Readings - Anterior Thigh Pain

Question 1

List 4 common causes of anterior thigh pain

Answer 1

1. Quad muscle contusion
2. Muscle strain (distal rec fem)
3. Muscle strain (proximal Rec fem)
4. Myositis ossificans

Question 2

What injury may be suspected in a distance runner with gradual onset or poorly localised anterior thigh pain?

Answer 2

Femoral stress fracture

Question 3

3 signs that anterior hip pain is referred from the Lsp

Answer 3

1. Burning pain or paraesthesia
2. Poorly localised pain
3. Bilateral pain

Question 4

What objective measurement is used to grade thigh contusions

Answer 4

Active knee flexion

Question 5

What range of knee flexion indicates a grade 1 contusion?

Answer 5

Greater than 90 degrees

Question 6

What range of knee flexion indicates a grade 2 contusion?

Answer 6

45-90 degrees

Question 7

What range of knee flexion indicates a grade 3 contusion?

Answer 7

Less than 45 degrees

Question 8

In a more sever contusion, what 3 things should be avoided for the first 3 days?

Answer 8

1. Massage
2. EPA
3. Stretching

Question 9

What is contraindicated for the first stage after a contusion

Answer 9

STM

Question 10

List 2 complications that may result from thigh contusions

Answer 10

1. Compartment syndrome of the thigh

2. Myositis Ossificans

Question 11

What muscle weakness is associated with increased demand on the rec fem and should therefore be apart of rehab

Answer 11

Iliopsoas

Question 12

What movement can bring on lateral femoral cutaneous nerve irritation

Answer 12

Repeated hip flexion

Question 13

What mechanism can lead to femoral nerve injury

Answer 13

Hyperextension

Question 14

Femoral nerve injury may be secondary to what other injury ?

Answer 14

Iliopsoas muscle strain

Question 15

What is a highly specific neurodynamic tension test for a pt with suspected referred pain into the anterior thigh

Answer 15

Modified Thomas test