Subspine Hip Impingement: An Unusual Cause of Hip Pain in an Elite Weightlifter.
Anterior hip pain can be difficult to diagnose due to the many pathologies and overlapping pain patterns that exist in the hip region. Clinical findings of pain at the anterior inferior iliac spine with passive hip flexion, proximal quadriceps pain and weakness, and painful impingement tests of the hip may be indicative of subspine hip impingement. This report describes the diagnosis and treatment of anterior hip pain, including subspine impingement and femoroacetabular impingement in an elite weightlifter. This case also describes how with the correct diagnosis and treatment, the athlete returned to play to her previous level of sport 11 months after a complex hip injury.
1Clinical Research and Multidisciplinary Care, United States Olympic Committee, Colorado Springs, CO; 2Sports Medicine, United States Olympic Committee, Colorado Springs, CO; 3Center for Outcomes-Based Orthopaedic Research, Steadman Philippon Research Institute, Vail, CO.
Dustin C
DC
Nabhan
William J
WJ
Moreau
Shannen C
SC
McNamara
Karen K
KK
Briggs
Marc J
MJ
Philippon
D018771:Arthralgia / Q000175:diagnosis / Q000209:etiology* / Q000517:prevention & control; D003131:Combined Modality Therapy; D005260:Female; D057925:Femoracetabular Impingement / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D025981:Hip Injuries / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007103:Immobilization / Q000379:methods; D010808:Physical Examination / Q000379:methods; D026741:Physical Therapy Modalities; D011859:Radiography / Q000379:methods; D055070:Resistance Training / Q000009:adverse effects*; D016896:Treatment Outcome; D014891:Weight Lifting / Q000293:injuries*; D055815:Young Adult