Abstract
This report presents a 27-year-old male professional soccer player who developed heterotopic ossification of his hip capsule and gluteus minimus tendon after an arthroscopic hip procedure. After removal of the heterotopic bone, the patient had a symptomatic deficiency of his hip capsule and gluteus minimus tendon. A series of orthobiologic treatments with platelet-rich plasma and bone marrow aspirate concentrate improved the patient’s pain and strength as well as the morphologic appearance of the hip capsule and gluteus minimus tendon on magnetic resonance imaging. A series of motion analyses demonstrated significant improvement in his stance-leg ground reaction force and hip abduction, as well as linear foot velocity at ball strike and maximum hip flexion following ball strike in his kicking leg. Level of evidence IV.
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Acknowledgments
We would like to thank Kerry Costello, Kelly Newman and Sean Garvey for their contributions to this study
Conflict of interest
The Steadman-Philippon Research Institute is a 501(c)(3) non-profit institution supported financially by private donations and corporate support from the following entities: Smith & Nephew Endoscopy, Arthrex, Inc., Siemens Medical Solutions USA, Inc., OrthoRehab, Conmed Linvatec, Össur Americas, Small Bone Innovations, Inc., and Opedix.
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Campbell, K.J., Boykin, R.E., Wijdicks, C.A. et al. Treatment of a hip capsular injury in a professional soccer player with platelet-rich plasma and bone marrow aspirate concentrate therapy. Knee Surg Sports Traumatol Arthrosc 21, 1684–1688 (2013). https://doi.org/10.1007/s00167-012-2232-y
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DOI: https://doi.org/10.1007/s00167-012-2232-y
Keywords
- Platelet-rich plasma
- Bone marrow aspirate concentrate
- Hip capsular injury
- Gluteus minimus tendon tear
- Motion analysis