Hip and Groin Injuries in Baseball Players

Overview

Journal Curr Rev Musculoskelet Med

Date 2018 Jan 14

PMID 29330669

Citations 8

Authors

Ryan A Mlynarek

Struan H Coleman

Affiliations

Soon will be listed here.

Abstract

Purpose Of Review: To discuss the clinical significance of the most common hip and groin injuries in baseball players, as well as an algorithmic approach to diagnosis and treatment of these injuries.

Recent Findings: (a) Limitations in throwing velocity, pitch control, and bat swing speed may be secondary to decreased mobility and strength within the proximal kinetic chain, which must harness power from the lower extremities and core. (b) Approximately 5.5% of all baseball injuries per year involve the hip/groin and may lead to a significant amount of time spent on the disabled list. Injuries involving the hip and groin are relatively common in baseball players. Our knowledge of the mechanics of overhead throwing continues to evolve, as does our understanding of the contribution of power from the lower extremities and core. It is paramount that the team physician be able to accurately diagnose and treat injuries involving the hip/groin, as they may lead to significant disability and inability to return to elite levels of play. This review focuses on hip- and groin-related injuries in the baseball player, including femoroacetabular impingement, core muscle injury, and osteitis pubis.

Citing Articles

Association of the Universal Designated Hitter Rule With Changes to Injuries in Major League Baseball Pitchers.

Kholodovsky E, Luxenburg D, Hodgens B, Liebmann K, Baraga M Orthop J Sports Med. 2024; 12(11):23259671241292655.

PMID: 39555322 PMC: 11565684. DOI: 10.1177/23259671241292655.

Elbow Injuries Among MLB Pitchers Increased During Covid-19 Disrupted Season, But Not Other Baseball Injuries.

Martin C, Palasiewicz J, Grullon J, Shanley E, Thigpen C, Kline D Int J Sports Phys Ther. 2023; 18(2):397-408.

PMID: 37020443 PMC: 10069388. DOI: 10.26603/001c.71359.

Prevalence of femoroacetabular impingement in elite baseball players.

Uquillas C, Sun Y, Van Sice W, ElAttrache N, Banffy M J Hip Preserv Surg. 2022; 9(3):145-150.

PMID: 35992028 PMC: 9389915. DOI: 10.1093/jhps/hnac034.

Lower Extremity Muscle Injuries in the Overhead Athlete.

Koscso J, McElheny K, Carr 2nd J, Hippensteel K Curr Rev Musculoskelet Med. 2022; 15(6):500-512.

PMID: 35913667 PMC: 9789236. DOI: 10.1007/s12178-022-09786-z.

A proposed algorithm for the treatment of core muscle injuries.

Kraeutler M, Mei-Dan O, Davila Castrodad I, Talishinskiy T, Milman E, Scillia A J Hip Preserv Surg. 2022; 8(4):337-342.

PMID: 35505804 PMC: 9052413. DOI: 10.1093/jhps/hnab084.

References

Ryan J, Harris J, Graham W, Virk S, Ellis T . Origin of the direct and reflected head of the rectus femoris: an anatomic study. Arthroscopy. 2014; 30(7):796-802. DOI: 10.1016/j.arthro.2014.03.003. View

Hammoud S, Bedi A, Magennis E, Meyers W, Kelly B . High incidence of athletic pubalgia symptoms in professional athletes with symptomatic femoroacetabular impingement. Arthroscopy. 2012; 28(10):1388-95. DOI: 10.1016/j.arthro.2012.02.024. View

Nepple J, Clohisy J . Evolution of Femoroacetabular Impingement Treatment: The ANCHOR Experience. Am J Orthop (Belle Mead NJ). 2017; 46(1):28-34. View

Palisch A, Zoga A, Meyers W . Imaging of athletic pubalgia and core muscle injuries: clinical and therapeutic correlations. Clin Sports Med. 2013; 32(3):427-47. DOI: 10.1016/j.csm.2013.03.002. View

Gaudino F, Spira D, Bangert Y, Ott H, Zobel B, Kauczor H . Osteitis pubis in professional football players: MRI findings and correlation with clinical outcome. Eur J Radiol. 2017; 94:46-52. DOI: 10.1016/j.ejrad.2017.07.009. View

Byrd J . Evaluation of the hip: history and physical examination. N Am J Sports Phys Ther. 2011; 2(4):231-40. PMC: 2953301. View

Wight J, Richards J, Hall S . Influence of pelvis rotation styles on baseball pitching mechanics. Sports Biomech. 2004; 3(1):67-83. DOI: 10.1080/14763140408522831. View

Fernandez Hernando M, Cerezal L, Perez-Carro L, Abascal F, Canga A . Deep gluteal syndrome: anatomy, imaging, and management of sciatic nerve entrapments in the subgluteal space. Skeletal Radiol. 2015; 44(7):919-34. DOI: 10.1007/s00256-015-2124-6. View

Meyers W, McKechnie A, Philippon M, Horner M, Zoga A, Devon O . Experience with "sports hernia" spanning two decades. Ann Surg. 2008; 248(4):656-65. DOI: 10.1097/SLA.0b013e318187a770. View

10.

Cheatham S, Kolber M, Salamh P . Meralgia paresthetica: a review of the literature. Int J Sports Phys Ther. 2013; 8(6):883-93. PMC: 3867081. View

11.

Trofa D, Mayeux S, Parisien R, Ahmad C, Lynch T . Mastering the Physical Examination of the Athlete's Hip. Am J Orthop (Belle Mead NJ). 2017; 46(1):10-16. View

12.

Klingenstein G, Martin R, Kivlan B, Kelly B . Hip injuries in the overhead athlete. Clin Orthop Relat Res. 2012; 470(6):1579-85. PMC: 3348320. DOI: 10.1007/s11999-012-2245-3. View

13.

Beck M, Kalhor M, Leunig M, Ganz R . Hip morphology influences the pattern of damage to the acetabular cartilage: femoroacetabular impingement as a cause of early osteoarthritis of the hip. J Bone Joint Surg Br. 2005; 87(7):1012-8. DOI: 10.1302/0301-620X.87B7.15203. View

14.

Siebenrock K, Ferner F, Noble P, Santore R, Werlen S, Mamisch T . The cam-type deformity of the proximal femur arises in childhood in response to vigorous sporting activity. Clin Orthop Relat Res. 2011; 469(11):3229-40. PMC: 3183218. DOI: 10.1007/s11999-011-1945-4. View

15.

Chu S, Jayabalan P, Ben Kibler W, Press J . The Kinetic Chain Revisited: New Concepts on Throwing Mechanics and Injury. PM R. 2016; 8(3 Suppl):S69-77. DOI: 10.1016/j.pmrj.2015.11.015. View

16.

Welch C, Banks S, Cook F, Draovitch P . Hitting a baseball: a biomechanical description. J Orthop Sports Phys Ther. 1995; 22(5):193-201. DOI: 10.2519/jospt.1995.22.5.193. View

17.

Poultsides L, Bedi A, Kelly B . An algorithmic approach to mechanical hip pain. HSS J. 2013; 8(3):213-24. PMC: 3470663. DOI: 10.1007/s11420-012-9304-x. View

18.

Byrd J . Hip arthroscopy. J Am Acad Orthop Surg. 2006; 14(7):433-44. DOI: 10.5435/00124635-200607000-00006. View

19.

Li X, Ma R, Zhou H, Thompson M, Dawson C, Nguyen J . Evaluation of Hip Internal and External Rotation Range of Motion as an Injury Risk Factor for Hip, Abdominal and Groin Injuries in Professional Baseball Players. Orthop Rev (Pavia). 2016; 7(4):6142. PMC: 4703912. DOI: 10.4081/or.2015.6142. View

20.

Coleman S, Mayer S, Tyson J, Pollack K, Curriero F . The Epidemiology of Hip and Groin Injuries in Professional Baseball Players. Am J Orthop (Belle Mead NJ). 2016; 45(3):168-75. View