DeLee, Drez, & Miller's Orthopaedic Sports Medicine

Femoroacetabular Impingement in Athletes

The concept of hip impingement was first described in the medical literature in the 19th century, and the idea that variations in hip morphology can contribute to secondary hip arthritis has been known for more than 100 years. The first…

Hip Arthroscopy

The technique of hip arthroscopy has undergone a period of rapid evolution and growth. In its infancy, hip arthroscopy was mostly for diagnostic and limited therapeutic utility. It was “a technique looking for indications.” Now, improved understanding of intra- and…

Hip Imaging

A multitude of structural hip disorders can occur in athletes with hip pain. Although the history and physical examination play a critical role in determining the diagnosis, it is also important to have a systematic approach to help diagnose these…

Hip Diagnosis and Decision-Making

Overview of Pathologies Understanding the differential diagnosis for hip pathology is necessary before collecting a history and performing a physical examination. This background allows the clinician to tease out important elements in the history to narrow the differential and provide…

Hip Anatomy and Biomechanics

The hip joint ( coxa in Latin) is the articulation connecting the pelvis and the femur. It is an encapsulated synovial joint with a ball-and-socket architecture in which the femoral head is the ball and the acetabulum is the socket.…

Neuropathies of the Wrist and Hand

Although athletes at all levels of participation may experience the same entrapment neuropathies as the general population, some sport-specific peripheral nerve factors must be considered with regard to the wrist and hand. Neuropathies may occur as a result of chronic…

Digit Fractures and Dislocations

Finger fractures and dislocations can range from minor, self-treated simple proximal interphalangeal joint (PIP) dislocations to some of the most complex and difficult problems in orthopedics. They are some of the most common injuries in various sports, from football to…

Tendon Injuries in the Hand

Although not every team physician needs to be a “hand surgeon,” the frequency of hand and wrist injuries caused by sporting activity requires expertise in the diagnosis and evaluation of these injuries. Regardless of the sport, an athlete with a…

Disorders of the Distal Radioulnar Joint

Disorders of the distal radioulnar joint (DRUJ) include those associated with pain or instability or both. In addition, one should consider pathology of degenerative or traumatic etiology. Injury to the triangular fibrocartilage complex can result in pain or instability or…

Wrist Tendinopathies

Tendinopathies are extremely common in athletes. Any sport that requires a repetitive motion, such as a tennis serve or volley, a basketball free throw, or “turning the wrists over,” as in the completion of a golf or baseball swing, puts…