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HIP & THIGH. Connie S. Hayes, DC, MS, CCSP Assistant Director BIOFREEZE Sports & Rehab . ANATOMY. ANATOMY. ANATOMY. ANATOMY. COMMON INJURIES. STRAINS. Three levels of HAMSTRING strains : Grade 1 -- mild muscle strain or pull Grade 2 -- partial muscle tear

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hip thigh

HIP & THIGH

Connie S. Hayes, DC, MS, CCSP

Assistant Director

BIOFREEZE Sports & Rehab

strains
STRAINS

Three levels of HAMSTRING strains:

  • Grade 1 -- mild muscle strain or pull
  • Grade 2 -- partial muscle tear
  • Grade 3 -- complete muscle tear
    • Surgical Treatment to sew tear
strains1
STRAINS
  • Quadriceps
  • Adductors
  • Hip Flexors
signs symptoms
SIGNS & SYMPTOMS
  • Bruising
  • Diminished/Loss of Function
  • Muscle Spasm
  • Deformity
treatment
TREATMENT
  • Ice
  • Dry Needle
  • Compress
    • Leukotape
  • Soft Tissue
    • A.R.T.
    • FMS
  • Short Arc
contusions
CONTUSIONS
  • Quadriceps – Myositis Ossificans
concerns
Concerns
  • Calcification in Muscle 7-10 days
  • Heterotrophic Bone Forms 2-3 weeks
  • SLR will be painful
  • Grade I - >90° Knee Flexion
  • Grade II - 45–90° Knee Flexion
  • Grade III - <45° Knee Flexion
hip pointer
HIP POINTER
  • Direct blow to Iliac Crest/ASIS
signs symptoms1
SIGNS & SYMPTOMS
  • Pain
  • Swelling
  • Blood in Muscle
  • Loss of Range of Motion
not so common injuries
NOT SO COMMON INJURIES
  • Slipped Capital Femoral Epiphysis
  • Legg-Calve-Perthes
  • Avulsions
  • Fractures
  • Hip Dislocations
slide18
SCFE
  • Epiphyseal Fracture
  • Boys 10-17 years
  • Bilateral in ¼ cases
  • Groin Pain, Limp when walk
  • Rest
  • Surgery
slide19
LCP
  • Disruption of blood flow to Femur head
  • Bone Tissue Death
  • Boys 3-12 years
  • Unilateral
  • Groin, abdominal and/or knee pain
  • Limited hip movement
avulsion fracture
Avulsion Fracture
  • Most Common at ASIS or Ischial Tuberosity
  • Caused by Forceful Contraction
femur fracture
Femur Fracture
  • Usually at the Shaft
  • Caused by great force to femur
  • Potentially Life Threatening
  • Call 911
  • Do NOT Move
  • Check for distal pulse
hip dislocation1
HIP DISLOCATION
  • Dislocates Posterior
  • Great Force pushes femur head posterior
  • Palpate femur head through Gluteals
  • Call 911
  • Do NOT move/Splint in position
  • Treat for Shock