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240 > Thigh and Hip > Flashcards

Thigh and Hip Flashcards

1
Q

whats the only muscle that crosses the hip?

A

rectus femoris. (extends knee and flexes hip)

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2
Q

muscle that crosses knee?

A

hamstrings (flexes knee and extends the hip)

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3
Q

Quadriceps contusion MOI

A

direct crushing force to quadriceps
acute single moi

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4
Q

extent of force and degree of ______ influences depth and functional disruption

A

thigh relaxation (braced/prepared for impact vs someone more relaxed injury is worse)

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5
Q

signs and symptoms of quadricep contusion 2 things

A

pain with temporary loss of function
early swelling with palpable painful region

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6
Q

Quad contusion management:

A

-POLICE
-ongoing use of ice/compression until rom increases

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7
Q

whats essential for management of quad contusion?

A

Early pain free ROM and loading in a pain free range are essential

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8
Q

Early management of quad contusion:

A
  • cryotherapy with gentle stretching
    -transition to heat
    -tensor to compression ADL
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9
Q

Quad contusion return 2 play management:

A

-be able to return 2 play
-protection via equipment
-ongoing management of effusion and muscle tightness likely necessary

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10
Q

Quadriceps muscle strain MOI most common:

A

overstretching if quadriceps at knee (flexion) and hip (extension)

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11
Q

another less common MOI of quad muscle strain:

A

-forceful abrupt activation of quad in a compromised position

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12
Q

Quad muscle strain sign and symptoms:

A

pain, point tenderness, spasm

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13
Q

Quad muscle strain sign and symptoms loss of function:

A

knee flexion, hip extension,hip flexion and knee extension strength

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14
Q

GRADE 1 quad muscle strain sign and symptom: 5 things

A

1.tightness in front of thigh
2.Near normal gait and mobility
3.Limited swelling
4.mild discomfort during palpation
5.some discomfort with isolated quadricep contraction

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15
Q

GRADE 2 quad muscle strain sign and symptom: 4 things

A

1.antalgic gait (limited ROM @ knee and pain)
2.swelling (firm with bogginess)
3.Pain on palpation, possible defect in muscle
4. resisted knee extension and hip flexion will reproduce pain with moderate strength

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16
Q

GRADE 3 quad muscle strain sign and symptom:

A

-can’t weight bear
-lots of pain palpation
-unable to perform active knee extension
-pain with resisted knee extension and hip flexion
-isometric contractions may produce defect or bulge in muscle
-rect fem feel deformity

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17
Q

management of grade 1 quad strain:

A

wrapped during ADL and activity to reduce discomfort

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18
Q

management of grade 2 quad strain:

A

ice and compression during acute phase with gradual increase in pain free knee ROM as pain and hesitation subsides

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19
Q

management of grade 3 quad strain:

A

crutch use for 7-14 with compression

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20
Q

quad muscle strain rehab progression

A

isometric at multiple ranges
concentric only bilateral strengthening
concentric eccentric loading
eccentric overloading
plyometric/maximal effort

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21
Q

hamstring muscle strain MOI:

A

-hamstring and quad contract together
-dynamic change in role from hip extender to knee flexor
-fatigue posture, lack of flexibility and strength imbalances

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22
Q

hamstring strain is a

A

intrinsic non contact injury

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23
Q

hamstring strain most often occurs _________ or __________

A

mid muscle belly, or closer to orgin

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24
Q

Grade 1 hamstring muscle strain sign and symptoms:

A

-soreness during movement and point tenderness

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25
Q

Grade 2 hamstring muscle strain sign and symptoms:

A

-sharp snap and tear sensation
-severe pain
- loss of function
-bruising and deformity

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26
Q

Grade 3 hamstring muscle strain sign and symptoms:

A

rupturing of tendinous junction or muscular tissue
major hemorrhage
palpable deficit

27
Q

hamstring muscle strain management:

A

similar to quad muscle strain

28
Q

______ is essential to reduce likelihood of repeat hamstring injuries

A

eccentric strengthening

29
Q

groin injuries are vulnerable to injury because

A

because of demands of both dynamic force production and trunk stability

30
Q

anterior pelvic tilt

A

lordosis

31
Q

posterior pelvic tilt

A

flatback

32
Q

Trendelenburgs test: what are we looking for?

A

Illiac crest on non stance leg should be higher when standing on one leg

33
Q

Trendelenburgs test is positive when

A

stance leg is higher indicating weak ab ductors (glute medius) of stance leg

34
Q

adductor strain MOI:

A

twisting motion at trunk/pelvis with hip external rotation or excessive ab duction

35
Q

sign and symptoms adductor strain:

A

-sudden pull or tear during active movement
-produces pain and considerable weakness
-limitations with other movements @ hip and trunk

36
Q

adductor strain management:

A

police, determine exact muscle or muscles involves
reducing aggravating movements is crticial

37
Q

restrict _______ until near complete pain free in adductor strain

A

dynamic excercise

38
Q

trochanteric bursitis:

A

inflammation where glute med insert or the IT band passes over trochanter

39
Q

sign and symptoms of trochanteric bursitis:

A

complaint of pain in lateral hip may radiate down leg
palpation reveals tenderness over lateral aspect of greater trochanter
redness and swelling around greater trochanter

40
Q

trochanteric bursitis management:

A

POLICE
NSAIDS
-protection for collison/contact sports
-manage soft tissue/biomechanics for chronic

41
Q

Hip labral tear: MOI

A

occurs due to repetitve movements resulting in degeneration or breakdown of labrum
can also occur due to hip dislocation

42
Q

signs and symptoms of labral tear:

A

-asymptomatic
-present with clicking,locking,stifness, and limited ROM
-pain in groin and hip
-positive hip scour position

43
Q

Hip scour:

A

test to help individual see what positions they should stay out of

44
Q

Labral tear management:

A

-focus on hip ROM, strength and stability
-avoid painful movements and ranges

45
Q

sciatica/piriformis syndrome:

A

hip and gluteal pain
many potential causes

46
Q

sciatica/piriformis is most commonly due to

A

tight piriformis

47
Q

sciatica/piriformis signs and symptoms:

A

patient reports deep pain in gluteal/hip region without low back pain
pain can radiate ti back of thigh, lateral calf and foot

48
Q

sciatica/piriformis management:

A

-rest and manual therapy
-stretching exercises and self-myofascial release
-addressing biomechanic imbalancw

49
Q

snapping hip:

A

habitual movement and postures can lead to certain muscles around the hip to have tension that causes compression

50
Q

possible sources of snapping hip from:

A

-IT band over greater trochanter
-illiopsoas tendon moving over iliopectineal eminence

51
Q

snapping hip signs and symptoms:

A

-complain of snapping
-snapping with pain and disability upon each snap

52
Q

management of snapping hip:

A

-decrease pain and inflammation
-ice,NSAIDS
-focused soft tissue release for restrictive muscle groups

53
Q

lliac contusion (hip pointer): MOI

A

direct blow often to an unpadded area

54
Q

signs and symptoms of lliac contusion (hip pointer):

A

pain and muscle spasm
-mobility impairment

55
Q

management lliac contusion (hip pointer):

A

police, xray examination
often very delayed to return
extra care and attention given

56
Q

athletic pubalgia MOI:

A

chronic pain to pubic region caused by repetitive stress to pubic symphysis from kicking, twisting or cutting.

57
Q

athletic pubalgia is the ___ of forces

A

shearning forces transmitted through pubic symphysis to insertion of rectus abdominus, hip adductors,and conjoined tendon

58
Q

athletic pubalgia sign and symptoms

A

-no presence of hernia
-sharp pain that radiates into aadductors and pubic bone/pubic ramus
-point tenderness on pubic tubercle

59
Q

in athletic pubalgia pain is increased with what ROM

A

-Resisted hip flexion
-internal rotation
-abdominal contraction
-resisted hip adduction

60
Q

athletic pubalgia what is most effective for management?

A

phsysican referal to sport med doc

61
Q

athletic pubalgia strengthening of what muscles is essential?

A

trunk stabilizers, hip flexors, and adductors

62
Q

medical treatment of athletic pubalgia may involve

A

cortizone or injection, or tightening of pelvic wall

63
Q
A

240 (4 decks)

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