1. The Thigh, Hip, Groin, & Pelvis Chapter 17 Pages 386-408

2. Anatomy of Thigh, Hip, Groin, & Pelvis Thigh – Bony anatomy: femur – Muscular anatomy: Quadriceps Sartorius Hamstrings Abductors Adductors Pelvis – Bony anatomy: 2 innominate bones (ilium, ischium, and pubis), sacrum and coccyx – Muscular anatomy: Anterior: iliacus and psoas Posterior: TFL, Glutes, Rotators

3. H Assessing Thigh, Hip, Groin, & Pelvis Injuries: History What mechanisms do you think caused this injury? When did you first notice discomfort? Have you ever had this problem before? Has training intensity recently changed? Where is the pain located? Describe the type of pain? Does pain radiate down front/back of legs/buttocks When is pain the worst?

4. O Assessing Thigh, Hip, Groin, & Pelvis Injuries: Observation Observe the athlete for postural asymmetry while standing on one leg and during ambulation. From the front view, do the hips look even? From the side view, is the pelvis abnormally tilted? The patella should be noted for position and alignment. Does standing on one leg produce pain in the hip? Observe the athlete during walking, bending, and sitting.

5. PS Assessing Thigh, Hip, Groin, & Pelvis Injuries: Palpation and Special Tests Bony palpation: iliac crest, hip joint, femur, sacrum, and coccyx. Soft tissue: anterior/posterior thigh, groin, buttocks, and anterior/lateral hip. Special tests: – Thomas test – Straight leg raise

6. Prevention of Injuries Maintain the strength and flexibility of the muscles of the hip, thigh, and pelvis. Stretching programs should focus on quadriceps, hamstrings, and groin muscles.

7. Types of Thigh Injuries Quadriceps contusion Muscle ossification Quadriceps muscle strain Hamstring muscle strain Acute femoral fracture Stress fracture of the femur

8. Types of Hip Injuries Hip sprain Dislocated hip joint Groin strain Immature hip joint problems – Coxa Plana/Legg- Perthes Disese – Slipped growth site of the femoral head

9. Types of Pelvic Injuries Iliac crest contusion (Hip Pointer) Osteitis pubis Acute fracture of the pelvis Stress fracture of the pelvis Avulsion fractures

10. Homework Assignment: Injury Key Points: Group 1 Quadriceps contusion Muscle ossification Quadriceps muscle strain Hip sprain Dislocated hip joint Groin strain Iliac crest contusion (Hip Pointer) Osteitis pubis Injury Key Points: Group 2 Hamstring muscle strain Acute femoral fracture Stress fracture of the femur Coxa Plana/Legg-Perthes Disease Slipped growth site of the femoral head Acute fracture of the pelvis Stress fracture of the pelvis Avulsion fractures.