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HIP & THIGH

HIP & THIGH. Connie S. Hayes, DC, MS, CCSP Assistant Director BIOFREEZE Sports & Rehab . ANATOMY. ANATOMY. ANATOMY. ANATOMY. COMMON INJURIES. STRAINS. Three levels of HAMSTRING strains : Grade 1 -- mild muscle strain or pull Grade 2 -- partial muscle tear

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HIP & THIGH

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  1. HIP & THIGH Connie S. Hayes, DC, MS, CCSP Assistant Director BIOFREEZE Sports & Rehab

  2. ANATOMY

  3. ANATOMY

  4. ANATOMY

  5. ANATOMY

  6. COMMON INJURIES

  7. STRAINS Three levels of HAMSTRING strains: • Grade 1 -- mild muscle strain or pull • Grade 2 -- partial muscle tear • Grade 3 -- complete muscle tear • Surgical Treatment to sew tear

  8. STRAINS • Quadriceps • Adductors • Hip Flexors

  9. SIGNS & SYMPTOMS • Bruising • Diminished/Loss of Function • Muscle Spasm • Deformity

  10. TREATMENT • Ice • Dry Needle • Compress • Leukotape • Soft Tissue • A.R.T. • FMS • Short Arc

  11. Hip Flexor Spica

  12. CONTUSIONS • Quadriceps – Myositis Ossificans

  13. MYOSITIS OSSIFICANS

  14. Concerns • Calcification in Muscle 7-10 days • Heterotrophic Bone Forms 2-3 weeks • SLR will be painful • Grade I - >90° Knee Flexion • Grade II - 45–90° Knee Flexion • Grade III - <45° Knee Flexion

  15. HIP POINTER • Direct blow to Iliac Crest/ASIS

  16. SIGNS & SYMPTOMS • Pain • Swelling • Blood in Muscle • Loss of Range of Motion

  17. NOT SO COMMON INJURIES • Slipped Capital Femoral Epiphysis • Legg-Calve-Perthes • Avulsions • Fractures • Hip Dislocations

  18. SCFE • Epiphyseal Fracture • Boys 10-17 years • Bilateral in ¼ cases • Groin Pain, Limp when walk • Rest • Surgery

  19. LCP • Disruption of blood flow to Femur head • Bone Tissue Death • Boys 3-12 years • Unilateral • Groin, abdominal and/or knee pain • Limited hip movement

  20. Avulsion Fracture • Most Common at ASIS or Ischial Tuberosity • Caused by Forceful Contraction

  21. Femur Fracture • Usually at the Shaft • Caused by great force to femur • Potentially Life Threatening • Call 911 • Do NOT Move • Check for distal pulse

  22. HIP DISLOCATION

  23. HIP DISLOCATION • Dislocates Posterior • Great Force pushes femur head posterior • Palpate femur head through Gluteals • Call 911 • Do NOT move/Splint in position • Treat for Shock

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