Treatment of a hip capsular injury in a professional soccer player with platelet-rich plasma and bone marrow aspirate concentrate therapy.
This report presents a 27-year-old male professional soccer player who developed heterotopic ossification of his hip capsule and gluteus minimus tendon after an arthroscopic hip procedure. After removal of the heterotopic bone, the patient had a symptomatic deficiency of his hip capsule and gluteus minimus tendon. A series of orthobiologic treatments with platelet-rich plasma and bone marrow aspirate concentrate improved the patient's pain and strength as well as the morphologic appearance of the hip capsule and gluteus minimus tendon on magnetic resonance imaging. A series of motion analyses demonstrated significant improvement in his stance-leg ground reaction force and hip abduction, as well as linear foot velocity at ball strike and maximum hip flexion following ball strike in his kicking leg. Level of evidence IV.
Department of Biomedical Engineering, Steadman Philippon Research Institute, 181 W. Meadow Drive, Suite 1000, Vail, CO 81657, USA.
Kevin J
KJ
Campbell
Robert E
RE
Boykin
Coen A
CA
Wijdicks
J
J
Erik Giphart
Robert F
RF
LaPrade
Marc J
MJ
Philippon
D000328:Adult; D001182:Arthroscopy; D001853:Bone Marrow; D025981:Hip Injuries / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D017746:Joint Capsule / Q000293:injuries*; D008279:Magnetic Resonance Imaging; D008297:Male; D009999:Ossification, Heterotopic / Q000209:etiology / Q000601:surgery*; D053657:Platelet-Rich Plasma; D016059:Range of Motion, Articular / Q000502:physiology; D012916:Soccer / Q000293:injuries*; D018084:Ultrasonography, Interventional