Download The Hip and the Thigh

The Hip and Thigh
MOTIONS
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What do these motions look like?
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Hip Flexion
Hip Extension
Hip Adduction
Hip Abduction
Hip External Rotation
Hip Internal Rotation
ANATOMY
The Hip and Thigh
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Bones (6)
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Femur
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Pelvis (3 bones)
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Longest and strongest
bone in the body
Ilium
Ishium
Pubis
Sacrum – part of spine
Coccyx – part of spine
HIP MUSCLES
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Divided into Five Regions
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Anterior Thigh
Posterior Thigh
Medial Thigh
Anterior Hip
Posterior Hip
Muscles – Anterior Thigh
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Quadriceps Femoris
1.
2.
3.
4.
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Vastus medialis
Vastus intermedius
Vastus lateralis
Rectus femoris
Function
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Extend the knee
Rectus femoris also aids in
hip flexion
Muscles – Anterior Thigh
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Sartorius (pink)
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Function
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Hip flexion
Adduction
External rotation
Muscles – Posterior Thigh
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Hamstring Muscles
1.
2.
3.
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Biceps femoris
Semimembranous
Semitendonous
Function
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Flex the knee and
extend the hip
Muscles – Medial Thigh (Groin)
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Hip Adductors
1.
2.
3.
4.
5.
6.
Gracilis
Sartorius
Pectineus
Adductor Magnus
Adductor Longus
Adductor Brevis
Muscles – Anterior Hip
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Hip Flexors
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Iliopsoas (2 muscles)
1.
2.
Iliacus
Psoas
Muscles – Posterior Hip
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Hip Abduction
1.
2.
3.
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Tensor fascia latae (TFL)
Gluteus Medius
Gluteus Minimus
Hip Extension
1.
Gluteus Maximus
 Also external rotator
INJURIES
8 OF THEM
Are you more likely
to strain or contuse
your:
Quadriceps?
Hamstring?
Groin?
Quadriceps Contusion
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Cause
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Direct blow to the quad
Signs and symptoms
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Pain
Loss of function – can’t straighten knee
Decreased knee flexion
Graded on a scale of 1 – 4
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1 not so bad  4 is the worse
Quadriceps Contusion
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Treatment
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RICE immediately
Knee has to be flexed when you ice
Compression to prevent swelling
If not treated properly, it can lead to bone
formation in the muscle
Muscle Strain Causes
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Inflexibility
Poor warm up
Fatigue
Overstretch
Quadriceps Strain
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Signs and Symptoms
 Pulling / burning sensation in quad
 Decreased knee flexion
 Decreased knee extension strength
Hamstring Strain
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Signs and Symptoms
 Pulling / burning sensation in hamstring
 Decreased strength – knee flexion
 Decreased hip flexion with knee straight
Groin/Hip Flexor Strain
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Signs and Symptoms
 Pulling / burning sensation in anterior or
medial thigh
 Pain with flexion and adduction
 Weak in these motions with poor range of
motion
Groin strains can be very painful and take a
long time recover.
Muscle Strain Treatment
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RICE for 1st 48 -72 hours
Compression Wrap for activity
Rehabilitation for strength and flexibility
Stress Fracture in Femur
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Cause
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Signs and Symptoms
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Pounding activity like running
Constant pain that gets worse with activity
Treatment
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Rest from activity
Non-weight bearing (crutches)
Femur Fracture
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Cause
 Fall from great height
 Hit by opponent
Signs and Symptoms
 Go into shock
 Extreme pain
 Thigh externally rotated and/or shortened
Treatment
 Call 911
 Keep them in position you find them
Hip Dislocation
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Cause
 Very difficult to do – this is a very stable joint
 Takes a lot of force to dislocate this joint
Signs and Symptoms
 Most common is posterior dislocation
 Presents with hip slightly flexed, adducted and
internally rotated
Treatment
 Medical emergency – call 911
 Do not move
Hip Pointer
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Contusion to the iliac crest
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Cause
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Direct blow
Signs and Symptoms
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Muscles attach there
Hurts to lift leg, abdominal crunch, sneeze, cough
Treatment
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Ice and a lot of it
Gentle stretching as tolerated