1. Basic Athletic Training Chapter 8 Hip and Pelvis

2. Chapter Objectives Name the anatomy of the hip and pelvis
Identify the components of an injury evaluation format
Compare the common injuries associated with the hip and pelvis
Demonstrate the protocol for a rehabilitation program to the hip and pelvis
Describe the preventive/supportive techniques and protective devices for the hip and pelvis

3. Anatomy
The arrangement of bones, ligaments, muscles, and tendons make the hip the strongest joint in the body
The hip joint is a ball and socket
The bones of the hip and pelvic region provide the structure to transfer weight
The largest group of muscles in the hip and pelvic region includes the gluteal muscles

4. Hip and Pelvis Anatomy Bones Ligaments
Muscles and tendons and their functions
Anatomical planes
Range of motion—hip
Range of motion—torso
Dermatomes
Myotomes

5. Evaluation Format (H)istory
Mechanism of injury (How did it happen?)
Location of pain (Where does it hurt?)
Sensations experienced (Did you hear a pop or snap?)
Previous injury (Have you injured this anatomical structure before?)
(O)bservation—compare the uninjured to the injured lower extremity and look for bleeding, deformity, swelling, discoloration, scars, and other signs of trauma

6. Evaluation Format
(P)alpation—the physical inspection of an injury. Palpate the anatomical structures/joints above and below the injured site, then palpate affected area. Using bilateral comparison, these items should be palpated:
Neurological (motor and sensory)
Circulation (pulse and capillary refill)
Anatomical structures (palpate)
Fracture test (palpation, compression, and distraction)

7. Evaluation Format
(S)pecial Tests—look for joint instability, disability, and pain. Assess disability in the following areas:
Joint stability
Muscle/tendon
Accessory anatomical structures
Inflammatory conditions
Range of motion (active, assistive, passive, and resistive)
Pain or weakness in the affected area

8. Conditions that Indicate an Athlete Should be Referred for Physician Evaluation
Gross deformity
Significant pain
Increased swelling
Circulation or neurological impairment
Joint instability
Suspected fracture or dislocation
Persistent pain in hip and pelvis area
Noticeable and palpable deficit in the muscle or tendon
Abnormal sensations such as clicking, popping, grating, or weakness
Any doubt regarding the severity or nature of the injury

9. Common Injuries Injury to the coccyx Hip strains Trochanteric bursitis
Trauma to the genitalia
Hip pointer
Hip dislocation
Osteitis pubis
Youth hip injuries

10. Musculoskeletal Disorders
Athlete pubalgia
Contusion of the thigh
Fracture (pelvis or femur)
Iliotibial band syndrome
Osteitis pubis
Piriformis syndrome
Sprain
Tendinitis

11. Rehabilitation Included in any rehabilitation protocol is:
Range of motion exercises
Resistive exercises
Cardiovascular/fitness activities
Sport-specific activities
Return to competition guidelines
Full range of motion
Strength, power, and endurance are proportional to the athlete’s size and sport
No pain during running, jumping, or agility movements
No loss of function

12. Preventive/Supportive Techniques
Wrapping techniques for support
Hamstrings wrap
Quadriceps wrap
Hip flexor wrap
Hip adductor wrap
Taping techniques for the hip and pelvis
Hip pointer
Low back
Rib

13. Protective Devices Athletic supporter with cup Back brace
Low back brace/support
Rib protector
Thigh sleeve
Sport-specific pads
Sports compression girdle

14. Questions ?