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The Thigh

The Thigh. Anatomy of the Thigh. Femur Greater Trochanter Lesser Trochanter Acetabulum of the Pelvis. Flexion Extension Abduction Adduction. Motions of the Thigh. Muscles of the Thigh. Hip Flexors Hip Extensors Abductors Adductors. Hip Flexors. Quadriceps Rectus Femoris

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The Thigh

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  1. The Thigh

  2. Anatomy of the Thigh • Femur • Greater Trochanter • Lesser Trochanter • Acetabulum of the Pelvis

  3. Flexion Extension Abduction Adduction Motions of the Thigh

  4. Muscles of the Thigh • Hip Flexors • Hip Extensors • Abductors • Adductors

  5. Hip Flexors • Quadriceps • Rectus Femoris • Illiosoas • Sartorius • Gracillis

  6. Hip Extensors • Hamstrings • Biceps Femoris • Semi-tendonosis • Semi-mebranosis

  7. Abductors • Illiotibial Band • Gluteus Medius • Gluteus Minimus

  8. Gluteals

  9. Adductors Longus (only one palpable) Adductor Brevis Adductor Magus Adductors

  10. Causes of Thigh Injuires • Strength Imbalances of the two groups • External Mechanisms • Poor Flexibility • Fatigue • Sudden change in temperature

  11. Prevention of Thigh Injuries • Muscle Groups Strong and Flexible • Stretching a Relaxed Muscle • Increase muscle temperature before stretching

  12. Types of Injuries • Quadriceps Strain • Hamstring Strain • Patellar Tendonitis • Contusion (Charlie Horse) • Myositis Ossificans

  13. Quadriceps Strain • Generally occur in weaker part of the muscle (belly or belly-tendon junction) • Mild • No Visual difference tightness spasm, general soreness • Moderate • Pt tenderness, ROM decreased, discoloration below injury site • Severe • Muscle spasm, no ROM, rolled up at attachment, pain swelling discoloration • Treatment • Mild =ice or cryo-stretch Severe = surgery?

  14. Hamstring Strain • Rectus Femoris (most likely) • Could be caused by lack of communication between hamstrings and quadriceps • Graded similar to Quadriceps

  15. Contusion • AKA “Charlie Horse” • Direct Blow • Pain, transitory loss of function, hematoma,discoloration • Treatment • Ice Cryo-stretch, Pad, Protect

  16. MyositisOssificans • Mechanism is direct blow to the thigh or repeated blows to same area • Periosteum is broken and bone cells released and grow into the muscle tissue • May not show up on x-ray for 3-4 weeks • Treatment • Ultra-sound or possibly surgery

  17. Myositis Ossificans

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