Hip Pain in a Collegiate Gymnast

in International Journal of Athletic Therapy and Training
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A 19-year-old Division I female collegiate gymnast presented with left hip/adductor pain. Radiographic imaging confirmed a diagnosis of bilateral hip dysplasia. The patient completed conservative rehabilitation before undergoing a Bernese hip periacetabular osteotomy (PAO). Postsurgical management lasted 12 months and involved interdisciplinary care (athletic trainer, massage therapist, chiropractor, and acupuncturist). Although more common among female athletes whose sport requires extreme flexibility (67–89%), presentation of this congenital anomaly usually occurs during adolescence, reducing participation in elite competitive sports. Dysplasia diagnosis and surgical PAO require a multifaceted approach to recovery, with less than 60% of surgical cases returning to sport.

Alyssa C. Adams is an athletic trainer and personal trainer at Equinox Fitness, New York, NY. Kelly B. Fleming is an athletic trainer with the University Athletic Association, Inc., at the University of Florida, Gainesville, FL. Patricia M. Tripp is a clinical associate professor and director of the Professional Level Athletic Training Program at the University of Florida, Gainesville, FL. Joe J. Piccininni, EdD, CAT(C), The University of Toronto, is the report editor for this article.

Address author correspondence to Alyssa C. Adams at alyssa.catherine.adams@gmail.com.
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