Hip pointer
Hip Pointer
- hip pointer refers to a contusion of the iliac crest
- also been used to describe avulsions or fractures about the lateral hip
- direct impact can cause an avulsion fracture where a portion of bone is removed by a muscle
- pain is due to the cluneal nerve that runs right along the iliac crest
- hip pointer haematoma usually causes bleeding into the hip abductor muscles
- bleeding into muscle tissue creates swelling and makes leg movement painful
- a full assessment should be undertaken to rule out the possibility of damage to abdominal organs
- also been used to describe avulsions or fractures about the lateral hip
- radiographs are often necessary to rule out boney injury
- treatment is often symptomatic, including ice, compression, rest, and potentially protected ambulation
- avoiding vigorous activity for 48 hours may reduce recurrent bleeding
- corticosteroid injection may help facilitate a return to activity
- injury usually lasts from one to six weeks, depending on the damage
- in most cases, patients recover completely
Reference:
- Grumet RC et al. Lateral Hip Pain in an Athletic Population: Differential Diagnosis and Treatment Options.Sports Health 2010; 2(3): 191-6.
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