Hip Injuries
JALISSA VALENCIA
MIRIAM CASTANEDA
•A bursa is a small
fluid-filled sac which
is located between a
bone , muscle or
tendon
Bursa prevents
friction between the
bone and overlying
soft tissue.
The most commonly
injured bursa is the
trochanteric
bursa. This can be
injured in one of two
ways:
Direct impacttraumatic bursitis
Repetitive frictioninflamed and
swollen
Hip Bursitis
Symptoms of Trochanteric Bursitis includes:
 Pain on the outside of the hip which is worse during
activities such as running, climbing stairs, or getting
out of a car.
 Pain which gradually gets worse.
 Pain when you press in on the outside of the hip.
 Pain which radiates down the outer thigh.
Treating Hip Bursitis
 See your athletic trainer.
 Rest until there is no pain.
 Apply ice to the area.
 Run only on flat, even surfaces.
Snapping Hip
• Snapping Hip -is a condition
that results in a snapping
noise and feeling around the hip joint.
•
Often seen in dancers or sports with repetitive motions
 Lateral Snapping Hip -is felt at the outside of the hip and
is caused by the muscle fibers rolling across the greater
trochanter (bony protrusion on the upper part of the
femur).

The clicking feeling is usually not painful.
 Internal snapping hip-is caused by the Iliopsoas muscle
as it rolls across the hip bone (Iliopectineal eminence).

This form is more likely to produce pain.
Symptoms of snapping hip include:
 External Snapping- A feeling of snapping or clicking
on the outside of the hip
 Internal Snapping- A feeling of snapping or clicking
at the front of the hip
 Pain is more likely in internal cases, although
occasionally occur in external cases.
 Swelling and point tenderness may occur
Treating a
Snapping
Hip
- See your Athletic
Trainer or Orthopedic
Doctor
-Rest
-Ice consistently
•-Stretch the muscles
around the thigh and
hip
•-Get a coach to check
your technique/ form
in your sport
Hip Dislocations
 Force trauma are the most common causes of hip
dislocations:
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Motor Vehicle Accidents
Pedestrian struck by automobile
Football
Rugby
Snowboarding
Water Skiing
Gymnastics
Horse back riding/ Racing
Bull Riding
Hip Dislocations- classifications
Thompson- Epstein
classification -radiographic
findings.
 Type 1 – With or without




minor fracture
Type 2 – With large, single
fracture of posterior
acetabular rim
Type 3 – With comminution
of rim of acetabulum, with
or without major fragments
Type 4 – With fracture of the
acetabular floor
Type 5 – With fracture of the
femoral head
Steward and Milford
classification- functional hip
stability
 Type 1 – No fracture or
insignificant fracture
 Type 2 – Associated with a
single or comminuted
posterior wall fragment, but
the hip remains stable
through a functional range of
motion
 Type 3 – Associated with
gross instability of the hip
joint secondary to loss of
structural support
 Type 4 – Associated with
femoral head fracture
Hip Dislocation- Treatment
 If the patient has no other complications, the
physician will administer an anesthetic or a sedative
and manipulate the hip joint into it’s proper position.
 Sometimes hip dislocations require an operating
room reduction with incision.
 Following treatment, the surgeon will request
another set of X-rays and scan to make sure that the
bones are in the proper position.
 Weeks of rehabilitation are expected after a hip
dislocation
Work Cited Page
 sportsinjuryclinic.net
 nata.org
 emedicine.com
 aaos.org