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Ch. 19 Hip and Pelvis Injuries
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Bursitis Most common is greater trochanteric bursitis
Caused by lack of stretching and improper warm up Treatment: limit activity, stretch, ice, NSAIDs
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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
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Quad and Hip Flexor Strain
Usually involves rectus femoris MOI: jumping, kicking, sprinting Treatment: ice, compression, NSAIDs Rehab: ROM, strengthening, jogging
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Hamstring Strain Most commonly injured is long head of biceps femoris
Hamstring strain: mild or moderate damage Hamstring tear: muscle separating from tendon
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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
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Adductor (Groin) Strain
Common in sports requiring quick changes in direction Soccer Tennis Most commonly involves adductor longus Treat same as hamstring
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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
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Hip Dislocation Most are posteriorly
Severe damage can occur to nerve and blood supply Extreme pain, leg internally rotated Long rehab including gait training
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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
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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
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Rehab Strengthening Balance Straight Leg Raises Stool scoots Theraband
Foam pad Pro Fitter Slide board
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