Hip Pointer

A hip pointer injury occurs following an impact to the iliac crest (hip bone) or greater trochanter (bony protusion at the top of the femur). This is common in sports such as American football. The force of the impact causes a contusion (bruise) of the iliac crest and sometimes an avulsion fracture, where a small part of bone is pulled away by the attached muscle. This area is particularly at risk if it recieves a direct blow as there is limited padding and protection from fat stores.

Bleeding usually occurs around the front and side of the hip, into the abdominals and hip abductors (gluteus medius and minimus). This bleeding causes swelling and makes movement of the hip painful.

Following this type of injury a full assessment should be undertaken to rule out damage to any intra-abdominal organs.

Symptoms of a hip pointer

• Usually obvious bruising and swelling
• Pain or tenderness on palpation
• Reduced range of motion at the hip joint
• Reduced strength in the hip abductors if bruising affects these muscles
• A full assessment should be undertaken to rule out the possibility of damage to intra-abdominal organs

Treatment of a hip pointer

What can the athlete do?

• Begin treatment by resting, applying ice and compression to the injury
• Visit a sports injury professional who can fully assess the injury to rule out any complications as stated above

What can a sports injury professional do?

• Assess the injury for severity and complications
• Prescribe anti-inflammatory medication such as ibuprofen
• Once pain is decreasing, active range of motion exercises can begin
• Sports masage may be used after the actute stage to help redue swelling, loosen the muscle fibres and prevent the build-up of scar tissue
• If there is a large bleed (haematoma) aspiration (draining of the fluid) may be used