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 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 1. Vastus medialis 2. Vastus intermedius 3. Vastus lateralis 4. 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 1. Biceps femoris 2. Semimembranous 3. Semitendonous Function Flex the knee and extend the hip

9. Muscles – Medial Thigh (Groin) Hip Adductors 1. Gracilis 2. Sartorius 3. Pectineus 4. Adductor Magnus 5. Adductor Longus 6. Adductor Brevis

10. Muscles – Anterior Hip Hip Flexors Iliopsoas (2 muscles) 1. Iliacus 2. Psoas

11. Muscles – Posterior Hip Hip Abduction 1. Tensor fascia latae (TFL) 2. Gluteus Medius 3. Gluteus Minimus Hip Extension 1. 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 Direct blow to the quad Signs and symptoms 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 1 st 48 -72 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 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