Hip Pointer
What is Hip Pointer?
A hip pointer injury occurs following an impact to the iliac crest (hip bone) or greater trochanter (bony protusion at the top of the femur). This is common in sports such as American football. The force of the impact causes a contusion (bruise) of the iliac crest and sometimes an avulsion fracture, where a small part of bone is pulled away by the attached muscle. This area is particularly at risk if it receives a direct blow as there is limited padding and protection from fat stores. Bleeding usually occurs around the front and side of the hip, into the abdominals and hip abductors. This bleeding causes swelling and makes movement of the hip painful.
Symptoms of Hip Pointer
- Usually obvious bruising and swelling
- Pain or tenderness on palpation
- Reduced range of motion at the hip joint
- Reduced strength in the hip abductors if bruising affects these muscles
- A full assessment should be undertaken to rule out the possibility of damage to intra-abdominal organs
Treatment
- Begin treatment with the R.I.C.E method: Rest, Ice, Compression and Elevation
- Anti-inflammatory medication
- Once pain is decreasing, active range of motion exercises can begin
- If there is a large bleed, aspiration may be used.
