Close
New

Medscape is available in 5 Language Editions – Choose your Edition here.

 

Hip Pointer Workup

  • Author: John M Martinez, MD; Chief Editor: Sherwin SW Ho, MD  more...
 
Updated: Oct 22, 2015
 

Laboratory Studies

See the list below:

  • Typically, laboratory studies are not useful in the diagnosis of hip pointers.
Next

Imaging Studies

See the list below:

  • Plain radiographs: Order radiographs if fracture or myositis ossificans is considered possible.[6]
  • Computed tomography (CT) scans: Consider obtaining CT scans if the patient has continued pain or if his or her pain exceeds that expected from examination findings. CT scans can help clinicians to diagnose deep hematoma or internal injuries (eg, spleen).
  • Bone scans: Order a bone scan to exclude a stress response or fracture if initial radiographic findings are normal and the symptoms do not resolve or improve.
Previous
Next

Procedures

See the list below:

  • If a significant hematoma is present, then aspiration can provide some pain relief and help prevent development of myositis ossificans or pressure and compression of local nerves (eg, lateral femoral cutaneous nerve).
  • Injection of a local anesthetic (eg, lidocaine) may provide short-term pain relief from a hip pointer.
  • Compartment pressures can be measured if a thigh or gluteal compartment syndrome is considered possible.
Previous
 
 
Contributor Information and Disclosures
Author

John M Martinez, MD Staff Physician, Kaiser Permanente

John M Martinez, MD is a member of the following medical societies: American Academy of Family Physicians, American College of Sports Medicine, American Medical Society for Sports Medicine

Disclosure: Nothing to disclose.

Specialty Editor Board

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

Russell D White, MD Clinical Professor of Medicine, Clinical Professor of Orthopedic Surgery, Department of Community and Family Medicine, University of Missouri-Kansas City School of Medicine, Truman Medical Center-Lakewood

Russell D White, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Family Physicians, American Association of Clinical Endocrinologists, American College of Sports Medicine, American Diabetes Association, American Medical Society for Sports Medicine

Disclosure: Nothing to disclose.

Chief Editor

Sherwin SW Ho, MD Associate Professor, Department of Surgery, Section of Orthopedic Surgery and Rehabilitation Medicine, University of Chicago Division of the Biological Sciences, The Pritzker School of Medicine

Sherwin SW Ho, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, Arthroscopy Association of North America, Herodicus Society, American Orthopaedic Society for Sports Medicine

Disclosure: Received consulting fee from Biomet, Inc. for speaking and teaching; Received grant/research funds from Smith and Nephew for fellowship funding; Received grant/research funds from DJ Ortho for course funding; Received grant/research funds from Athletico Physical Therapy for course, research funding; Received royalty from Biomet, Inc. for consulting.

Additional Contributors

Leslie Milne, MD Assistant Clinical Instructor, Department of Emergency Medicine, Harvard University School of Medicine

Leslie Milne, MD is a member of the following medical societies: American College of Sports Medicine

Disclosure: Nothing to disclose.

Acknowledgements

Kenneth Honsik, MD Consulting Staff, Department of Primary Care Sports Medicine, Kaiser Permanente

Disclosure: Nothing to disclose.

References
  1. Winfield C. Common hip injuries. Sallis RE, Massimino, eds. ACSM's Essentials of Sports Medicine. St. Louis, Mo: Mosby; 1991. 440-1.

  2. Ruane JJ, Rossi TA. When groin pain is more than "just a strain": navigating a broad differential. Phys Sportsmed. 1998. 26(4):78-103. [Full Text].

  3. Meyers WC, Ricciardi R, Busconi BD, et al. Groin pain in athletes. Ardent EA, ed. Orthopaedics Knowledge Update: Sports Medicine 2. Rosemont, Ill: American Academy of Orthopaedic Surgeons; 1999. 281-9.

  4. Hall M, Anderson J. Hip pointers. Clin Sports Med. 2013 Apr. 32(2):325-30. [Medline].

  5. Borowski LA, Yard EE, Fields SK, Comstock RD. The epidemiology of US high school basketball injuries, 2005-2007. Am J Sports Med. 2008 Dec. 36(12):2328-35. [Medline].

  6. Wilson JJ, Furukawa M. Evaluation of the patient with hip pain. Am Fam Physician. 2014 Jan 1. 89 (1):27-34. [Medline]. [Full Text].

  7. Hubbard TJ, Denegar CR. Does Cryotherapy Improve Outcomes With Soft Tissue Injury?. J Athl Train. 2004 Sep. 39(3):278-279. [Medline]. [Full Text].

  8. Serner A, Jakobsen MD, Andersen LL, Hölmich P, Sundstrup E, Thorborg K. EMG evaluation of hip adduction exercises for soccer players: implications for exercise selection in prevention and treatment of groin injuries. Br J Sports Med. 2014 Jul. 48 (14):1108-14. [Medline].

  9. Adkins SB 3rd, Figler RA. Hip pain in athletes. Am Fam Physician. 2000 Apr 1. 61(7):2109-18. [Medline]. [Full Text].

  10. Anderson K, Strickland SM, Warren R. Hip and groin injuries in athletes. Am J Sports Med. 2001 Jul-Aug. 29(4):521-33. [Medline].

  11. DeLee JC, Farney WC. Incidence of injury in Texas high school football. Am J Sports Med. 1992 Sep-Oct. 20(5):575-80. [Medline].

  12. Feeley BT, Powell JW, Muller MS, et al. Hip injuries and labral tears in the National Football League. Am J Sports Med. 2008 Nov. 36(11):2187-95. [Medline].

  13. Gomez E, DeLee JC, Farney WC. Incidence of injury in Texas girls' high school basketball. Am J Sports Med. 1996 Sep-Oct. 24(5):684-7. [Medline].

  14. Schmitt KU, Nusser M, Boesiger P. [Hip injuries in professional and amateur soccer goalkeepers] [German]. Sportverletz Sportschaden. 2008 Sep. 22(3):159-63. [Medline].

Previous
Next
 
 
 
 
All material on this website is protected by copyright, Copyright © 1994-2016 by WebMD LLC. This website also contains material copyrighted by 3rd parties.