By Marc J. Phillippon, Srino Bharam,

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Additional resources for Clinics in Sports Medicine Vol 25 Issue 02 2006 Hip Injuries

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Pressure is applied to the knee of the affected leg, causing stress in the ipsilateral sacroiliac (SI) joint. Pain in the posterior hip should cause consideration of SI joint pathology. Pain in the groin can be caused by pathology of the iliopsoas muscle, resulting in an iliopsoas sign [32]. Pain in the lateral aspect of the hip can also be associated with lateral femoroacetabular impingement (FAI). Because of the demands placed on the hip in sports-related activities, it is necessary to assess the hip for trauma.

11). On the articular side, the labrum merges with the acetabular cartilage over a 1- to 2-mm transition zone [39]. On the capsular side, this transition does not exist. The labrum (like the meniscus) has been shown to contain nerve endings (presumable related to nocioceptive and proprioreceptive function), and is thought to have low intrinsic healing ability due to low vascularity primarily obtained from the capsule [40,41]. Biomechanically, the labrum increases the depth of the acetabular socket and helps maintains negative intra-articular pressure that increases static stability [42,43].

Cartilage Injury Cartilage injury is often associated with labral tears and femoroacetabular impingement. Accurate assessment of articular cartilage of the hip can be difficult due to its thinness and spherical contours unlike the knee [59]. Principles of cartilage evaluation in other parts of the body are applied to the hip and include assessment of size, location, defect thickness, subchondral bone interface, and subjacent marrow signal (Fig. 18). Although difficult, cartilage assessment is critical, as arthroscopic labral debridement outcomes are linked to the degree of underlying cartilage abnormality [2].

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Clinics in Sports Medicine Vol 25 Issue 02 2006 Hip Injuries by Marc J. Phillippon, Srino Bharam,

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