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Hip, Thigh & Pelvis Injuries

Hip, Thigh & Pelvis Injuries. Mechanisms, Signs & Symptoms and Treatment of Strains, Sprains and Contusions. Hip, Thigh & Pelvis Injuries - Introduction. What is a strain? What is a sprain? Do you know the difference between the two? What is a contusion?.

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Hip, Thigh & Pelvis Injuries

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  1. Hip, Thigh & Pelvis Injuries Mechanisms, Signs & Symptoms and Treatment of Strains, Sprains and Contusions

  2. Hip, Thigh & Pelvis Injuries - Introduction • What is a strain? • What is a sprain? • Do you know the difference between the two? • What is a contusion?

  3. Hip, Thigh & Pelvis Injuries - Objectives • Students will be able to: • Identify the signs & symptoms of injuries to the hip, thigh & pelvis • Identify the mechanism of injury for hip, thigh & pelvis injuries • Identify the proper treatment for hip, thigh & pelvis injuries

  4. Hip, Thigh & Pelvis Injuries - Terminology • Strain- • A stretching or tearing of a muscle or tendon. Results in a 1st, 2nd, or 3rd degree injury. An injury to a muscle or tendon.

  5. Hip, Thigh & Pelvis Injuries - Terminology • Sprain- • A stretching or tearing of the joint capsule or ligament. Results in a 1st, 2nd or 3rd degree injury. An injury to ligament.

  6. Hip, Thigh & Pelvis Injuries - Terminology • Muscle contusion- • an injury caused by an impact to the muscle which results in discoloration due to a disruption of circulation in the area

  7. Hip, Thigh & Pelvis Injuries - Terminology • Sign- • observable evidence of an injury

  8. Hip, Thigh & Pelvis Injuries - Terminology • Symptom- • what the athlete tells you they feel

  9. Hip, Thigh & Pelvis Injuries - Terminology • Mechanism- • a description of how the injury occurred

  10. Hip, Thigh, and Pelvis Injuries Terminology • Fracture- An injury to a bone in which the tissue is broken or disrupted. A break in a bone.

  11. Hip, Thigh, and Pelvis Injuries Terminology • Dislocation- A complete disunion of the bones in a joint • Subluxation- A partial disunion of the bones in a joint

  12. Hip, Thigh, and Pelvis Injuries Terminology • Bursitis- Irritation and inflammation of a bursa

  13. Hip, Thigh, and Pelvis Injuries Terminology Myositis Ossificans-A very painful condition in which an ossifying mass (calcium deposit) forms within the muscle. Resulting from trauma to the quadriceps muscle that was not properly protected after an initial injury.

  14. Hip, Thigh & Pelvis Injuries • Quad Contusions • Mechanism • A direct blow to your quad which causes the blood vessels to burst which forms a hematoma

  15. Hip, Thigh & Pelvis Injuries • Quad Contusion • Signs & Symptoms • Tenderness, swelling, limping • Some loss of Range of Motion (ROM)

  16. Hip, Thigh & Pelvis Injuries • Quad Contusion • Treatment • RICE- • Rest • Ice • Compression • Elevation • Possible use of crutches • Place affected leg on stretch • Additional padding when returning to play

  17. Hip, Thigh & Pelvis Injuries • Iliac Crest Contusion (Hip Pointer) • Mechanism • Direct trauma to the iliac crest

  18. Hip, Thigh & Pelvis Injuries • Iliac Crest Contusion (Hip Pointer) • Signs and Symptoms • Extreme tenderness, swelling, ecchymosis, limping

  19. Hip, Thigh, & Pelvis Injuries • Iliac Crest Contusion (Hip Pointer) • Treatment • Ice, compression • Additional padding when returning to play

  20. Hip, Thigh & Pelvis Injuries • Adductor (Groin) Strain • Mechanism • Too much stress • Forceful contraction • Over stretching • Due to sudden sideways changes in direction

  21. Hip, Thigh & Pelvis Injuries • Adductor Strain • S & S • Pain/ Tenderness in the adductor • Pain on hip adduction • Popping/ snapping during injury

  22. Hip, Thigh & Pelvis Injuries • Adductor Strain • Treatment (TX) • Ice • Compress thigh • Anti-inflammatory meds • Stretching & strengthening exercises

  23. Hip, Thigh & Pelvis Injuries • Hamstring Strain • Mechanism: • Not warming up properly • Incomplete rehab • Inappropriate training • Lack of flexibility

  24. Hip, Thigh & Pelvis Injuries • Hamstring Strain • S & S • Sudden severe pain during exercise • Snapping or popping • Pain in back of thigh & lower buttock when walking • Bruising, swelling & decreased strength

  25. Hip, Thigh & Pelvis Injuries • Hamstring Strain • Treatment (TX) • RICE • Some stretching and strength • Compression wrap when return-to-play

  26. Hip, Thigh & Pelvis Injuries • Quad Strain • Mechanism • Stretching quadriceps beyond normal ROM • Sudden forceful stress from jumping, kicking, sprinting

  27. Hip, Thigh & Pelvis Injuries • Quad Strains • S & S • Possible bruising • Pain • Decreased ROM & Strength • Limping

  28. Hip, Thigh & Pelvis Injuries • Quad Strains • Treatment (TX) • RICE • Compression wrap when return-to-play • Strengthening & stretching

  29. Hip, Thigh & Pelvis Injuries • Hip Flexor Strain • Mechanism • Sudden forceful stress from jumping, kicking, sprinting • Tight muscles & poor flexibility

  30. Hip, Thigh & Pelvis Injuries • Hip Flexor • S & S • Pain • Swelling • Loss of function • Decreased ROM & strength • Pain increased with flexion

  31. Hip, Thigh & Pelvis Injuries • Hip Flexor • Treatment (TX) • RICE • After couple of rest days start gentle stretching • Compression wrap when return-to-play

  32. Hip, Thigh, and Pelvis Injuries • Femur Fracture • Mechanism • Foot is usually planted and a severe blow impacts the femur.

  33. Hip, Thigh, and Pelvis Injuries • Femur Fracture • S&S • Significant pain • The hip is externally rotated • Shortening of the limb may be evident • Possible soft tissue damage • Loss of function

  34. Hip, Thigh, and Pelvis Injuries • Femur Fracture • TX • Athlete must be immediately mobilized and transported by ambulance for medical care • Refer to doctor • Athlete is put in a brace for a minimum of 4 months

  35. Hip, Thigh, and Pelvis Injuries • Hip Fracture • Mechanism • Fall from a height • Or by someone elderly • Vehicle accident • High energy impact

  36. Hip, Thigh, and Pelvis Injuries • Hip Fracture • S&S • Severe pain • Inability to bare weight • Shortening of the limb may be evident • The hip is externally rotated

  37. Hip, Thigh, and Pelvis Injuries • Hip Fracture • TX • Immobilization • Transported by ambulance for medical care • Usually requires surgery

  38. Hip Dislocation Mechanism High energy impact Limb is usually planted then hit Falling from a height Hip, Thigh, and Pelvis Injuries

  39. Hip Dislocation S&S Severe pain Inability to move Hip is internally rotated Hip, Thigh, and Pelvis Injuries

  40. Hip Dislocation TX Transported by ambulance for medical care Reduced by MD Hip, Thigh, and Pelvis Injuries

  41. Bursitis Mechanism Repetitive motions New exercise Working Possibly acute due to impact Hip, Thigh, and Pelvis Injuries

  42. Bursitis S&S Pain Point tenderness over lateral hip Increased pain on hip motion Structural tests all negative Hip, Thigh, and Pelvis Injuries

  43. Bursitis TX RICE Limiting activity or resting Anti-imflamitory drugs (NSAIDs) Hip, Thigh, and Pelvis Injuries

  44. Myositis Ossificans Mechanism Deep quad contusion **Not properly healed Hip, Thigh, and Pelvis Injuries

  45. Myositis Ossificans S&S Hard painful mass Swelling Tenderness Loss of function Restricted ROM Hip, Thigh, and Pelvis Injuries

  46. Myositis Ossificans TX RICE Crutches Limit ROM Do NOT exercise or stretch - may cause more bleeding Hip, Thigh, and Pelvis Injuries • Calcium mass usually reabsorbed (3-6 months) • Surgery

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