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Hip pain football

K Thorborg, S Branci, M P Nielsen, M T Langelund, P Hölmich
BACKGROUND: No simple clinical measure exits to evaluate groin pain and its severity in athletes. The aim was to investigate the validity, reliability and responsiveness of a five-second hip-adduction squeeze test for football players designed to assess sports-related hip and groin function, pain and severity. METHODS: Construct validity was assessed in 667 subelite male football players with a mean age (±SD) of 24±4 in the beginning of the season. Responsiveness and reliability were evaluated during the season in 52 and 10 players, respectively...
December 1, 2016: British Journal of Sports Medicine
Suzi Edwards, Hiram C Brooke, Jill L Cook
OBJECTIVES: This study aimed to explore the differences in the magnitude of movement variability and strategies utilized during an unanticipated cut task between players with and without a history of groin pain. DESIGN: Cross-sectional design. SETTING: Biomechanics laboratory. PARTICIANTS: Male Australian football players with (HISTORY; n = 7) or without (CONTROL; n = 10) a history of groin pain. OUTCOME MEASURES: Three-dimensional ground reaction forces (GRF) and kinematics were recorded during 10 successful trials of an unanticipated cut task, and isokinetic hip adduction and abduction strength...
January 2017: Physical Therapy in Sport
Julie A Hides, Tim Oostenbroek, Melinda M Franettovich Smith, M Dilani Mendis
Low back pain (LBP) is a common problem in football (soccer) players. The effect of LBP on the trunk and hip muscles in this group is unknown. The relationship between LBP and trunk muscle size and function in football players across the preseason was examined. A secondary aim was to assess hip muscle strength. Twenty-five elite soccer players participated in the study, with assessments conducted on 23 players at both the start and end of the preseason. LBP was assessed with questionnaires and ultrasound imaging was used to assess size and function of trunk muscles at the start and end of preseason...
December 2016: Journal of Sports Sciences
I J R Tak, R F H Langhout, S Groters, A Weir, J H Stubbe, G M M J Kerkhoffs
OBJECTIVE: The association between groin pain and range of motion is poorly understood. The aim of this study was to develop a test to measure sport specific range of motion (SSROM) of the lower limb, to evaluate its reliability and describe findings in non-injured (NI) and injured football players. DESIGN: Case-controlled. SETTING: 6 Dutch elite clubs, 6 amateur clubs and a sports medicine practice. PARTICIPANTS: 103 NI elite and 83 NI amateurs and 57 football players with unilateral adductor-related groin pain...
January 2017: Physical Therapy in Sport
Charlotte M H Moriarty, Robert J Baker
General medical conditions are an important part of the differential diagnosis in athletes presenting with pain or injury. A psoas abscess is a collection of pus in the iliopsoas muscle compartment and is a rare cause of hip, low back, or groin pain. Psoas abscesses may have significant morbidity and mortality, as 20% progress to septic shock. Presenting symptoms are generally nonspecific and the onset may be subacute. Clinical presentation may have features suggestive of other diagnoses, including septic hip arthritis, iliopsoas bursitis, and retrocecal appendicitis...
August 19, 2016: Sports Health
Paulina Kloskowska, Dylan Morrissey, Claire Small, Peter Malliaras, Christian Barton
BACKGROUND: Sports-related groin pain (SRGP) is a common entity in rotational sports such as football, rugby and hockey, accounting for 12-18 % of injuries each year, with high recurrence rates and often prolonged time away from sport. OBJECTIVE: This systematic review synthesises movement and muscle function findings to better understand deficits and guide rehabilitation. STUDY SELECTION: Prospective and retrospective cross-sectional studies investigating muscle strength, flexibility, cross-sectional area, electromyographic activation onset and magnitude in patients with SRGP were included...
December 2016: Sports Medicine
Desai Pingal, Timothy Marqueen, Karanvir Prakash
Apophyseal injuries of the pelvis have increased recently with increased participation of teenagers in contact sports. Apophyseal fractures of the pelvis should be ruled out from apophysitis, os acetabuli and bony tumors. We report a case of fracture of anterior-inferior iliac spine following indirect injury to the hip in a young football player. The patient failed to get better with nonoperative management and continued to have pain in the left hip and signs and symptoms of impingement. He improved following surgical excision of the heterotopic bone and did not have any evidence of recurrence at 2 years follow- up...
April 1, 2016: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
Brian M Devitt, Bjorn Smith, Robert Stapf, John M O'Donnell
Arthroscopic resection of the anterior inferior iliac spine (AIIS) for subspine impingement has become a relatively common procedure. The AIIS is the origin of the direct head of rectus femoris (dhRF). Previous studies have reported that removal of the contributing portion of the AIIS causing impingement is unlikely to weaken the attachment of the dhRF. The purpose of this article is to report a case of avulsion of the dhRF, following revision hip arthroscopy for the treatment of subspine impingement. A 23-year-old professional footballer underwent revision left hip arthroscopy for the treatment of subspine impingement...
April 2016: Journal of Hip Preservation Surgery
M Dilani Mendis, Julie A Hides
OBJECTIVES: Previous research has shown that motor control training improved size and function of trunk muscles in elite football players with and without low back pain (LBP). Imbalances in hip muscles have been found in athletes with LBP and it is not known if motor control training can change these muscles. This study investigated if a motor control intervention program affected hip muscle size in elite football players with and without LBP. DESIGN: Panel-randomised intervention design...
November 2016: Journal of Science and Medicine in Sport
J Kelm, O Ludwig, G Schneider, S Hopp
BACKGROUND: Lesions/irritations of the obturator internus muscle (OIM) are rare, several differential diagnoses are possible. PATIENT: This paper describes the case of an OIM injury in a professional football player. RESULTS: On clinical examination, painful internal rotation of the hip joint was an indication for a lesion/irritation of the OIM. MRI was the procedure of choice for imaging. Movement analysis served to detect a functional malposition...
March 2016: Sportverletzung Sportschaden: Organ der Gesellschaft Für Orthopädisch-Traumatologische Sportmedizin
M Wollin, K Thorborg, T Pizzari
The aim of this study was to investigate the effect of competitive football match play on hamstring strength and lower limb flexibility. Fifteen male international youth football players were included. Hamstring strength and associated pain ratings, ankle dorsiflexion, hip extension, knee extension and flexion range of motion were evaluated immediately post-match and at intervals of 24, 48, and 72 h post-match. Strength significantly reduced post-match (P < 0.01), mean difference -0.43 (CI95 : -0.56, -0...
March 1, 2016: Scandinavian Journal of Medicine & Science in Sports
Igor Tak, Philip Glasgow, Rob Langhout, Adam Weir, Gino Kerkhoffs, Rintje Agricola
BACKGROUND: Soccer (football) players often have hip and groin symptoms (HGS), and a previous groin injury is a risk factor for a relapse. Decreased hip range of motion (HROM) has been related to both hip and groin pain and the presence of a cam deformity. How these factors interact is unknown. PURPOSE: The first aim was to study whether HGS are associated with HROM. The second aim was to study the association of the presence of a cam deformity with HROM. Additionally, the influence of a cam deformity on the relationship between HGS and HROM was examined...
March 2016: American Journal of Sports Medicine
K Thorborg, M S Rathleff, P Petersen, S Branci, P Hölmich
The purpose of this study was twofold: (a) to investigate the prevalence of hip and groin pain in sub-elite male adult football in Denmark and (b) to explore the association between prevalence and duration of hip and groin pain in the previous season with the Copenhagen Hip and Groin Outcome Score (HAGOS) in the beginning of the new season. In total 695 respondents from 40 teams (Division 1-4) were included. Players completed in the beginning of the new season (July-Sept 2011) a self-reported paper questionnaire on hip and/or groin pain during the previous season and HAGOS...
January 2017: Scandinavian Journal of Medicine & Science in Sports
Morteza Khodaee, Daniel Jones, Jack Spittler
INTRODUCTION: Buttock pain is a relatively common complaint among adolescent athletes and can have a very broad differential diagnosis. CASE PRESENTATION: The authors present a previously unreported case of acute obturator internus and obturator externus strain in an adolescent male American football player. The diagnosis was made by MRI. The patient was treated with relative rest, physical therapy, and gradual return to physical activities as tolerated. CONCLUSIONS: Despite rarity of the hip external rotator muscles strains, it should be considered in the differential diagnosis of athletes with proximal posterior thigh and buttock pain...
September 2015: Asian Journal of Sports Medicine
Scott W Cheatham, Morey J Kolber
BACKGROUND: Hip arthroscopy is a common surgical technique for the correction of intraarticular pathology. While surgical success is often determined by anatomical correction, post-operative rehabilitation serves an essential role in restoring pre-morbid activity levels. A paucity of long-term post-operative rehabilitation outcomes exists in the literature lending uncertainty to the long-standing efficacy of interventions and associated risk for future injury. CASE DESCRIPTION: This case report describes the progress of a male subject 3...
August 2015: International Journal of Sports Physical Therapy
Stephen S McAleer, Justus Gille, Stefan Bark, Helge Riepenhof
BACKGROUND/AIM: The aim of this paper was to use a clinical example to describe a treatment strategy for the management of recurrent chronic groin pain and evaluate the evidence of the interventions. METHODS: A professional footballer presented with chronic recurrent OP/PBS. The injury was managed successfully with a nine-point programme - 1. Acute pharmacological management. 2. Tone reduction of over-active structures. 3. Improved ROM at hips, pelvis and thorax...
August 2015: Physical Therapy in Sport
Ghalib Ahmed Alhaneedi, Abdullah Saad A Abdullah, Syed Imran Ghouri, Yousef Abuodeh, Mohammed M Al Ateeq Al Dosari
INTRODUCTION: Avulsion fractures of the anterior inferior iliac spine are uncommon and such injuries are caused by the sudden forceful contraction of the straight head of rectus femoris muscle while the hip is hyperextended and the knee is flexed. CASE PRESENTATION: This case report describes the condition of 17 year old male footballer who complained of pain in the right groin for duration of 2 years after being involved in forceful sport activity. Detailed history, clinical examination, X-rays and CT scan revealed hypertrophic malunion of avulsion fracture of anterior inferior iliac spine causing an extra-articular type of femoroacetabular impingement...
2015: International Journal of Surgery Case Reports
Alan T Rankin, Chris M Bleakley, Michael Cullen
BACKGROUND: Chronic hip and groin pain offers a diagnostic challenge for the sports medicine practitioner. Recent consensus suggests diagnostic categorization based on 5 clinical entities: hip joint-, adductor-, pubic bone stress injury-, iliopsoas-, or abdominal wall-related pathology. However, their prevalence patterns and coexistence in an active population are unclear. PURPOSE: This study presents a descriptive epidemiology based on a large sample of active individuals with long-standing pain in the hip and groin region...
July 2015: American Journal of Sports Medicine
Rohit Rambani, Roger Hackney
BACKGROUND: sports hernia is a well-recognized cause of groin pain in athletes involved in sports, especially football and rugby. Loss of range of motion of the hip joint is a possible contributory factor to stress across the symphysis pubis leading to the instability. METHODS: twenty-five athletes presenting with sports hernia were matched to age, sex, physical/sports activity and co-morbidities with twenty-five athletes without sports hernia. The range of movement of both the hips was compared in athletes of both the groups...
January 2015: Muscles, Ligaments and Tendons Journal
Benjamin G Domb, Christine E Stake, Nathan A Finch, T Luke Cramer
Hip arthroscopy is a minimally invasive surgical technique often performed in athletes who want an expeditious return to sport. To the authors' knowledge, no studies in the literature provide a time frame or criteria for return to sport after hip arthroscopy. The purpose of this study was to develop an aggregate recommendation for return to sport after hip arthroscopy based on data assimilated from high-volume hip arthroscopy centers. Twenty-seven orthopedic surgeons from high-volume hip arthroscopy centers completed a survey regarding return to sport after hip arthroscopy...
October 2014: Orthopedics
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