The evaluation and rehabilitation of hip injuries in the athlete is a complicated and often misunderstood area of sports medicine. This course will take you through an evidence-based evaluation of posterolateral injuries as well as screening for serious pathology in this patient population. By understanding the current literature and available evaluation techniques, you will be better able to simplify your evaluation and clinical reasoning when an athlete presents with lateral hip or buttock pain.
The recommended order to take the courses in The Athlete’s Hip series is as follows:
- The Athlete’s Hip: Screening & Evaluation of Posterolateral Hip Pain
- The Athlete’s Hip: Evaluation of Groin Pain
- The Athlete’s Hip: Treatment of Hip Pathology
- The Athlete’s Hip: Return to Sport
To further understand the athlete presenting with lateral or posterior hip pain, we need to understand what characteristics are common in those presenting with serious or nonmusculoskeletal pathology in order to appropriately refer to the appropriate health care provider or for further imaging. This chapter will explain in detail the typical patient presentation as well as evaluation techniques that can be used to rule these pathologies out.
2. Greater Trochanteric Pain Syndrome
Greater trochanteric pain syndrome (GTPS) is one of the most misunderstood pathologies seen in the athletic population. This chapter will take you through the associated patient characteristics, evaluation findings, and radiological criteria needed for an accurate diagnosis. At the end of this chapter, you will understand what the subjective history and special testing can tell us and what it cannot.
3. Posterior Hip Pain
When looking at the athlete with posterior hip pathology, we need to understand that there are multiple structures that may be contributing. This may include deep gluteal pain syndrome, sacroliliac joint pathology, or pudental nerve entrapement. This course will systematically go through the evaluation of these pathologies, which includes identifying the specific structure(s) involved in DGPS (proximal hamstring pathology, piriformis syndrome, ischiofemoral impingement syndrome).