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Ch. 19 Hip and Pelvis Injuries

Ch. 19 Hip and Pelvis Injuries. Bursitis. Most common is greater trochanteric bursitis Caused by lack of stretching and improper warm up Treatment: limit activity, stretch, ice, NSAIDs. Fractures. MOI: falling (most common), car accidents Mostly in elderly Use x-ray or MRI to diagnosis

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Ch. 19 Hip and Pelvis Injuries

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  1. Ch. 19 Hip and Pelvis Injuries

  2. Bursitis • Most common is greater trochanteric bursitis • Caused by lack of stretching and improper warm up • Treatment: limit activity, stretch, ice, NSAIDs

  3. Fractures • MOI: falling (most common), car accidents • Mostly in elderly • Use x-ray or MRI to diagnosis • Surgery to fix with pins • NWB • Mortality rate is high in elderly

  4. Quad and Hip Flexor Strain • Usually involves rectus femoris • MOI: jumping, kicking, sprinting • Treatment: ice, compression, NSAIDs • Rehab: ROM, strengthening, jogging

  5. Hamstring Strain • Most commonly injured is long head of biceps femoris • Hamstring strain: mild or moderate damage • Hamstring tear: muscle separating from tendon

  6. Hamstring Strain • MOI: explosive starts/stops, sprinting, overuse, quad/ham imbalance, tightness • S/S: sharp pain, bruising, swelling, ‘pop’ • Treatment: RICE, NSAIDs, massage • Rehab: stretch, strengthen, balance of strength

  7. Adductor (Groin) Strain • Common in sports requiring quick changes in direction • Soccer • Tennis • Most commonly involves adductor longus • Treat same as hamstring

  8. Iliac Crest Contusion • Hip pointer • Caused by falling or blow to hip • S/S: tenderness, swelling, bruising, loss of ROM • Treat with ice and compression • Protect with pad

  9. Hip Dislocation • Most are posteriorly • Severe damage can occur to nerve and blood supply • Extreme pain, leg internally rotated • Long rehab including gait training

  10. Hip Dysplasia • Usually affects babies and dogs • Head of the femur does not fit into the acetabulum • Diagnosis with x-ray or MRI • Non-surgical straps in babies

  11. Legg-Calve-Perthes • Disruption of blood flow to the head of the femur causing it to die • Most common in young males • Around 7 years old

  12. Rehab • Strengthening • Straight Leg Raises • Stool scoots • Theraband • Balance • Foam pad • Pro Fitter • Slide board

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