Hip Pointer

What is a Hip Pointer?
A hip pointer is the term used to describe the injury suffered when there is a direct blow to the pelvis or hip bone. This injury is very common in high contact sports such as football and hockey. Bruising and inflammation are the two most common side effects of this injury, and it is important to consult with a physician if you believe the injury has done further damage than just a contusion or bruise to the top of the hip bone. 

Medical Definition of a Hip Pointer
A hip pointer is a subcutaneous contusion of the iliac crest resulting from a direct blow, usually at or near the anterior superior iliac spine, or ASIS.  The contusion is graded from 1 to 3 depending on the extent of the damage.  Grade 1 hip pointers functionally limit the patient for about 5-14 day, while grade 2 and 3 hip pointers can functionally limit individuals for 14-21 days. 

Synonyms
- Hip Contusion

What are the symptoms of a Hip Pointer?
- Pain located at the anterior portion of the hip
- Tenderness at the site of the injury
- Pain increases with active trunk motions

Related Injuries
- Hip Labrum Tear
- Hip Arthritis

Treatment of Hip Pointer
- Early intervention within the first 2-4 hours is critical to help avoid severe pain and restricted motion.
- Follow the RICE principles.
- Proper usage of NSAIDS to help alleviate any pain.
- Early range of motion exercises should be performed as long as they do not cause pain.
- Light stretching exercises within a pain free range of motion.
- You may benefit from the usage of TENS.

Related Anatomy
- Hip
- Pelvis

Sports
- Football
- Hockey

References
Greene W.B. (Ed). (2001). Essentials of Musculoskeletal Care.Rosemont, IL: American Academy of Orthopaedic Surgeons (714)