Thigh - Hip - Groin

Question 1

Where is there a break when people say they’ve got a broken hip?

Answer 1

at the neck of the femur

Question 2

Why is the femur shaped the way it is?

Answer 2

To provide greater strength and compatibility with muscles

Question 3

Where are bones most vulnerable for breaking/fracture?

Answer 3

where a bone changes shape and direction is where its weakest

Question 4

What connects femur to pelvis and protects ball socket?

Answer 4

The joint capsule which is over the ligament

Question 5

How to prevent thigh injuries? What are the basic exercises for strengthening?

Answer 5

strengthen core, adductors, hips, abductors

Squats, lunges, leg press

Question 6

What are the cause of thigh contusions? What are the signs of contusions?

Answer 6

constantly exposed to traumatic blows

pain, loss of function, make sure to detect potential internal bleeding because of myositis ossificans

Question 7

How to treat quad contusion?

Answer 7

ice with a stretch - helps make sure range of motion is there and to prevent myositis ossificans

isometric quad contractions

heat helps break up scar tissue

Question 8

How to detect myositis ossificans?

Answer 8

repeated blows to quad, feel for tension and tenderness, go get an x-ray to detect calcium deposits

Question 9

Cause of quad strain? Signs? Care?

Answer 9

sudden stretch or over constricted muscle

pain, point tenderness, spasm, loss of function

rest, ice, and compression

Question 10

Cause of hamstring strain? Signs?

Answer 10

hamstring and quad contract together

fatigue, posture, leg length, lack of flexibility, strength imbalances

Question 11

What is the purpose of neoprine?

Answer 11

keeping the muscle/soft tissue warm

Question 12

How to care for quad/hamstring strain?

Answer 12

be careful with hamstrings

rest, ice, and slowly reintegrate into training

Question 13

What are the causes of injury to hip, groin, and pelvis?

Signs?

Answer 13

poor strength and flexibility, occurs from rotation or severe stretch

sudden twinge or tearing, produce pain, weakness, and internal hemorrhaging

Question 14

How to care for grain strain?

Answer 14

RICE and NSAID for 48-72 hrs, rest, restore range of motion and strengthen

Question 15

Causes of sprains to the hip join?

Signs of injury?

How to care for?

Answer 15

result of violent twist, force from opponent/object forced

acute injury/inability to hip region

x-ray to detect, RICE, ROM is delayed until hip is pain free

Question 16

Cause of dislocated hip?

Signs?

Answer 16

traumatic force direct along the long axis of the femur

flexed, adducted and internally rotated hip, palpation reveals displaced femoral head

Question 17

How to care for dislocated hip?

Answer 17

immediate medical care

2 weeks immobilization and crutch for 1 month

Question 18

Cause of hip labral tears?

Signs?

Answer 18

overuse from running/pivoting and or acute trauma

clicking, locking, pain and stiffness in groin

Question 19

How to care for hip labral tear?

Answer 19

exercises for ROM, strength, and stability

avoid activity

surgical repair

Question 20

What is Piriformis syndrome? Signs?

Answer 20

compression of sciatic nerve resulting in irritation from tightness or spasm of muscle

signs are pain, numbness, and tingling

Question 21

How to care for Piriformis syndrome?

Answer 21

stretching, massage, NSAID’s, surgery if necessary

Question 22

What hip problem happens with adolescent athletes?

Answer 22

Legg Calve-Perthes Disease (Coxa Plana)

avascular necrosis of the femoral head, articular cartilage becomes necrotic and flattens

Question 23

What are the sings of Legg Calve Perthes ?

Answer 23

pain in groin and or abdomen and knee

limping and bad ROM

Question 24

How to care for Leg Calve Perthes?

Answer 24

rest, brace, early treatment to reossify, treat early or risk osteo-arthritis

Question 25

What is an Iliac Crest Contusion (Hip pointer)?

Answer 25

direct blow to hip area

pain, spasms and paralysis

decreased rotation of trunk and hip region

Question 26

How to care for Iliac Crest Contusion?

Answer 26

RICE, bed rest, x-ray, padding

Question 27

What is an avulsion fracture?

Signs?

Care?

Answer 27

pulling of tendon away and off of bone insertion from sudden acceleration and deceleration

sudden pain with limited movement, pain and swelling

rest with limited gradual activity