Baseballing the Gluteus Maximus #7/8 - Hip Impingement Baseball

Baseballing the Gluteus Maximus #7/8 - Hip Impingement Baseball. https://www.p2sportscare.com/hip-impingement-baseball/
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More on Anatomy of the Hip with this Condition in Baseball? https://youtu.be/0uWgNUG1hwA

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Hip Impingement among young baseball players is a preventable condition when caught early.

This article discusses two common signs of possible hip impingement and some ideas for prevention. Information discussed within this is not intended to replace a proper evaluation by a sports doctor. Always consult a physician before initiating self-directed rehabilitation.

#1 Location of “pinch” or pain
Hip Impingement among baseball players typically presents with a “pinching” sensation located in the anterior portion of the hip near the groin. Normally, athletes will complain of a pinching sensation or movement restriction when squatting deep with the hips below the knees. Other motions that will elicit a similar sensation include raising the knee up above the hips (as with pitching), or planting and rotating of the lead side foot when throwing and hitting.

A common test used to asses for this sports injury is called the Scour’s Test. Watch the attached video discussing the Scour’s Test. You will observe the hip is placed into similar positions as pitching and hitting, meaning, the hip is flexed, internally rotated, and driven across the body. The difference between this test and throwing/ hitting is it is performed with the athlete on their back and performing the motion with assistance.

The Scour’s Test is an example of a passive test. Passive indicates the physician moves the joint and evaluates passive positioning of the hip. Evaluated structures include the hip joint, cartilage, labrum, and ligaments. A skilled physician may also distract the joint and perform a pain-free test, which is another indication of hip impingement.

CAM Deformity:
CAM deformities often correlate with hip impingement among baseball players. CAM deformities occur when the neck/head of the femur is oblong rather than round. An oblong femoral head creates an increased risk of hip impingement and should always be considered when programming strength and conditioning for baseball. When playing, baseball, players are often in a position of anterior pelvic tilt, which positions the acetabular rim closer to the femoral head in hip flexion.

What causes a CAM deformity?

Youth athletics seems to have a high incidence of CAM deformities when active before closure of the growth plates. Data indicates adjustments should be made in young athletes’ activity level during periods of skeletal growth (Agricola et al, AJSM 2014). Formation of a CAM deformity will typically result in an increased risk of hip osteoarthritis and significant pain later in life.

Given the increased risk of CAM deformities and hip impingement, should we allow young children to play year around sports? Year round sports has become an increasingly popular trend, however, this may be detrimental for the health and skill development of younger athletes.
# 2: Positive Scour’s Test

Scour’s test is used in sports medicine to identify hip impingement, hip labral tears, and a variety of other conditions of the hip. Every youth coach and parent should know how to perform this simple orthopedic examination. When performed correctly, the Scour’s test is over 60% sensitive.

Here’s how you do it.

Position your athlete on their back. Place your hand on top of the knee. Bring the knee towards the athlete’s chest, stopping with the knee flexed at 90 degrees. Next, bring the hip across the body toward the belly button and lightly pull the foot outward.

Confused? Watch this video fully and you will get it.

Scour’s test is only one test in a series of useful tests that may be used to diagnosis hip impingement. Consider the Scour’s test a starting point to promote better health and development among younger athletes.

A positive Scour’s test is duplication of pinching in the anterior groin. However, be aware the severity and intensity of pinching varies. Typically, minor pinching without labral tearing will respond well to rehab, proper strength training, and conditioning.

Rehabilitation of hip impingement may include:
• Deep tissue massage or myofascial release
• Joint mobilization
• Stretching of the hip
• Isometric trunk control to keep the acetabular rim raised
• Resistance training of the lower extremity
• Exercise therapy for centralization of the femoral head

Видео Baseballing the Gluteus Maximus #7/8 - Hip Impingement Baseball канала Performance Place Sports Care & Chiropractic