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PELVIS & HIP

BONES 2 Bones or sides Connected by the Sacrum PARTS OF THE BONE Ilium Ischium Pubis. BONES Illium Ishium Femur HIP JOINT Acetabulum + Femur Head. PELVIS & HIP. PELVIC BONES. PELVIC MUSCLES. Psoas Major Iliacus Flex the thigh Gluteus Maximus

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PELVIS & HIP

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  1. BONES 2 Bones or sides Connected by the Sacrum PARTS OF THE BONE Ilium Ischium Pubis BONES Illium Ishium Femur HIP JOINT Acetabulum + Femur Head PELVIS & HIP

  2. PELVIC BONES

  3. PELVIC MUSCLES • Psoas Major • Iliacus • Flex the thigh • Gluteus Maximus • Flex hip, laterally (ER) rotate • Gluteus Medius • Gluteus Minimus • Abduct & medially (IR) rotate • Adductor Longus • Adducts, flexes, laterally rotates

  4. PELVIC MUSCLES • Adductor Magnus • Adduction, extension, lateral rotation • Gracilis • Adduction, flexion, medial rotation @ knee • Pectineus • Adducts thigh • Sartorius • Flexes hip, laterally (ER) rotate • Tensor Fascia Late • Flex hip, Abduction, medially (IR) thigh

  5. PELVIC MUSCLES • Piriformis • Extend hip, Abduction, laterally (ER) thigh • Gameles & Obturator • Laterally (ER) Thigh • IT Band • Lateral Stabilizer • Hamstring • Flex knee & Extend hip • Quadriceps • Extend knee & Flex hip

  6. MUSCLES

  7. MUSCLES

  8. INJURIES • FRACTURES • Unable to be weight bearing • Foot in ER • HIP POINTER • Direct blow on Iliac Crest • STRAINS & SPRAINS • Over stretch of tendons, muscles, ligaments • BURSITIS • Trochanteric-Ache or pain while running; hip joint pain • Illiopsoas-passive rotary motion; medial groin pain

  9. R.O.M. TESTING • Hamstring Flexibility Actively/Passively • Bring knee to chest & straight leg • Internal/External Rotation • Bend knee 90 degrees • Rotate hip internally & externally • Thomas Test (Hip flexor or RF) • On back, buttock on edge of table • Flex knee & bring to chest • Watch for movement of other leg

  10. R.O.M. TESTING • Ober’s Test (IT Band tightness) • Sidelying, top leg straight bottom knee bent • Raise & extend hip. • Tightness if stays ABDUCTED • Patrick’s (Faber) Test (Iliopsoas) • Supine with involved heel on opposite knee • Hand on opposite hip & apply downward pressure to involved knee

  11. STRENGTH TESTING • ABduction sidelying • Hand on hip, apply pressure to leg as they lift leg • Gluteus Medius & Minimus, TFL, Sartorius, Piriformis • ADduction sidelying • Hand on inside of lower leg, apply pressure to leg as they lift leg • Adductor brevis, magnus, longus & Gracilis, Pectineus • Extension prone (on stomach) • Hand on gluts, apply pressure to leg as they lift leg • Gluteus maximus, hamstrings, adductor magnus

  12. STRENGTH TESTING • Internal Rotation sitting with knees @ 90 • Stabilize thigh with one hand • Apply resisitance: Lateral Malleolus as they IR hip so it doesn’t move • Gluteus medius & minimus or TFL • External Rotation sitting with knees @ 90 • Stabilize thigh with one hand • Apply resistance: Medial Malleolus as the ER hip so it doesn’t move • Piriformis, Gluteus maximus or Quadratus Femoris

  13. STRENGTH TESTING • Flexion sitting with knees @ 90 • Hand on femur & distal end of tibia • Resist on femur as thigh is raised off of table • Rectus femoris, iliopsoas, pectineus, sartorius or TFL • Trendelenburg standing • Stand behind athlete • Watch hips as they balance on univolved leg • Hip abductors on weight bearing side

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