1. Hip, Thigh, and Pelvis
Gilbert High School

2. Anatomy
Bones –
Femur
Pelvis (Made up of the COCCYX, ISCHIUM, and the PUBIS)
Muscles – Quads, Hamstrings, IT band, Tensor Fasciae Latae, Gluteus medius, Gluteus maximus, Sartorius, Gracilis, Adductor group, and Piriformis

7. Myositis Ossificans Cause: Severe blow or repeated blows to the thigh
S/S: Slowly develops. Pain and tenderness over area, hard object felt in muscle.
TX: Immediate treatment of contusions
***Ice quads with full flexion
Conservative if been around for a while.
Surgery may be an option.
ST: Pain upon palpation, MRI, X-ray

9. Quadricep Strain Cause: Sudden stretching or sudden contraction
S/S: Point tender, swelling, deformity, discoloration, weakness in knee extension
TX: RICE
strengthening exercises
stretching when appropriate
ST: Pain with ROM test, Strength test

10. Hamstring Strain
Cause: Not entirely known. Speculated, a quick change of knee stabilization to extension of the hip.
S/S: Pain, swelling, discoloration, deformity
TX: RICE
Exercise (Isokinetic great here)
stretching when appropriate
ST: mmt

11. Acute Femoral Fracture
Cause: A great force or direct hit
S/S: Deformity, shortened thigh, loss of thigh function, pain and pt. tenderness, swelling
“Sounds like gun going off”
TX: See a MD immediately. Must be fixed or could be devastating to the athlete
ST: Pain with ROM test, Strength test

13. Groin Strain Cause: Overextension of the adductors.
S/S: Appear as a sudden twinge or feeling of tearing during movement, or not felt until end of activity.
TX: RICE (Wrap for activity)
Rehabilitation
stretch when appropriate
ST: Pain with ROM, Strength test

14. Hip Flexor Strain MOI: Forceful flexion motion of the hip
S/S: Pain with hip flexion, deformity, swelling
TX: RICE (Wrap for activity)
rehabilitation
ST: Thomas test, ROM test, strength test

15. Hip Pointer Cause: A blow to the iliac crest
S/S: Pain, spasms, and transitory paralysis of soft structures. Discoloration also evident.
TX: RICE
Cover with hard pad
ST: ROM test, X-RAY (rule of fx)

16. Sacroilliac (SI) Joint
MOI: Sprain to the ligaments surrounding the joint, forceful extension/flexion
S/S: Pain in the low back, radiates down to hip, offset feeling
TX: Pain control, abdomen strengthening, alignment
ST: SLR Test, FABER/Patrick’s, Pelvic compression/Distraction,

17. IT Band Syndrome
MOI: Repetitive movement of IT band over greater trochanter.
S/S: Pain, inflammation, popping sensation, tightness
TX: RICE, NSAIDs, stretching
ST: Ober’s test

18. Legg-Calve-Perthes Disease
Avascular Necrosis of the head of the femur
S/S: Limping, Referred pain to the abdomen or knee
TX: Complete bed rest, brace to avoid FWB
Complications: If not treated properly the head of the femur will become ill shaped

19. Stress Fractures
MOI: (distance runners) Repetitive cyclical forces. S/S: Groin pain and aching sensation in thigh that increases with activity TX: RICE, Rest for 2-5 months