# Posterior Hip Pointer: Subperiosteal Detachment of the Gluteal Muscles at the Posterior Iliac Crest in Two Elite Athletes

## TL;DR

This paper describes a rare hip injury in athletes, occurring at the back of the hip bone and named the 'posterior hip pointer'.

## Contribution

The paper introduces and names a new variation of hip pointer injury at the posterior iliac crest.

## Key findings

- Two elite athletes experienced trauma at the posterior iliac crest near the PSIS.
- The injury was distinct from typical hip pointers and required specific diagnostic and treatment approaches.

## Abstract

Hip injuries are common in contact sports, particularly in high-impact activities. A well-known type of hip trauma is the hip pointer, which is a contusion of the iliac crest caused by a direct blow. Typically, hip pointers involve the lateral aspect of the iliac crest. In this case report, we present an unusual variation of this injury affecting the posterior iliac crest near the posterior superior iliac spine (PSIS). We describe two cases of elite athletes who sustained posterior iliac crest trauma, a condition we propose naming the “posterior hip pointer”. This report highlights the clinical presentation, imaging findings, treatment approach, and implications for sports medicine.