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Sports injuries in the pelvic region 

Sports injuries in the pelvic region
Chapter:
Sports injuries in the pelvic region
Author(s):

Roger Wolman

DOI:
10.1093/med/9780199550647.003.007015
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date: 12 December 2019

The pelvis acts as a fulcrum for the forces transmitted between the lower limb and trunk especially on twisting and turning movements while running, and in the reverse direction when kicking. Sports injuries around the pelvis are therefore common in weight-bearing sports, such as running, football, rugby, and basketball

Injury can occur to the various structures around the pelvis. Bone stress injuries affect the symphysis pubis, pubic rami, femoral neck, and sacrum. Stress fractures are more common in women and may occur as part of the female athlete triad (Box 7.15.1) where there is hypo-oestrogenaemia and low bone density

Tendon injuries, including enthesopathies, most commonly affect the adductors, lower abdominals, glutei and hamstrings. Hip injuries can occur as a result of labral tears and femoroacetabular impingement. Sacroiliac joint instability may also cause symptoms especially in the buttock region. Synovitis of either joint may suggest an inflammatory arthritis

Pain is the most common symptom. However it may be referred from elsewhere, especially the lumbar spine. Pain may also originate from other systems including the reproductive organs and the gastrointestinal and urinary tracts.

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