HIP, THIGH, AND GROIN INJURIES IN SPORTS

Question 1

caused by direct blow

S/S: swelling, eccyhmosis

Tx: knee placed in flexion, first 24-48 hrs

Answer 1

thigh contusion

Question 2

inflammation of muscle leading to bone growth

caused by repeated direct blows

S/S: hard palpable mass

Answer 2

myositis ossficans

Question 3

bruise to anterior hip bone

caused by direct blow

tx with crutches

Answer 3

hip pointer (contusion)

Question 4

caused by direct trauma, pain as a s/s with inability to move leg/bear weight, shortening of the limb and weak or diminished distal pulses

treated with emergency care

Answer 4

femoral fx-acute

Question 5

overuse injury

usually seen in long distance runners

sites of occurrence in femoral neck and mid shaft

treated with rest

Answer 5

femoral fx-stress

Question 6

tendon/ligament is torn from its insertion on the bone and takes a piece of bone with it

caused by sudden acceleration or declaration

cannon at the ischial tuberosity like the hamstrings and anterior hip

Answer 6

avulsion fx

Question 7

inflammation of the trochanteric bursae sac

be due to acute or overuse with point tenderness over the greater trochanter

Answer 7

trochanteric bursitis

Question 8

caused by a violent, twist, direct blow or with forced trunk rotation when the foot is planted

rare

Answer 8

hip sprain

Question 9

caused by traumatic force along the long axis of the femur

rare

s/s like flexed, adducted, and internal rotation position

treated with emergent care

Answer 9

hip dislocation

Question 10

bone death resulting from temporary or permanent loss of blood supply with common sites at the femoral head/neck-dislocation and scaphoid

Answer 10

avascular necrosis

Question 11

IT band snaps over the greater trochanter caused by excessive repeated motions like hip flexion a tight IT band and or lateral structures, or weak adductors or medial structures

report snapping at hip

rehab to increase flexibility and strength

Answer 11

snapping hip syndrome

Question 12

inflammation of the apophysis

can occur at multiple sites

must differentiate between avulsion fx

Answer 12

apophysitis

Question 13

over use or acute/traumatic with pain inside the joint, night pain, decrease ROM, and reported clicking

Answer 13

hip labral tear

Question 14

• avascular necrosis of the femoral head
• occurs in children ages 10-14

pain in the hip/groin/knee, decreased ROM and limp when walking

Answer 14

legg calve-perthes disease

Question 15

separation of the head of the femur from the femur bone with unknown cause and seen in boys ages 10-17

pain is also in the groin and decreased ROM, limp when walking

treated with rest, non weight bearing crutches, possible surgery

Answer 15

slipped capital femoral epiphysis