1. The Hip and Thigh

2. MOTIONS What do these motions look like? Hip Flexion Hip Extension
Hip Adduction
Hip Abduction
Hip External Rotation
Hip Internal Rotation

3. ANATOMY

4. The Hip and Thigh Bones (6) Femur Pelvis (3 bones)
Longest and strongest bone in the body
Pelvis (3 bones)
Ilium
Ishium
Pubis
Sacrum – part of spine
Coccyx – part of spine

5. HIP MUSCLES Divided into Five Regions Anterior Thigh Posterior Thigh
Medial Thigh
Anterior Hip
Posterior Hip

6. Muscles – Anterior Thigh
Quadriceps Femoris
Vastus medialis
Vastus intermedius
Vastus lateralis
Rectus femoris
Function
Extend the knee
Rectus femoris also aids in hip flexion

7. Muscles – Anterior Thigh
Sartorius (pink)
Function
Hip flexion
Adduction
External rotation

8. Muscles – Posterior Thigh
Hamstring Muscles
Biceps femoris
Semimembranous
Semitendonous
Function
Flex the knee and extend the hip

9. Muscles – Medial Thigh (Groin)
Hip Adductors
Gracilis
Sartorius
Pectineus
Adductor Magnus
Adductor Longus
Adductor Brevis

10. Muscles – Anterior Hip
Hip Flexors
Iliopsoas (2 muscles)
Iliacus
Psoas

11. Muscles – Posterior Hip
Hip Abduction
Tensor fascia latae (TFL)
Gluteus Medius
Gluteus Minimus
Hip Extension
Gluteus Maximus
Also external rotator

13. INJURIES
8 OF THEM

14. Are you more likely to strain or contuse your:
Quadriceps?
Hamstring?
Groin?

15. Quadriceps Contusion Cause Signs and symptoms Direct blow to the quad
Pain
Loss of function – can’t straighten knee
Decreased knee flexion
Graded on a scale of 1 – 4
1 not so bad  4 is the worse

16. Quadriceps Contusion Treatment
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

17. Muscle Strain Causes
Inflexibility
Poor warm up
Fatigue
Overstretch

18. Quadriceps Strain Signs and Symptoms
Pulling / burning sensation in quad
Decreased knee flexion
Decreased knee extension strength

19. Hamstring Strain Signs and Symptoms
Pulling / burning sensation in hamstring
Decreased strength – knee flexion
Decreased hip flexion with knee straight

20. Groin/Hip Flexor Strain
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.

21. Muscle Strain Treatment
RICE for 1st hours
Compression Wrap for activity
Rehabilitation for strength and flexibility

22. Stress Fracture in Femur
Cause
Pounding activity like running
Signs and Symptoms
Constant pain that gets worse with activity
Treatment
Rest from activity
Non-weight bearing (crutches)

23. Femur Fracture 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

24. Hip Dislocation
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

25. Hip Pointer Contusion to the iliac crest Cause Signs and Symptoms
Muscles attach there
Cause
Direct blow
Signs and Symptoms
Hurts to lift leg, abdominal crunch, sneeze, cough
Treatment
Ice and a lot of it
Gentle stretching as tolerated