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Hip Apophysitis, Sports Medicine

Anthony J. Saglimbeni, MD, Board Certified Internal Medicine, CAQSM and Anthony Kwon, MS Reviewed 04/2019
 


BASICS

DESCRIPTION

  • Hip apophysitis is a chronic inflammatory injury seen only in child, adolescent, and skeletally immature athletes.

  • Repetitive overload of hip muscles applies excessive forces to pelvi...

DIAGNOSIS

HISTORY

  • Increase in physical activity duration, frequency, and intensity

  • Recent growth spurt

  • Gradually increasing pain, exacerbated by physical activity (i.e., running or jumping) 1[A]

  • Limited r...

TREATMENT

GENERAL MEASURES

  • Dependent on degree of pain and instability

  • Rest from physical activity 1[A]

  • Ice

  • Modified activity 1[A]

  • Protected weight-bearing

  • Physical therapy 1[A]

  • Gentle stretching, avoid vigo...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Follow up weekly or as needed intervals on a case by case basis. 

PROGNOSIS

  • Dependent on severity of pain and disability

  • Crutches can be used to avoid weight-bearing...

REFERENCES

1
Belair JA, Hegazi TM, Roedl J, et al. Core injuries remote from the pubic symphysis. Radiol Clin North Am.  2016;54(5):893–911.
2
Weiss JE, Stinson JN. Pediatric pain syndromes and noni...

ADDITIONAL READING

  • Arnaiz J, Piedra T, de Lucas EM, et al. Imaging findings of lower limb apophysitis. AJR Am J Roentgenol.  2011;196(3):316–325.

  • Houghton KM Review for the generalist: evaluation ...

CLINICAL PEARLS

  • Hip strength and flexibility are key to reducing the risk of hip apophysitis.

  • Ensure that athletes recover to full pain-free range of motion before returning to sport.

  • Hip apophysitis ca...

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