Illiac Crest Contusion (Hip pointer)
Caused by blow to the iliac crest
Signs of Injury: muscle guarding, transitory paralysis of the soft structures. Inability to rotate the trunk or flex the thigh without pain
Care: Cold and pressure should be applied immediately. Bed rest for 1 to 2 days, referral to physician.
Legg-Perthes disease
Often associated with avascular necrosis
Cause: Loss of blood circulation to the articular head of the femur
Signs of Injury: Complains of pain in the groin that sometimes is referred to the abdomen or knee. Limping also
Care: Complete bed rest, special brace to avoid direct weight bearing on the hip
Myositis ossificans
Cause: Severe blow to the thigh, ectopic bone formation within the muscle
Signs of Injury: single severe contusion, repeated contusion to a muscle, improper care of a contusion
Care: Surgical removal
