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Lumbo-pelvic-hip complex pain in a competitive basketball player: a case study
Michael P Reiman1, Kara D Cox, Kay S Jones
1Physical Therapy Department, Wichita State University, Wichita, Kansas ; Via Christi Orthopedic and Sports Physical Therapy, Wichita, Kansas.
Sports Health
|September 28, 2012
Summary
Diagnosing lumbo-pelvic-hip pain in athletes is complex. This case report details a successful multidisciplinary approach for a basketball player, leading to her return to sport.
Area of Science:
- Orthopedics
- Sports Medicine
- Rehabilitation Science
Background:
- Lumbo-pelvic-hip complex pain presents a diagnostic challenge for clinicians.
- Athletes, particularly those in high-impact sports like basketball, are susceptible to complex injuries in this region.
- Accurate diagnosis is crucial for effective management and return to sport.
Purpose of the Study:
- To describe the mechanism of injury, diagnostic process, surgical management, and rehabilitation of a female high school basketball athlete with lumbo-pelvic-hip pain.
- To highlight the utility of a systematic, multidisciplinary approach in managing complex athletic injuries.
- To demonstrate a successful return to previous functional levels following injury.
Main Methods:
- Case report detailing a specific patient's injury and recovery.
- Diagnostic workup included clinical examination, radiography, magnetic resonance imaging arthrogram, and 3-dimensional and standard computed tomography scans.
- Treatment involved surgical management and a structured rehabilitation program.
Main Results:
- A definitive diagnosis was established through comprehensive imaging and clinical evaluation.
- The patient underwent surgical intervention tailored to her specific injury.
- A structured rehabilitation program facilitated recovery and return to sport.
Conclusions:
- A systematic, multidisciplinary approach is effective in diagnosing and managing lumbo-pelvic-hip complex pain in athletes.
- Comprehensive diagnostic imaging is essential for identifying the underlying cause of complex hip injuries.
- Successful rehabilitation and return to high-level athletic activity are achievable with appropriate management.

