IC 201-2022: Hip Pain in the Athlete - Cases From the Court, Field and Ice-Hip Pain in the Athlete

Video Transcription

Video Summary

This video features three different cases of hip pain in athletes, each with unique presentations and treatment considerations. The first case involves a 28-year-old NHL player who experienced acute onset right hip pain during a game. He was found to have femoroacetabular impingement (FAI) and was managed with a corticosteroid injection, which provided complete pain relief. The second case features a 20-year-old male water polo player who developed left hip pain with specific movements related to his sport. He had a history of previous right hip pain and was diagnosed with FAI and posterior wall insufficiency. He was treated with physical therapy initially, but ultimately required an arthroscopic procedure to address the impingement and labral tear. The third case involves a 19-year-old female track and field athlete who developed left hip pain with increased training in the triple jump. She had a previous history of hip trauma and was found to have hypermobility and micro-instability with borderline dysplasia. She initially underwent physical therapy but ultimately required a periacetabular osteotomy (PAO) to address her underlying anatomy and stabilize the hip joint.<br /><br />These cases highlight the complexity and individualized nature of managing hip pain in athletes. Treatment options include conservative measures such as physical therapy and injections, as well as surgical interventions like arthroscopy and PAO. The optimal approach depends on various factors including the underlying pathology, patient goals, and timeline for return to sport. It is essential for healthcare providers to assess each case comprehensively and consider the long-term implications for the patient's hip health and athletic performance.

Asset Caption

Marc Safran, MD

Keywords

hip pain

athletes

femoroacetabular impingement

FAI

corticosteroid injection

arthroscopic procedure

labral tear

hypermobility

periacetabular osteotomy

PAO

physical therapy