PTCase ReportInternational journal of sports physical therapy2021

Traumatic Hip Dislocation in an NCAA DI Football Player with Occult Sequelae: A Case Report.

Daniel W Safford, Marisa Pontillo, Brian J Sennett

PMID 34631257

WHAT IT FOUND

A football player returned to sport after hip dislocation but later needed surgery for hidden cartilage damage.

This case highlights that early pain relief does not rule out serious complications, and athletes may hide symptoms until activity is limited.

Key findings

01The athlete returned to full play the following season but required surgery for occult cartilage and labral damage discovered seven months post-injury.

02The subject did not report symptoms until they limited his activity, which may have delayed detection of avascular necrosis and other sequelae.

03Rehabilitation was progressed using specific workload ratios and pre-injury strength benchmarks, but this single case cannot prove this method prevents complications.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

This is a single case report, so it cannot establish that this specific rehabilitation protocol prevents complications or ensures safe return to sport. The subject’s adherence to weight-bearing precautions was poor in non-clinical settings, which may have influenced outcomes. The subject’s motivation to play and team leadership role may have led to under-reporting of symptoms during rehabilitation. There is no control group, so it is impossible to know if the surgical intervention or the specific rehab phases were necessary or effective compared to other approaches.

The easy way to misread this

Do not assume that a pain-free return to sport after hip dislocation means the joint is fully healed. This athlete had no pain during early rehab but developed serious cartilage damage and avascular necrosis seven months later. New mechanical symptoms require immediate referral for advanced imaging.

Read it on PubMed →