hip and thigh Flashcards
muscles commonly involved in muscle strains
adductors (groin)
Hip flexor (psoas group)
Hamstrings (posterior thigh)
quads (anterior thigh/rectus femoris)
MOI muscle strains
explosive movements
tensile stress from overstretching
S&S muscle strains
point tender (bump) with palpable spasm
possible palpable defect (microtearing)
possible discolouration (not indication of severity)
pain with AROM and PROM
muscle strain managment
RICE
Contrasting –> 2min ice, 2 min moist (penetrates deeper) heat
Pressure pad to compress bleeding
Tensor wrap
predisposing factors (other S&S) of muscle strains
beginning of season –> too much too soon
Faitgure
dehydration (E-load, drink to help)
history of strains (re-injury)
restricted flexibility
poor muscle firing patterns
over-training
MOI of hamstring strains
Initial swing - flex knee, late swing - eccentrically contract to slow down knee extension and re-extend hip
Overemphasis on stretching without strengthening
Strength imbalance (quads v hamstrings)
MOI of adductors (groin)
quick change of direction with explosive propulsion and acceleration
strength imbalance
treatment of groin strains
no stretching for min 3 days –> allows for bleeding and healing
compression shorts
location most susceptible to muscle strains
musculotendinous junction
contusions (bruises) at hip pointer MOI
direct contact to iliac crest
commonly at anterior or lateral portion of crest
improper fitting/missing hip pads
painful - impact trunk movement
S&S of bruising at hip pointer
point tenderness – swelling, discolouration
individual stays in slightly forward flexed position to relieve pain
limp and shorten swing phase
pain with trunk and hip flextion
pain with coughing, laughing, breathing, sneezing
occasional abdominal muscle spasm
management for bruising of hip pointers
ice
rest
protection/padding
MOI quad contusions
“charliehorse”
direct impact/ contact to lateral or front of quad
test for quad contusion
manually contract muscle –> heel comes off table first
leg raise
S&S of quad contusion
non-temporary loss of function
progressive stiffness and unresponsive with continued play
more pain with active knee extension and hip flexion
Limited AROM, knee flexion limited actively and passivly
progression to hematoma if not cared for properly at start of injury
What should you not do if hematoma forms from contusion? why?
Don’t massage it
can cause bone formation
what is a bursa
fluid filled sac that acts like a cushion to limit friction
where are bursa commonly found
outside of a joint
knee, elbow, achillies
MOI of bursitis
overuse causing excessive friction, compression or shear forces
Post-traumatic buristis from direct blows –> cause bleeding in bursa
Greater trochanteric buritis –> lateral hip bony prominence, influence of Q-angle
Greater trochanteric bursitis S&S
burning or aching posterior to greater trochanter
tender to touch
sore to lie on injured side
how can Greater trochanteric bursitis be aggravated
hip abduction against resistance
hip flexion and extension on weight bearing
referred pain –> lateral aspect of thigh
Bursitis managment
Standard acute –> ice (no heat, bursae are self contained)
stretching program for surrounding muscles
no direct contact or compression to site
donut pad application
