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THIGH

THIGH. INJURY. THIGH INJURIES OUTLINE. Discuss Gross Anatomy. Quadriceps Strain. Hamstring Strain. Charley’s Horse and Myositis Ossificans. ‘Pulled’ Groin. HAMSTRING STRAIN: is the most frequently strained muscle in the body.

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THIGH

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  1. THIGH INJURY

  2. THIGH INJURIES OUTLINE • Discuss Gross Anatomy. • Quadriceps Strain. • Hamstring Strain. • Charley’s Horse and Myositis Ossificans. • ‘Pulled’ Groin.

  3. HAMSTRING STRAIN: is the most frequently strained muscle in the body. Caused by a rapid contraction of the muscle during ballistic action or violent stretch.

  4. HAMSTRING STRAIN Right Leg – Posterior View

  5. Risk Factors: Hamstring • Muscle Imbalance (3:2) • Poor dynamic flexibility • Muscle fatigue • Previous Injury • Overuse

  6. HAMSTRING INJURY Gluteus Maximus is the major extensor of the hip. When hamstring function changes from a stabilizing knee flexor to an active hip extensor, injury happens.

  7. Signs and Symptoms: Grade 1:Slight tightness and tension in the muscle. Grade 2,3:feel a ‘pop’ or experience a tearing sensation. Unable to extend the knee. Pain and weakness in the muscle.

  8. Routine rehab is carried out on the injured hamstring muscle. The athlete can return when they are at a Grade I level. The following criteria are tested……

  9. Passive Single Leg Straight Raise Test

  10. Resistance plus Palpation

  11. QUADRICEPS STRAIN • Usually Rectus Femoris • Rectus Femoris is a two joint muscle. • Determine which function is affected. • Ice, Stretch and Strength

  12. ADDUCTOR STRAIN

  13. ADDUCTOR STRAIN: Excessive abduction of the thigh. • Icing • Gradual Stretching • Strengthening

  14. GROIN STRAIN – Hip Flexor Caused by Forced Extension and/or excessive contraction of hip flexors. • Icing and Tensoring • Stretching • Strengthening of Flexors

  15. Groin Strain: Abduction, Extension and External Rotation of Hip. • Icing and Tensoring • Stretching • Strengthening

  16. Quadriceps Contusion

  17. QUADRICEPS CONTUSION

  18. Bleeding within Quads

  19. Loss of Flexion

  20. Treatment of Quad Contusion • Icing and Tensor • Crutches and P.W.B. • Knee flexion – using only hamstring force.

  21. ‘DOWN UNDER’ Treatment Bring the knee to max flexion. Hold the knee in that position, apply ice. Move leg or do full squats.

  22. If the impact was enough to irritate the periosteum of the bone…. Or If there was a secondary impact to the thigh…. The result may be……..

  23. MYOSITIS OSSIFICANS

  24. MYOS ITIS MUSCLE INFLAMMATION OSSIFICANS FORMATION OF BONE FROM BLOOD

  25. FIXED TWO MONTHS

  26. QUAD CONTUSION REHAB • Patience on the part of the athlete. • Icing, Icing, Icing • Knee flexion with the force generated by hamstrings. • Isometric quads.

  27. COMPARTMENT PROBLEMS IN THE THIGH FOLLOWING TRAUMA

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