Abstract
Although hip injuries do not account a large amount of the Sports Physician's workload they can result in significant morbidity. We present a case where an acetabular fracture was sustained in a relatively young female while playing squash without any history of fall or injury but was treated successfully non-operatively. Such patients who present with acute hip pain must not be dismissed as simply having a soft tissue injury.
Highlights
The number of hip joint injuries that present to the Sports Physician is relatively small, in comparison to other joints such as the knee ankle and shoulder, but their morbidity can be significant especially if the correct diagnosis is not made [1]
We describe a squash player who presented with acute hip pain during a game without any history of fall or injury, which turned out to be an isolated fracture of the acetabulum
A stress fracture of the femoral neck can present with a gradual deterioration of symptoms [9] and if left untreated may progress to a displaced fracture with significant long-term morbidity
Summary
The number of hip joint injuries that present to the Sports Physician is relatively small, in comparison to other joints such as the knee ankle and shoulder, but their morbidity can be significant especially if the correct diagnosis is not made [1]. We describe a squash player who presented with acute hip pain during a game without any history of fall or injury, which turned out to be an isolated fracture of the acetabulum. A 47-year-old pre menopausal female presented to our Emergency Department with acute left hip pain while playing squash. The pain was so severe that she was unable to weight bear She was an active club player for four years and was playing a club game when the incident occurred. She denied any previous hip injury or preceding hip and groin pain. Examination revealed no deformity of the left leg She complained bitterly of hip pain that was worse on passive movement. A subsequent bone mineral density scan showed she had a T-score that was greater than -1 [4]
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