Ch. 19 Hip and Pelvis Injuries

Bursitis Most common is greater trochanteric bursitis Caused by lack of stretching and improper warm up Treatment: limit activity, stretch, ice, NSAIDs

Fractures MOI: falling (most common), car accidents Mostly in elderly Use x-ray or MRI to diagnosis Surgery to fix with pins NWB Mortality rate is high in elderly

Quad and Hip Flexor Strain Usually involves rectus femoris MOI: jumping, kicking, sprinting Treatment: ice, compression, NSAIDs Rehab: ROM, strengthening, jogging

Hamstring Strain Most commonly injured is long head of biceps femoris Hamstring strain: mild or moderate damage Hamstring tear: muscle separating from tendon

Hamstring Strain MOI: explosive starts/stops, sprinting, overuse, quad/ham imbalance, tightness S/S: sharp pain, bruising, swelling, ‘pop’ Treatment: RICE, NSAIDs, massage Rehab: stretch, strengthen, balance of strength

Adductor (Groin) Strain Common in sports requiring quick changes in direction Soccer Tennis Most commonly involves adductor longus Treat same as hamstring

Iliac Crest Contusion Hip pointer Caused by falling or blow to hip S/S: tenderness, swelling, bruising, loss of ROM Treat with ice and compression Protect with pad

Hip Dislocation Most are posteriorly Severe damage can occur to nerve and blood supply Extreme pain, leg internally rotated Long rehab including gait training

Hip Dysplasia Usually affects babies and dogs Head of the femur does not fit into the acetabulum Diagnosis with x-ray or MRI Non-surgical straps in babies

Legg-Calve-Perthes Disruption of blood flow to the head of the femur causing it to die Most common in young males Around 7 years old

Rehab Strengthening Balance Straight Leg Raises Stool scoots Theraband Foam pad Pro Fitter Slide board