Thigh, Hip, Groin and Pelvis Injuries

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Thigh, Hip, Groin and Pelvis Injuries
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Basic Anatomy
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Injuries to the thigh

• Quadriceps contusion
• Cause direct blow to thigh
• SS instant pain immediate capillary effusion
  swelling point tenderness ? ROM limp
• Care leg in flexion with ice (helps to lengthen
  muscle fibers) RICE protective thigh padding

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• Myositis Ossificans Traumatica
• Irritated tissue produces calcified formation
  that resemble cartilage or bone
• Cause severe or repeated blow to thigh leads
  to ectopic bone production improper care of
  contusion too-vigorous treatment
• Improper care running off an injury too soon,
  too vigorous treatment
• SS pain weakness swelling ?ROM palpable
  defect
• Care xray 2-6 wks after injury conservative
  treatment possible surgery (too early removal
  may cause return)

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• Quadriceps muscle strain
• Cause sudden stretch or contraction can be
  associated with muscle weakness or overly
  constricted
• SS pain, point tenderness spasm loss of
  function (Grades of strain)
• Care RICE NSAIDs begin with isometric
  exercise neoprene sleeve/ace wrap gradual
  stretching

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• Hamstring Strain
• Cause highest incidence of strains exact
  cause is unknown possibly quick change of muscle
  firing muscle fatigue faulty posture
  leg-length discrepancy improper form tight
  hamstrings muscle imbalance
• SS internal bleeding pain and immediate loss
  of function depend on degree (grades)
• Care RICE with rest being most important
  gradual stretching and strengthening massage
  after swelling subsides protective neoprene
  sleeve/ace wrap

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• Hamstring Strains
• Strains are always a problem to the athlete
  because they tend to recur as a result of the
  inelastic, fibrous scar tissue that sometimes
  forms during the healing process
• The higher the incidence of strains at a
  particular site, the greater amount of scar
  tissue and the greater the likelihood of further
  injury
• Sometimes, the fear of another pulled muscle
  becomes almost a neurotic obsession which can be
  more handicapping than the injury itself
• D. Arnheim, Principles of Athletic Training

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• Femoral fractures
• Cause great force such as falling from height
  or direct impact occurs most often in shaft
• SS shock deformity muscle spasms pain and
  point tenderness over fracture loss of function
  swelling
• Care 9-1-1 treat for shock splinting

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Injuries to Pelvis and Hip

• Groin strain
• Cause overextension of groin musculature,
  running, jumping, and twisting with external
  rotation
• SS sudden twinge or feeling tearing during a
  movement may not be noticed until post activity
  pain weakness internal bleeding
• Care rest 48-72 hrs hip spica gradual
  stretching rehab
• rest has been the best treatment exercise
  should be
• delayed until the groin is pain free

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• Dislocated hip
• Cause traumatic force along long axis of femur
  when the knee is bent or by falling on side
• SS flexed, adducted, and IR thigh femur
  posterior in acetabulum serious pathology of
  tearing of capsular and ligamentous tissue
  possible sciatic nerve damage
• Care Call 9-1-1 reduction immobilization
  consists of 2 wks bed rest and use of crutches
  for month or longer

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• Iliac crest contusion (hip pointer)
• Cause direct blow to iliac crest causing severe
  pinching action to soft tissue region
• SS immediate pain spasm and transitory
  paralysis of soft structures athlete is unable
  to rotate trunk or to flex thigh without pain
• Care RICE referral for xray recovery ranges
  from 1-3 wks padding