Vanderbilt Sports Medicine SEACSM Clinical Conference Hip Pain while Playing Hoops Doug Connor, MD Pediatric Sports Medicine Fellow Vanderbilt University.

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Presentation transcript:

Vanderbilt Sports Medicine SEACSM Clinical Conference Hip Pain while Playing Hoops Doug Connor, MD Pediatric Sports Medicine Fellow Vanderbilt University Medical Center February 2012

Vanderbilt Sports Medicine History 13 year old male with right hip pain Sudden onset 5 days prior while playing basketball Jumped over another player and landed awkwardly No pop, but immediately painful with painful limp Rested for 2 days and able to walk without pain Tried to run and had severe sharp pain antero- lateral right hip 5/9/2015Footer

Vanderbilt Sports Medicine No significant PMHx Denies prescribed or OTC medications No history of hip pain No history of previous fracture No family history of metabolic or bone disorders 5/9/2015Footer

Vanderbilt Sports Medicine Physical Exam No acute distress Stands with right lower extremity in slight external rotation, antalgic gait with shortened stance on right No tenderness along ASIS, AIIS, greater troch and pubis Range of motion – Active ROM limited in all planes due to pain – Passive internal rotation of 20 degrees with sharp pain 4/5 strength hip flexion and abduction, both painful Unable to FABER secondary to pain 5/9/2015Footer

Vanderbilt Sports Medicine Questions? 5/9/2015Footer

Vanderbilt Sports Medicine Differential Diagnosis Apophyseal avulsion Slipped Capital Femoral Epiphysis Chondral lesion or Labral Tear Adductor/Hip Flexion strain Pelvic or Femoral Fracture Snapping Hip Avascular Necrosis 5/9/2015Footer

Vanderbilt Sports Medicine Imaging 5/9/2015Footer

Vanderbilt Sports Medicine Pelvis AP 5/9/2015Footer

Vanderbilt Sports Medicine 5/9/2015Footer

Vanderbilt Sports Medicine 5/9/2015Footer

Vanderbilt Sports Medicine 5/9/2015Footer

Vanderbilt Sports Medicine Examination Under Anesthesia Underwent examination under anesthesia to assess joint stability 5/9/2015Footer

Vanderbilt Sports Medicine 5/9/2015Footer

Vanderbilt Sports Medicine Diagnosis Posterior Wall Acetabular Fracture – Unstable during EUA 5/9/2015Footer

Vanderbilt Sports Medicine 5/9/2015Footer

Vanderbilt Sports Medicine 5/9/2015Footer

Vanderbilt Sports Medicine Outcome Post-operatively did well No complications related to surgery Able to return to sport the following year 5/9/2015Footer

Vanderbilt Sports Medicine Questions or Comments 5/9/2015Footer

Vanderbilt Sports Medicine Thank You 5/9/2015Footer