Hip Injuries

xiii......Page 1
xv......Page 2
Neuromuscular Hip Biomechanics and Pathology in the Athlete......Page 4
Osseous structures contributing to hip stabilization......Page 5
Ligamentous structures contributing to hip stabilization......Page 6
Neuromuscular factors contributing to hip stabilization......Page 7
Functional analysis of hip biomechanics......Page 10
Hip joint reaction forces......Page 13
Pectineus, Pirifirmis, Superior and Inferior Gemullus, and Obturator Internus and Externus Muscles......Page 14
Iliopsoas......Page 15
Gluteus Medius and Minimus......Page 16
Sport-specific mechanisms of hip injuries in the athlete......Page 17
Ballet/Figure Skating......Page 18
References......Page 19
Clinical Examination of the Athletic Hip......Page 23
Standing Examination......Page 24
Seated Examination......Page 26
Supine Examination......Page 28
Lateral Position......Page 30
Prone Examination......Page 31
References......Page 32
Radiographic and MR Imaging of the Athletic Hip......Page 35
Magnetic Resonance Imaging......Page 36
Direct MR Arthrography Technique......Page 38
Use of Other Modalities......Page 41
Radiographic evaluation and measurements of the hip......Page 42
Normal Variants or Pathologic Process?......Page 46
Labrum......Page 47
Cartilage Injury......Page 54
Ligamentum Teres......Page 56
Postoperative evaluation of the hip......Page 59
References......Page 60
Apophyseal injuries......Page 64
Slipped capital femoral epiphysis......Page 66
Legg-perthes disease......Page 68
Hip arthroscopy in children and adolescents......Page 70
Loose Bodies......Page 73
Summary......Page 74
References......Page 75
Patient selection......Page 77
Technique......Page 78
Intraarticular (central) compartment......Page 79
Diagnostic procedure......Page 81
Peripheral compartment......Page 82
Iliopsoas release......Page 84
Treatment......Page 85
References......Page 99
Labrum anatomy......Page 101
Labral tears......Page 102
Classification of labral tears......Page 105
Associated intra-articular injuries......Page 106
Examination findings......Page 108
Arthroscopic management......Page 110
Return to sport......Page 112
References......Page 113
A New Method for Acetabular Rim Trimming and Labral Repair......Page 115
References......Page 119
Arthroscopy for the Treatment of Femoroacetabular Impingement in the Athlete......Page 120
Clinical presentation......Page 122
Cam Procedure......Page 123
Pincer Procedure......Page 126
Discussion......Page 127
References......Page 128
Diagnosis and Management of Traumatic and Atraumatic Hip Instability in the Athletic Patient......Page 130
Anatomy......Page 131
Traumatic hip instability......Page 135
Atraumatic instability......Page 141
References......Page 145
Microfracture of the Hip in Athletes......Page 148
Indications and contraindications......Page 149
History and physical examination......Page 150
Operative technique......Page 151
Discussion......Page 154
References......Page 155
Rehabilitation Following Hip Arthroscopy......Page 157
Rehabilitation......Page 158
Criteria for Progression to Phase III......Page 161
Rehabilitation......Page 163
Goals......Page 164
Rehabilitation......Page 165
Rehabilitation......Page 166
Microfracture......Page 167
References......Page 176
Sports after Total Hip Replacement......Page 178
Patient- and activity-related factors......Page 179
Wear......Page 181
Summary......Page 182
References......Page 183