A Review of Hip Apophysitis in Athletes case presentation A healthy, 16-year-old female presents with pain over her lateral hip and over her “hip pointer” region that has been progressive.
A Review of Hip Apophysitis in Athletes case presentation A healthy, 16-year-old female presents with pain over her lateral hip and over her “hip pointer” region that has been progressive. She is a gymnast and her training has increased in frequency and intensity due to an upcoming competition. Her pain seems to get worse with her running and jumping activities and seems to improve with rest.
On physical examination, there is tenderness over the left iliac crest region on palpation. Actively flexing her hip causes pain and she has weakness in hip flexion. Radiographs were read as normal.
What is the most likely diagnosis? Iliac crest apophysitis B. Ischial tuberosity avulsion fracture D.
Hamstring tendinopathy introduction Approximately one-third of school-aged children visit a health care professional each year for a sports injury and apophysitis is responsible for a large percentage of these visits. Apophysitis results from a traction injury to the cartilage and bony attachment of tendons in children and adolescents. Most often it is an overuse injury in children who are growing and have tight or inflexible muscle tendon units.
In children and adolescents, the physeal plate is two to five times weaker than the surrounding fibrous structures (ligaments, tendons, and joint capsule), and therefore more vulnerable to injury. There have been different terms to describe injury surrounding areas in an immature skeleton and many refer to them as “growth plate injuries.” Apophysitis is a tuberosity stressed in traction; epiphysitis is a compression or shear injury, whereas epiphyseolysis is the widening of a growth plate under stress. The apophyses are secondary growth centers that serve as attachment sites for tendons.
If you are experiencing symptoms that may be related to review on hip apophysitis, it is important to see a sports medicine physician. Early evaluation and treatment typically lead to better outcomes. Do not ignore pain or symptoms that are limiting your activity.
*This article is for educational purposes only and does not substitute for professional medical advice. Always consult a qualified healthcare provider.*
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