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