.

Conclusions:

  • Accurate diagnosis of athletic hip pain requires considering age-specific conditions.
  • A systematic physical examination is crucial for differentiating various hip pathologies.
  • Early identification of injuries like femoral neck stress fractures is vital to prevent complications such as femoral head necrosis.

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