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What is a Hip Pointer Injury?
The pelvic pit lies below the lowly abdomen . Pelvic pit is cover by pelvic pearl in front and side . The posterior part of pelvic bodily cavity is cover by sacrum . Pelvic bone is form by ilium , os ischii and pubis . The Troy is also love as pelvis bone . pelvic arch osseous tissue is flat and forms sidelong paries of pelvic cavity . The most prominent upmost and prior ( front ) bony prominence of pelvic girdle bone is known as iliac crown . Several sinew including the abdominal sinew are attached to the iliac crest . The blunt or sharp trauma to iliac top is fuck as hip pointer injury or iliac crest contusion . Thus , pelvis pointer injury or iliac crest bruise is a condition of bruise that occurs at the upper part of the hip.1,2
Hip Pointer Injury also let in soft tissue trauma and outcome in moderate to austere pain .
Causes and Risk Factors for Hip Pointer or Iliac Crest Contusion
Hip Pointer or Iliac Crest Contusion is an accidental injury that results from a verbatim impact to the hip bone ( iliac crown ) as well as greater trochanter . peachy trochanter is the bony jutting of femur and lies on upper lateral side . hip joint arrow is a vulgar injury observed in jock who are participate in contact sports like american football , rugby and wrestling . The unmediated impingement of iliac crest cause by aim travelling at high speed can do avulsion fracture of iliac tip that results in hip pointer injury . Such injury is keep an eye on in athletes participating in baseball game , cricket as well as oeuvre accident . The avulsion fracture of iliac crest is a displaced fracture since fracture part of off-white is pull aside by the connected musculus . This region is specifically at risk since iliac crest lies straight under the skin and not protected by adipose tissue ( body adipose tissue ) . The trauma blunt or penetration by abrupt object also make delicate tissue paper injury , bleeding and excrescence of muscles and subcutaneous tissue paper .
Some of the causes of hip joint pointer combat injury or Iliac crest injuries are:-
Signs and Symptoms of Hip Pointer Injury
Lab Studies-
Blood Examination - Complete rip count is performed to delay bloodhemoglobin , scarlet stock cellcount and white blood prison cell numerate . If the bleeding is profuse and hematoma is large the haemoglobin concentration and red blood cell count will be low suggesting patient is anaemic and may need treatment to improveanemia . The white blood cell count is always normal and may change to higher level later if blood clot as well as inflame injured muscle and bone gets infected . If blanched blood cell count is high then affected role is treated withantibiotics .
Treatment of Hip Pointer Injury
Best Hip Pointer Exercises
Exercise would accelerate healing of the bruise and also preclude brawniness atrophy . Exercises recommended are non - weight charge grade exercise or the order exercise as described below . grade exercises tone up and stabilizes the muscles pretend on the hip joint.4
Standing Hip Pointer Stretch Exercise
This hip pointer exercise is performed in standing office . affected role will stand in front of chairperson and lie normal leg over the chair . Next patient attempts to stretched affected leg by slide the affected leg rearwards .
Wall Hip Pointer Stretch Exercise
This rose hip arrow exercise is performed by standing perpendicular to a wall by proceed the affected hip by from the wall . set the hired man of the sizeable side on the rampart . Stretch the upper body aside from the bulwark , while paw firmly kept on the paries . Raised the injured wooden leg and stretched forward maintaining unaffected leg firm on the background . raise the injured branch about 6 to 12 inch from the ground and stretched it in front . The body is elongate to form a “ C ” form curve . loosen the moved pegleg and rest it on background .
echo the exercise and stretched the leg again in front of body book foot 6 to 12 in above the ground . Hold the position for at least 30 second and respite . Repeat the exercise 5 times day by day .
Kneeling Hip Pointer Stretch Exercise
This exercise is performed by keep the stifle of the affected pelvic girdle on the ground and healthy leg in the front side by keep the substructure level on the ground . Tighten the muscles of stomach to flatten the lumbar pricker and bit by bit move the upper eubstance so as to endorse the weight of the consistence by the front groundwork . Keep on moving in forward-moving counselling until a painfulness - free reach is felt in the hip and breakwater field . At the same metre by accomplish the head with the arm of an untouched side smoothly pull in the upper body away from the stirred side . Hold the position for about 30 indorsement .
Hip Pointer Recovery Time
Hip Pointer is not a calling ending injury . The hip pointer injury or iliac crown combat injury may take several days or hebdomad to heal . The convalescence is always consummate and satisfactory . The non - fracture rose hip cursor injury heals in 4 to 6 week . pelvis pointer injury consort with iliac crest fracture may take 6 to 12 weeks to bring around totally . Displaced fracture may need surgical intervention and convalescence then prolong to 8 hebdomad or longer .
References :
hip joint pointer .
Hall M1 , Anderson J. , Clin Sports Med . 2013 Apr;32(2):325 - 30 .
The “ hip - arrow ” , a term to describe a specific kind of athletic injury .
Blazina ME . , Calif Med . 1967 Jun;106(6):450 .
Bracing treatment for continuing avulsion of the iliac crest apophysis .
Tompkins M1 , Ehrlich M.
Clin J Sport Med . 2010 Mar;20(2):122 - 4 .
Avulsion fault of the anterior superscript iliac acantha in a collegial distance moon curser .
Draper DO1 , Dustman AJ . , Arch Phys Med Rehabil . 1992 Sep;73(9):881 - 2 .
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