1. Hip, Groin, and Pelvis PE 236 Juan Cuevas, ATC
© 2007 McGraw-Hill Higher Education. All rights reserved.

9. Recognition and Management of Specific Hip, Groin, and Pelvic Injuries
Groin Strain
Cause of Injury
One of the more difficult problems to _________
Often seen in _______ part of season due to poor strength and flexibility
Occurs from running , jumping, twisting w/ hip external rotation or severe stretch
Signs of Injury
Sudden twinge or tearing during active movement
Produce pain, _________, and internal hemorrhaging

10. Groin Strain (continued)
Care
RICE, __________ and analgesics for hours
Rest is critical
Restore normal ROM and strength -- provide support w/ wrap
Refer to physician if severe ______ pain is experienced

11. ________ of the Hip Joint
Cause of Injury
Result of violent twist due to forceful contact
Force from opponent/object
Signs of Injury
Signs of acute injury and inability to circumduct hip
Pain in ______ region, w/ hip rotation increasing pain
Care
X-rays or MRI should be performed to rule out fx
RICE, NSAID’s and analgesics
Depending on severity, crutches may be required
ROM and _______ are delayed until hip is pain free

12. Piriformis Syndrome Cause of Condition Signs of Injury Care
Compression of _______nerve; irritation due to tightness or spasm of muscle
May mimic sciatica
Signs of Injury
Pain, numbness and tingling in butt – may extend below knee and into ________
Care
Stretching and _________
NSAID’s may be prescribed
Cessation of aggravating activities will be prescribed
Corticosteroid ________ may also be suggested

13. Dislocated Hip Cause of Injury Signs of Injury Care
Rarely occurs in sport
Result of traumatic force directed along the _________ of the femur
Signs of Injury
________,_________ and _________ rotated hip
Displaced femoral head, _____________!
Serious problem
Soft tissue, neurological damage and possible fx
Care
Immediate medical care (blood and nerve supply may be compromised)
________________may further complicate reduction
2 weeks immobilization and crutch use for at least one month

14. _________ Contusion (hip pointer)
Cause of Injury
Contusion of iliac crest or abdominal musculature
Direct blow
Signs of Injury
Pain, spasm, and transitory _______ of soft structures
Decreased rotation of trunk or thigh/hip flexion due to pain
Care
RICE for at least 48 hours, NSAID’s,
Bed rest ____ days in severe cases
Referral must be made, X-ray
Padding should be used upon return to minimize chance of added injury

16. _____________ Fractures
Cause of Injury
Avulsions seen in sports w/ sudden _____________ and decelerations
Pulling of tendon away and off of bony insertion
Common sites include ______ (sartorius), AIIS (rectus femoris attachment), ischial tuberosity (hamstring)
Signs of Injury
________ localized pain w/ limited movement
Pain, swelling, point tenderness
Care
Rest, limited activity and graduated exercise