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Ch. 19 Hip and Pelvis Injuries

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1 Ch. 19 Hip and Pelvis Injuries

2 Bursitis Most common is greater trochanteric bursitis
Caused by lack of stretching and improper warm up Treatment: limit activity, stretch, ice, NSAIDs

3 Fractures MOI: falling (most common), car accidents Mostly in elderly
Use x-ray or MRI to diagnosis Surgery to fix with pins NWB Mortality rate is high in elderly

4 Quad and Hip Flexor Strain
Usually involves rectus femoris MOI: jumping, kicking, sprinting Treatment: ice, compression, NSAIDs Rehab: ROM, strengthening, jogging

5 Hamstring Strain Most commonly injured is long head of biceps femoris
Hamstring strain: mild or moderate damage Hamstring tear: muscle separating from tendon

6 Hamstring Strain MOI: explosive starts/stops, sprinting, overuse, quad/ham imbalance, tightness S/S: sharp pain, bruising, swelling, ‘pop’ Treatment: RICE, NSAIDs, massage Rehab: stretch, strengthen, balance of strength

7 Adductor (Groin) Strain
Common in sports requiring quick changes in direction Soccer Tennis Most commonly involves adductor longus Treat same as hamstring

8 Iliac Crest Contusion Hip pointer Caused by falling or blow to hip
S/S: tenderness, swelling, bruising, loss of ROM Treat with ice and compression Protect with pad

9 Hip Dislocation Most are posteriorly
Severe damage can occur to nerve and blood supply Extreme pain, leg internally rotated Long rehab including gait training

10 Hip Dysplasia Usually affects babies and dogs
Head of the femur does not fit into the acetabulum Diagnosis with x-ray or MRI Non-surgical straps in babies

11 Legg-Calve-Perthes Disruption of blood flow to the head of the femur causing it to die Most common in young males Around 7 years old

12 Rehab Strengthening Balance Straight Leg Raises Stool scoots Theraband
Foam pad Pro Fitter Slide board


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