Download HIPS

HIPS
UNIT 7- INJURY MANAGEMENT
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

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
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…?
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
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

Special Tests
 There are five areas of special tests
 Range of Motion
 Stress Tests
 Neurological
 Circulatory
 Functional
Special Tests
 Range of Motion
 Assess in proper sequence Active-Passive-Resistive
 Compare bilaterally
 Active
 Movement is performed
completely by the examiner
 Passive
 Movement is performed
solely by athlete
 Note any restriction or
limitation
 Used to determine status of
muscle/muscle group
 Findings:




Possible 3rd degree strain
Weak and Painful

Possible fracture at joint site
Strong and Painful


 Resistive
 Athlete is asked to perform
movement while the
examiner provides resistant
Weak and Painless
Possible tear of
muscle/tendon
Strong and Pain free

No muscle injury
Special Tests
 Stress Tests


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?

Special Tests
 Circulatory
 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

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