Conditions of the Thigh

Question 1

What are the two MOIs for the thigh?

Answer 1

1. Direct blow (contusions/fractures)
2. overuse/overstretch

Question 2

Thigh contusions

Answer 2

*mostly anterior

MOI: direct blow
S/S: pain over area, loss of fxn (3rd degree akin to 3rd degree strain)
Treatment: pad before RTS, PIER in lengthened position to maintain ROM and mitigate bleeding)

Question 3

What is a complication of contusions?

Answer 3

the blood can ossify if it does not move and bone spurs can form in the muscle belly. Complications increase if contusions happen in the same spot

Question 4

Hamstring Strains

Answer 4

MOI: forceful eccentrics (running, jumping), lack of warm-up. Biceps femoris more common than semi-tendinosus and semi-membranosus (bi-articulate, larger muscle belly)
S/S: AROM: self-limiting, painful flxn. PROM: pain w stretching. RROM: Pain, weakness
Treatment: PIER in shortened position, gentle rehab that becomes sport-specific the longer it goes on

Question 5

Quadriceps Strains

Answer 5

MOI: running downhill
S/S: pain over area, divot is severe, bruising
Treatment: as per hamstring. pressure is best within first 10 mins to assist w platelet plug

Question 6

Adductor Strains

Answer 6

MOI: pushing off planted foot (hockey), pectineus most commonly injured b/c it does flxn + adduction, so extension + abduction stretches it