1. UNIT 7- INJURY MANAGEMENT
HIPS
UNIT 7- INJURY MANAGEMENT

2. HIPS
Specific injury assessment to evaluate the extent of musculoskeletal injuries
Performed in an ordered sequence to assess the nature, site and severity of an injury
By following a consistent pattern, you are less likely to forget a procedure
HIPS
History
Inspection
Palpation
Special Test

3. PPE /BSI
Before you start the injury assessment you must take precautions to prevent disease transmission
Avoid contact with body fluids
Wear Gloves
Cover cuts
Wear protective coverings
Use breathing devices
Wash hands after treatment
Remove athlete from activity if bleeding and blood on uniform
Use a solution of bleach and water or hydogen peroxide to get blood off uniform

4. History One of most important steps
Collecting as much information as possible
Ask athlete questions
Ask bystanders questions
Provide clues in determining structures that are injured
Where does it hurt?
What happened?
How did it happen?
How long has it hurt?
Does the joint give away?
Does the joint lock?
Did you hear or feel a pop, crack, snap…?

5. Inspection This step is purely observational
Always compare bilaterally
Note if holding body part
Note holding body part
Note functional abilities
Limping?
Grimacing?
Look for
Bleeding
Deformity
Swelling
Discoloration
Any sign of injury

6. Palpation Palpation means to feel or touch
Increase palpation pressure as tolerated
Begin away from injury site
Visualize structures as examine
Compare bilaterally
Palpate
Bones
Muscles
Soft tissue
Ligaments
Tendons

7. Special Tests There are five areas of special tests Range of Motion
Stress Tests
Neurological
Circulatory
Functional

8. Special Tests Range of Motion Active Passive Resistive
Assess in proper sequence-
Active-Passive-Resistive
Compare bilaterally
Active
Movement is performed solely by athlete
Passive
Movement is performed completely by the examiner
Resistive
Athlete is asked to perform movement while the examiner provides resistance
Note any restriction or limitation
Used to determine status of muscle/muscle group
Findings:
Weak and Painless
Possible 3rd degree strain
Weak and Painful
Possible fracture at joint site
Strong and Painful
Possible tear of muscle/tendon
Strong and Pain free
No muscle injury

9. Special Tests Stress Tests Neurological Exam
Designed for almost every body region
Used to determine:
Ligament stability
Muscle imbalance
Muscle tightness
Joint function
Integrity of structures
Neurological Exam
Determine sensory function
Run fingers over area of skin on affected and unaffected area
Apply sharp and dull points to affected and unaffected area
Does it feel the same on both sides?

10. Special Tests Circulatory Functional Tests
Check pulse distal to injury
When appropriate take pulse, blood pressure and nail bed perfusion
Functional Tests
Determine if athlete can return to sport participation
Done only if no findings were found during special tests
Evaluate motor control and proprioception
Walk, jog, run in straight line, figure 8 and zig-zag
Squat
Throw
Stand on one leg

11. Make a Decision
After completing a HIPS evaluation, a decision of action can be made dependant on:
Extent of injury
Type of care needed
Plan of action
Return to play, re-valuate for follow-through treatment
Can not return to play, ice and re-evaluate
Call 911
Physical referral