Hip pelvis and thigh
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Hip, Pelvis, and Thigh. Femoral-Acetabular Joint. This area contains some of the strongest muscles in the body. Tremendous demands on those muscles. Vulnerable to injuries that can sideline athletes for long periods of time. Anatomy of the Hip, Pelvis, & Thigh. Ball & socket joint

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Hip, Pelvis, and Thigh

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Hip, Pelvis, and Thigh


Femoral-Acetabular Joint

  • This area contains some of the strongest muscles in the body.

  • Tremendous demands on those muscles.

  • Vulnerable to injuries that can sideline athletes for long periods of time.


Anatomy of the Hip, Pelvis, & Thigh

  • Ball & socket joint

  • Acetabulum- hip socket

    • Very deep

    • Covered by very thick, strong ligaments


Bones of the Hip, Pelvis, & Thigh

  • Femur

    • Greater Trochanter

    • Femoral Neck

    • Femoral Head

  • Ilium

  • Ischium

    • Ischial Tuberosity

  • Pubis


Ligaments of the Femoral-Acetabular Joint

  • Iliofemoral Ligament

  • Ischiofemoral Ligament


Anterior Thigh

Rectus Femoris

Vastus Lateralis

Vastus Medialis

Vastus Intermedius

Sartorius

Anterior Hip

Iliacus

Psoas

Posterior Thigh

Biceps Femoris

Semimembranosus

Semitendinosus

Posterior Hip

Gluteus Maximus

Gluteus Minimus

External Rotators

Muscles of the Hip Region


Medial Thigh

Gracilis

Pectineus

Adductor Brevis

Adductor Longus

Adductor Magnus

Lateral

Gluteus Medius

Tensor Fascia Latae

IT band

Greater Trochanteric Bursa

Muscles of the Hip Region


Movements of theFemoral-Acetabular Joint

  • Flexion

  • Extension

  • Abduction

  • Adduction

  • Internal Rotation

  • External Rotation

  • Circumduction


Preventing Hip Injuries

  • Proper flexibility training

  • Appropriate equipment (football, hockey, etc.)

  • Proper strength training


Thigh Injuries

  • Contusion

    • Mechanism: direct blow

    • Signs & Symptoms: pain, swelling, bleeding, loss of function

      • 3 grades - determined by severity of symptoms

    • Treatment: PRICE, stretching, ultrasound, padding


Thigh Injuries

  • Myositis Ossificans

    • Mechanism: result of quad contusion

      • Bone forms within muscle due to calcium build-up at injury site.

    • Signs & Symptoms: pain, weakness, loss of function

    • Rx: RICE, padding, NO ULTRASOUND


Thigh Injuries

  • Strain

    • Quadriceps - sudden contraction, stretching

    • Hamstrings - excessive force due to muscle imbalance.

      • Re-injury very common

    • Groin - stretching

      • involves adductors and hip flexors

    • Signs & Symptoms: pain, loss of function, deformity

      • 3 grades

    • Rx: RICE


Thigh Injuries

  • Acute Femoral Fracture

    • Mechanism: direct blow, fall from height

    • Signs & Symptoms: pain, deformity, unable to bear weight

    • Treatment: splint, 911

      • risk damage to soft tissue, arteries, and nerves


Femoral Fracture


Thigh Injuries

  • Femoral Stress Fx (occurs at femoral neck)

    • Mechanism: overuse

      • usually associated with poor eating, menstrual irregularities

    • Signs & Symptoms: similar to strain or tendinitis but does not resolve

    • Treatment: rest, Non-Weight Bearing


Femoral Neck Stress Fracture


Hip Injuries

  • Iliac Spine Contusion (Hip Pointer)

    • Mechanism: direct blow

    • Signs & Symptoms: pain, swelling, ecchymosis

      • abdominal and hip muscles attach on the iliac crest

    • Rx: RICE


Hip Injuries

  • Greater Trochanteric Bursitis

    • Mechanism: direct blow, repetitive hip flexion, extension, & abduction

    • Signs & Symptoms: pain at lateral hip, occasionally ‘snapping’ sensation

    • Treatment: rest, corticosteroids


Hip Injuries

  • Hip Subluxation/Dislocation

    • Mechanism: extreme force, usually posterior dislocations or severe internal rotation accompanied with a posterior blow to the femur.

      • More common in car accidents than sports

    • Signs & Symptoms: hip internally rotated and slightly flexed, extreme pain

    • Call Ambulance immediately


Hip Dislocation


Hip Injuries

  • Legg-Calve-Perthes Disease

    • Decrease in circulation in femoral head; avascular necrosis of articular cartilage

    • More common in children & teens who are still growing

    • Signs & Symptoms: persistent pain in knee & groin, walking with limp with all other injuries ruled out


Legg-Calve-Perthes Disease


Bo Jackson


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