Hip Injuries in Ice Hockey Goaltenders

Abstract

Hip and groin injuries are among the most common locations for sports-related injuries in ice hockey players due to the specialized movements and physical nature of the sport. Goaltenders are at particular risk for hip injuries due to the unique demands of their position, particularly with the widespread use of the “butterfly style” technique, placement of the hip in extremes of motion during play, and the emphasis on repetition of skills. Hip injuries in ice hockey goalies are mainly attributed to overuse, traumatic contact injuries, or a developmental process. These injuries can be acute or chronic and involve the intra-articular joint and/or extra-articular structures including core muscles, adductors, or hip flexors. They can be treated either conservatively or operatively, depending on the player's goals and level of play. A more complicated picture arises when intra- and extra-articular hip pathologies coexist, presenting challenges in diagnosis and treatment. Fundamental understanding of goaltenders’ hip kinematics, diagnostic physical exam maneuvers, and operative indications is crucial to accurately diagnosing, treating, and preventing hip-related injuries in goalies.