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Hip Injuries

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Musculoskeletal Injuries in the Military

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Abstract

Hip injuries in the military population are becoming an increasing burden on the fighting force and the medical system. Injuries about the hip can often be complex and severely disabling to soldiers and their units. Increased understanding by medical professionals through improved understanding of anatomy, physiology, diagnosis, and management will allow practitioners to help prevent and treat these injuries, and maintain the fighting force in the future.

Hip pain can be divided into two basic categories, intra- and extra-articular pain. Intra-articular pathology includes labral tears, cartilage damage/arthritis, femoroacetabular impingement, and stress fractures. Extra-articular pathology includes tendonitis, greater trochanteric and iliopsoas bursitis, piriformis syndrome, internal and external snapping hip, sports hernia, and athletic pubalgia. While many injuries about the hip have not been studied in military service members, they are commonly seen.

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References

  1. Hewett TE, Myer GD, Ford KR, Heidt RS Jr, Colosimo MV, Succop P. Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes: a prospective study. Am J Sports Med. 2005;33(4):492–501.

    Article  PubMed  Google Scholar 

  2. Gabriel SE, Crowson CS, Campion ME, O’Fallon WM. Direct medical costs unique to people with arthritis. J Rheumatol. 1997;24:719–25.

    CAS  PubMed  Google Scholar 

  3. Felson DT, Zhang Y. An update on the epidemiology of knee and hip osteoarthritis with a view to prevention [review]. Arthritis Rheum. 1998;41:1343–55.

    Article  CAS  PubMed  Google Scholar 

  4. Segal NA, Felson DT, Torner JC, et al. Greater trochanteric pain syndrome: epidemiology and associated factors. Arch Phys Med Rehabil. 2007;88(8):988–92.

    Article  PubMed Central  PubMed  Google Scholar 

  5. Almeida SA, Williams KM, Shaffer RA, Brodine SK. Epidemiological patterns of musculoskeletal injuries and physical training. Med Sci Sports Exerc. 1999;31(8):1176–82.

    Article  CAS  PubMed  Google Scholar 

  6. Owens BD, Mountcastle SB, Dunn WR, DeBaradino TM, Taylor DC. Incidence of anterior cruciate ligament injury among active duty US military servicemen and servicewomen. Mil Med. 2007;172:90–1.

    Article  PubMed  Google Scholar 

  7. Scher DL, Belmont PJ, Mountcastle S, Owens BD. The incidence of primary hip osteoarthritis in active duty US military servicemembers. Arthritis Rheum. 2009;61:468–75.

    Article  PubMed  Google Scholar 

  8. Rauh MJ, Macera CA, Trone DW, Shaffer RA, Brodine SK. Epidemiology of stress fracture and lower-extremity overuse injury in female recruits. Med Sci Sports Exerc. 2006;38(9):1571–7.

    Article  PubMed  Google Scholar 

  9. Blank E, Owens BD, Burks R, Belmont PJ. Incidence of greater trochanteric pain syndrome in active duty US servicemembers. Orthopedics. 2012;35(7):e1022–e7.

    Article  PubMed  Google Scholar 

  10. van Mechelen W. Running injuries: a review of the epidemiological literature. Sports Med. 1992;14(5):320–35.

    Article  PubMed  Google Scholar 

  11. Hewitt JD, Glisson RR, Guilak F, Vail TP. The mechanical properties of the human hip capsule ligaments. J Arthroplasty. 2002;17(1):82–9.

    Article  PubMed  Google Scholar 

  12. Seldes RM, Tan V, Hunt J, Katz M, Winiarsky R, Fitzgerald RH Jr. Anatomy, histologic features, and vascularity of the adult acetabular labrum. Clin Orthop Relat Res. 2001;382:232–40.

    Article  PubMed  Google Scholar 

  13. Frank RM, Slabaugh MA, et al. Posterior hip pain in an athletic population: differential diagnosis and treatment options. Sports Health. 2010;2(3):237–46.

    Article  PubMed Central  PubMed  Google Scholar 

  14. Haene RA, Bradley M, Villar RN. Hip dysplasia and the torn acetabular labrum: an inexact relationship. J Bone Joint Surg Br. 2007;89:1289–92.

    Article  CAS  PubMed  Google Scholar 

  15. Burnett RSJ, et al. Clinical presentation of patients with tears of the acetabular labrum. J Bone Joint Surg Am. 2006;88:1448–57.

    Article  PubMed  Google Scholar 

  16. Kelly BT, et al. Arthroscopic labral repair in the hip: Surgical technique and review of the literature. Arthroscopy. 2005;21:1496–504.

    Article  PubMed  Google Scholar 

  17. Tibor LM, Sekiya JK. Differential diagnosis of pain around the hip joint. Arthroscopy. 2008;24:1407–21.

    Article  PubMed  Google Scholar 

  18. Guanche CA, Sikka RS. Aceabular labral tears with underlying chondromalacia: a possible association with high-level running. Arthroscopy. 2005;21:580–5.

    Article  PubMed  Google Scholar 

  19. Hunt D, Clohisy J, Prather H. Acetabular tears of the hip in women. Phys Med Rehabil Clin N Am. 2007;18(3):497–520.

    Article  PubMed  Google Scholar 

  20. Schmitz MR, Campbell SE, Fajardo RS, Kadrmas WR. Identification of acetabular labral pathological changes in asymptomatic volunteers using optimized, noncontrast 1.5-T magnetic resonance imaging. Am J Sports Med. 2012;40:1337–41.

    Article  PubMed  Google Scholar 

  21. Narvani AA, Tsiridis E, et al. A preliminary report on the prevalence of acetabular labrum tears in sports patients with groin pain. Knee Surg Sports Traumatol Arthrosc. 2003;11:403–8.

    Article  CAS  PubMed  Google Scholar 

  22. McCarthy JC, Noble PC, et al. The Otto E Aufranc award: the role of labral lesions to development of early degenerative hip disease. Clin Orthop. 2001;393:25–7.

    Article  PubMed  Google Scholar 

  23. Groh MM, Herrera J. A comprehensive review of hip labral tears. Curr Rev Musculoskelet Med. 2009;2(2):105–17.

    Article  PubMed Central  PubMed  Google Scholar 

  24. Philippon MJ, Schenker ML. Arthroscopy for the treatment of femoroacetabular impingement in the athlete. Clin Sports Med. 2006;25:299–308.

    Article  PubMed  Google Scholar 

  25. Hack K, Di Primio G, Rakhra, K., et al. Prevalence of cam type femoroacetabular impingement morphology in asymptomatic volunteers. J Bone Joint Surg Am. 2010;92(14):2436–44.

    Google Scholar 

  26. Ganz R, Parvizi J, Beck M, et al. Femoroacetabular impingement: a cause for osteoarthritis of the hip. Clin Orthop Relat Res. 2003;417:112–20.

    PubMed  Google Scholar 

  27. Ochoa LM, Dawson L, Patzkowski JC, et al. Radiographic prevalence of femoroacetabular impingement in a young population with hip complaints is high. Clin Orthop Relat Res. 2010;468(10):2710–4.

    Article  PubMed Central  PubMed  Google Scholar 

  28. Kuhn KM, Riccio AI, Saldua NS, et al. Acetabular retroversion in military recruits with femoral neck stress fractures. Clin Orthop Relat Res. 2010;468(3):846–51.

    Article  PubMed Central  PubMed  Google Scholar 

  29. Carey T, Key C, Oliver D, Biega T, Bojescul J. Prevalence of radiographic findings consistent with femoroacetabular impingement in military personnel with femoral neck stress fractures. J Surg Orthop Advances. 2013;22(1):54–8.

    Article  Google Scholar 

  30. Hammoud S, Bedi A, et al. High incidence of athletic pubalgia symptoms in professional athletes with symptomatic femoroacetabular impingement. Arthroscopy. 2012;28(10):1388–95.

    Article  PubMed  Google Scholar 

  31. Meyers WC, McKechnie A, Philippon MJ, Horner MA, Zoga AC, Devon ON. Experience with “sports hernia” spanning two decades. Ann Surg. 2008;248:656–65.

    PubMed  Google Scholar 

  32. Gabriel SE, Crowson CS, Campion ME, O’Fallon WM. Direct medical costs unique to people with arthritis. J Rheumatol. 1997;24:719–25.

    CAS  PubMed  Google Scholar 

  33. Maetzel A, Li LC, Pencharz J, Tomlinson G, Bombardier C, the Community Hypertension and Arthritis Project Study Team. The economic burden associated with osteoarthritis, rheumatoid arthritis, and hypertension: a comparative study. Ann Rheum Dis. 2004;63:395–401.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  34. Lawrence RC, Hochberg MC, Kelsey JL, McDuffie FC, Medsger TA, Felts WR, et al. Estimates of the prevalence of selected arthritic and musculoskeletal diseases in the United States. J Rheumatol. 1989;16:427–41.

    CAS  PubMed  Google Scholar 

  35. Jordan JM, Linder GF, Renner JB, Fryer JG. The impact of arthritis in rural populations. Arthritis Care Res. 1995;8:242–50.

    Article  CAS  PubMed  Google Scholar 

  36. Monson RR, Hall AP. Mortality among arthritics. J Chronic Dis. 1976;29:459–67.

    Article  CAS  PubMed  Google Scholar 

  37. Heliovaara M, Makela M, Impivaara O, Knekt P, Aromma A, Sievers K. Association of overweight, trauma and workload with coxarthrosis: a health survey of 7,217 persons. Acta Orthop Scand. 1993;64:513–8.

    Article  CAS  PubMed  Google Scholar 

  38. Kelly EW, et al. Stress fractures of the pelvis in female Navy recruits: an analysis of possible mechanisms of injury. Mil Med. 2000;165:142–6.

    CAS  PubMed  Google Scholar 

  39. Anderson M, Greenspan A. Stress fractures. Radiology. 1996;199:1–12.

    Article  CAS  PubMed  Google Scholar 

  40. Williams TR, Puckett ML, et al. Acetabular stress fractures in military endurance athletes and recruits: incidence and MRI and scintigraphic findings. Skeletal Radiol. 2002;31:277–81.

    Article  CAS  PubMed  Google Scholar 

  41. Talbot JC, Cox G, Townend M, Langham M, Parker PJ. Femoral neck stress fractures in military personnel, a case series. J R Army Med Corps. 2008;154(1):47–50.

    Article  CAS  PubMed  Google Scholar 

  42. Roberts WN, Williams RB. Hip pain. Prim Care. 1988;15(4):783–93.

    CAS  PubMed  Google Scholar 

  43. Lievense A, Bierma-Zeinstra S, Schouten B, Bohnen A, Verhaar J, Koes B. Prognosis of trochanteric pain in primary care. Br J Gen Pract. 2005;55(512):199–204.

    PubMed Central  PubMed  Google Scholar 

  44. Woodley SJ, Mercer SR, Nicholson HD. Morphology of the bursae associated with the greater trochanter of the femur. J Bone Joint Surg Am. 2008;90(2):284–94.

    Article  PubMed  Google Scholar 

  45. Kagan A II. Rotator cuff tears of the hip. Clin Orthop Relat Res. 1999;368:135–40.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery and Rehabilitation, William Beaumont Army Medical Center, 5005 N. Piedras St, 79932, El Paso, TX, USA

    Joseph T. Lanzi MD

  2. COL John A. Feagin, Jr. West Point Sports Medicine Fellowship, Keller Army Hospital, 10996, West Point, NY, USA

    Steven J. Svoboda MD

Authors
  1. Joseph T. Lanzi MD
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  2. Steven J. Svoboda MD
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Correspondence to Steven J. Svoboda MD .

Editor information

Editors and Affiliations

  1. Keller Army Hospital, West Point, New York, USA

    Kenneth L. Cameron

  2. Keller Army Hospital, West Point, New York, USA

    Brett D. Owens

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Lanzi, J., Svoboda, S. (2016). Hip Injuries. In: Cameron, K., Owens, B. (eds) Musculoskeletal Injuries in the Military. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-2984-9_9

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  • DOI: https://doi.org/10.1007/978-1-4939-2984-9_9

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  • Publisher Name: Springer, New York, NY

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