Hip Joint Bone Protrusion After a Fall: What to Do?

Bony protrusion at the hip joint?

Hello, doctor.
A few weeks ago, I fell while playing basketball and landed on my side.
As a result, I have a bruise near my hip joint, and I recently noticed that the area is slightly protruding outward compared to my uninjured leg.
It feels like bone when I touch it, but there is no pain at all.
Could you please advise me on my current condition and how I should proceed? Thank you very much.

Li, 20~29 year old female. Ask Date: 2015/07/20

Dr. Lin Jingwei reply Orthopedics

Based on your description, it is possible that the swelling is due to bursitis at the greater trochanter caused by trauma.
You can initially apply ice to reduce the swelling.
If the swelling does not subside, worsens, or if pain occurs, it is recommended to follow up with an orthopedic clinic for further evaluation and treatment.

Reply Date: 2015/07/20

More Info

When it comes to hip joint injuries, particularly after a fall, it’s essential to understand the potential implications of any visible changes, such as bone protrusion, as well as the appropriate steps to take for recovery. Based on your description, it seems that you have experienced a significant fall while playing basketball, resulting in bruising and a noticeable protrusion in the hip area.
Firstly, the protrusion you are observing could be due to several factors. It might be a result of swelling or hematoma formation, which is common after trauma. However, if the protrusion feels bony and is not associated with pain, it could indicate a possible displacement of the hip joint or surrounding structures. In some cases, the greater trochanter (the bony prominence on the femur) can become more prominent due to muscle strain or injury to the surrounding soft tissues.

Given that you are not experiencing pain, this is a positive sign, but it does not eliminate the need for further evaluation. It is crucial to monitor the situation closely. Here are some recommended steps you should consider:
1. Rest and Ice: Initially, you should rest the affected area and apply ice to reduce any swelling. Ice should be applied for 15-20 minutes every hour as needed, especially in the first 48 hours after the injury.

2. Compression and Elevation: If there is any swelling, using a compression bandage can help manage it. Elevating the leg can also assist in reducing swelling.

3. Observation: Keep an eye on the protrusion and any changes in symptoms. If the protrusion becomes more pronounced or if you start to experience pain, it is essential to seek medical attention.

4. Medical Evaluation: Since you mentioned the protrusion is noticeable compared to the uninjured leg, it would be wise to consult a healthcare professional. An X-ray or MRI may be necessary to rule out any fractures or significant joint displacement. These imaging studies can provide a clearer picture of the underlying structures and help determine if there is any injury to the hip joint, such as a fracture or dislocation.

5. Physical Therapy: If the evaluation shows no significant injury, physical therapy may be beneficial. A physical therapist can guide you through exercises to strengthen the hip muscles and improve stability, which is crucial for recovery and preventing future injuries.

6. Gradual Return to Activity: Once cleared by a healthcare professional, you can gradually return to your normal activities, including basketball. However, ensure that you are pain-free and have regained full range of motion and strength before resuming high-impact sports.

In conclusion, while the absence of pain is a good sign, the protrusion you are experiencing warrants further investigation to ensure there are no underlying injuries. Following the steps outlined above will help you manage your current condition effectively. Always prioritize consulting with a healthcare provider for a thorough assessment and tailored treatment plan.

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