- disolocation/ fracture - ETOH use - Steroids - Blood coagulation DOs - Increased pressure w/in bone

Lab - Hip/ Groin Injuries Flashcards by Josiah Driedger

Groin strain - mscs affected?

Iliopsoas
Rectus Femoris
Adductors

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Groin Strain MOI?

trauma
Overuse
Sudden acceleration/ deceleration
Sudden Rotation

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Management of a groin strain?

POLICE
NSAID’s
Later on physic
Gentle Stretch
Gentle Active Assisted ROM
IFC
Tensor wrap (Hip spica)
Core Shorts

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Trochanter Bursitis?

Inflammation at site where glute med inserts or TFL passes over greater trochanter

Test glute med strength (resisted abd)
Test TFL/ IT band tightness

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MOI of Trochanteric Bursitis?

LLD
msc imbalance
faulty running form
training errors
Foot biomechanics

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S&S of Trochanteric Bursitis?

Tender on Palpation (TOP) over greater trochanter
Pain over lateral hip - may radiate to knee
possible limp

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Management of Trochanteric Bursitis?

PRICE
NSAID’s
Physio
Progressive exercises for abd and ER

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MOI of Hip Sprains?

Violent twist
Impact force
Foot planted w/ twist

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S&S of Hip sprain?

No circumduction of thigh
Pain in hip
Rotation increase pain

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Management of Hip sprain?

x-rays
Doc referral
POLICE
NSAID’s

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Dislocated hip facts?

Rare
Can be anterior or posterior

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S&S of hip DL?

High pain + spasms w/ mvm
Leg is held in guarded position (flex/ add/ IR)

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Management of Hip DL?

EAP
treat for shock

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Complications w/ Hip DL?

Sciatic nerve. palsy
Disrupts blood flow to femur –> avascular necrosis
Osteoarthritis later in life

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Avascular necrosis?

Head of femur die due to decreased blood supply

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Causes of AvNc?

disolocation/ fracture
ETOH use
Steroids
Blood coagulation DOs
Increased pressure w/in bone

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S&S of AvNc?

Pain w/ weight bearing
Increased w/ AROM, PROM, RROM
Gradual pain onset

Management of AvNc?

Doc referral
xray, MRI, CT scan
Surgery

What is Legg-Calve-Perthes disease (LCP)?

avascular necrosis of femoral head = bone dies and flattens
Kids age 4-10
Boys > girls
Or Osteochondrosis

S&S of Legg-Calve-Perthes disease?

Groin pain –> abdomen +/- knee pain and limping

Management of Legg-Calve-Perthes disease?

Doc referral
- if treated in time, head of femur can reossify and revascularize
- If not treated early enough, head of femur can be poorly shaped and lead to OA later

What is Slipped Capital Femoral Epiphysis (SCFE)?

The head of the femur slips down posteriorly off the femoral neck at the growth plate
- Boys>girls
10-17
Tall/ thin or obese
Sometimes during rapid growth period

S&S of a Slipped Capital Femoral Epiphysis (SCFE)?

Groin pain
Decreased hip abduction, flex, IR
Limp

Management of a Slipped Capital Femoral Epiphysis (SCFE)?

Doc referral
- minor slip = rest, nonwb to prevent further
- Major displacement = corrective surgery

What is snapping hip Syndrome?

Habitual mvm that causes msc imbalances girls > boys Stability decreases due to loose ligs. and capsule and/ or adductors Hear/ feel snap when balanced on 1 leg

Management of snapping hip Syndrome?

Stretch what's tight and strengthen what's weak Physio

What is a Hip Pointer?

Contusion Trauma to iliac crest (fall or blow) B/c of improperly protected Iliac crest

S&S of a Hip Pointer?

TOP Pain w/ use of abdominal mscs

Management of a Hip Pointer?

POLICE Dr. -> xray to rule out fracture Physio

What is Osteitis Pubis?

Inflammation of the pubic symphysis Repetitive strain of msc attachment into bone

S&S of Osteitis Pubis?

Pain in groin/ pubis symphysis TOP over pubic tubercle Pain w/ sit-ups, running, squats

Management of Osteitis Pubis?

POLICE Dr. referral to rule out hernia or stress #

What is Athletic Pubalgia (Sports Hernia)?

Sudden explosive force on the pelvis from opposite msc groups results in a tear Inguinal area pain Pain at attachment of internal/ external obliques, rectus abdominus, and transverse abdominus (conjoint tendon)

S&S of Athletic Pubalgia (Sports Hernia)?

Burning/ sharp. localized pain in inguinal area -> radiates to adductors and testicles TOP over pubic tubercle

Management of Athletic Pubalgia (Sports Hernia)?

Physio Dr. referral --> potential surgery

Pelvic Stress #?

Potential sites include the - Inferior pubic ramus - femoral neck - subtrochanteric area of femur

S&S of Pelvic Stress #?

Groin pain Radiating ache into thigh Persistent pain/ night pain Unable to do single leg stand

Management of Pelvic Stress #?

Dr. referral xray, bone scan Rest (2-5 months)

What is an Apophysis?

Bony outgrowth where msc attaches 3 Common Areas - ischial tuberosisty (hamstrings) - AIIS ((rectus femoris) - ASIS (sartorius)

MOI for Avulsion #?

Usually sudden acceleration or deceleration

S&S of Pelvic Avulsion

- sudden , sharp localized pain at specific site - Resisted msc testing = lots of pain due to pull on attachment site

Management of Pelvic Avulsion #?

POLICE Dr. referral xray NWB for 6-8 weeks Need full healing Use pool Painfree/ gentle stretching