Hip pointer injuries are caused by direct impact with the top of the hip bone (iliac crest). The bone and overlying
muscle are often bruised, and the pain can be intense.
A hip pointer is a bruise to the iliac crest of the pelvis. The iliac crest is the superior border of the hip bone. Hip pointers
occur from a direct blow to the iliac crest. Because of the superficial location of the iliac crest, it is very susceptible to
impact injuries. Hip pointers frequently occur during football, but can occur in any sport where the iliac crest is at risk to
direct impact.
Athletes with a hip pointer frequently complain of pain and occasionally develop swelling and bruising at the site of injury.
Initial treatment should focus on minimizing swelling and bleeding. This is done with ice and compression. Because hip
pointers can be very painful, athletes occasionally require crutches during the first few days after the injury to assist with
ambulation. Stretching and strengthening of adjacent muscles are added once pain has resolved. Athletes may return to
sports once they have regained full strength and range of motion.
Use of appropriate padding over the iliac crest can help reduce the risk sustaining a hip pointer.