Management of hip and groin pain in American football players
Fractures, dislocations, muscle and tendon strains, athletic pubalgia, contusions, and femoroacetabular impingement (FAI) are common injuries in American football players and range in severity from minor to major due to the high energy collisions, but have not been comprehensively reviewed. Athletes with preexisting FAI are more prone to hip subluxation and dislocation as well as intra-articular pathology. Although stress fractures are the most common osseous issues, femoral neck and pelvis fractures have the risk for high amounts of morbidity. Musculotendinous injury and contusions are the most common injuries in football with goals of return to play being based in maintaining motion and progression to strengthening. American football hip injuries are unique and can be quite severe due to high energy collisions. Prompt and appropriate management is key to prevent long term morbidity and shorten safe return to play.