Injury Prevention - Thigh, Hip, Groin, and Pelvis

True statements about hip sprains

Hip sprains lead to significant pain in the hip region Crutch walking is typically used to manage grade 2 and 3 hip sprains

Thomas Test

Indicates whether hip contractures are present

In the context of hip joint problems in adolescent athletes, which of the following statements are true about legg-perthes disease, or coxa plana

It can have a rapid onset, but more often it comes on slowly over a number of months It occurs in children ages 3-12

A deep quadriceps rectus femoris tear

It causes a great deal of pain, point tenderness, spasm, and loss of function, but little discoloration from internal bleeding

A peripheral quadriceps rectus femoris tear

It causes fewer symptoms that other types of quadriceps rectus femoris tears, and there is less point tenderness and little bleeding

In the context of thigh injuries, Identify the true statements about myositis ossificans.

It commonly develops following bleeding into the quadriceps muscle. Its treatment should be extremely conservative once it is apparent It can result from improper care of a thigh contusion.

The statements about an iliac crest contusion, an injury to the pelvic region

It is commonly known as a hip pointer it occurs most often in contact sports

Grade 2 Contusion

It is of moderate intensity, causing pain, swelling, and a range of knee flexion that is less than 90 degrees with an obvious limp while walking

Grade 3 Contusion

It is severe and represents a significant disability

Grade 3 hamstring strain

It is the rupturing of tendinous or macular tissue, involving major hemorrhage and disability and a palpable and sometimes visual defect

Grade 3 hamstring strain

It is the rupturing of tendinous or muscular tissue, involving major hemorrhage and disability and a palpable and sometimes visual defect.

Grade 1 hamstring strain

It is usually evidence by muscle soreness on movement and is accompanied by point tenderness.

Grade 1 hamstring strain

It is usually evidenced by muscle soreness on movement and is accompanied by point tenderness

True statements about a slipped capital femoral epiphysis, an unusual disorder of the adolescent hip

It may be related to the effects of a growth horomone most often, it develops during periods of accelerated growth, shortly after the onset of puberty

The true statement about a hip labral tear

It most often results from repetitive movements such as running or pivoting of the hip that cause degeneration and breakdown of the labrum

In the context of injuries to the pelvis, identify the true statements about osteitis pubis

It occurs in soccer, football, and wrestling It leads to point tenderness on the pubic tubercle and pain when certain movements are performed

Grade 2 hamstring strain

It represents partial tearing of muscle fibers and can be identified by a sudden snap or tear of the muscle accompanied by severe pain and a loss of function of knee flexion

Grade 2 hamstring strain

It represents partial tearing of muscle fibers and can be identified by a sudden snap or tear of the muscle accompanied by severe pain and a loss of function of knee flexion.

True statements about a stress fracture of the pelvis

It tends to occur during intensive training or competitive racing It leads to groin pain along with an aching sensation in the thigh that increases with activity

True statements about an acute fracture of the pelvis.

It typically leads to severe pain and loss of function Its seriousness depends on the extent of shock and the possibility of internal injury

Which of the following statements is true about a hip labral tear?

It usually does not display any symptoms

Which of the following statements are true about a slipped capital femoral epiphysis, an unusual disorder of the adolescent hip?

Its symptoms are similar to those for legg-perthes disease It is found mostly in boys between the ages of 10 and 17 who are very tall and thin or are obese

In the context of hip injuries, which of the following are true about piriformis syndrome?

Its treatment generally begins with stretching exercises and massage It causes pain, numbness, and tingling *********** that can extend below the knee and into the foot

In the context of thigh injuries, what are the true statements about myositis ossificans

Its treatments should be extremely conservative once it is apparent It commonly develops following bleeding into the quadriceps muscle It can result from improper care of a thigh contusion

Ex of a sudden contraction

Jumping in volleyball and kicking soccer

An injury of the pelvis known as _____ has become more prevalent since the popularity of distance running has increased.

Osteitis Pubis

The head of the femur fits into a deep socket called the _____ to form the hip joint and is stabilized by strong iliofemoral ligaments and a joint capsule.

Acetabulum

A fracture is often associated with dislocation of the hip joint, accompanied by possible damage to the sciatic nerve and the nutrient artery. This leads to tissue death because of lack of circulation, and this condition is known as _____ _____

Avascular Necrosis

quadriceps contusions most likely develop as the result of a:

Severe impact on the relaxed thigh that compresses the muscle against the hard surface of the femur

The sacrum of the pelvis is joined to other parts of the pelvis by two strong ligaments, forming the sacroiliac joint. Which of the following are these ligaments?

The Sacrospinal Lig and Sacrotuberous Lig

A hip sprain displays all the signs of a major acute injury but is best revealed through:

The athlete's in ability to circumduct the thigh

A hip sprain displays all the signs of a major acute injury but is best revealed through:

The athlete's inability to circumduct the thigh

Stephen, a baseball player, complains of pain in the hip when standing on one leg. His coach, Kayla, uses a test to understand whether Stephen has thigh, hip, groin, and/or pelvis injuries. As part of the test, Stephen lies supine on a table with arms across the chest and legs together and fully extended. Kayla places one hand under Stephen's lumbar curve; one thigh is brought to the chest, flattening the spine. In this position, Kayla notices that Stephen's extended thigh is not flat on the table. Which of the following statements are true about this scenario?

The test Shows that there is tightness in the hip flexors Kayla has conducted the Thomas Test in this scenario

In context of injury prevention, identify the true statements about the thigh, hip, groin, and pelvic area.

There are many muscles that produce a variety of movements throughout this region In meeting the demands of both dynamic force production and stabilization of the core of the body, the muscles, joints, and ligaments in this region are vulnerable to injury

The groin is the depression between the:

Thigh and abdomen

Groin injuries are very likely to occur in the early part of the season, particularly if an athlete has poor strength and flexibility in the muscles in the group region. T or F

True

It is essential to maintain strength and flexibility of the muscles of the hip, thigh, and pelvis to prevent or at least minimize the chance of injury. True or False?

True

In the context of injuries to the pelvis, which of the following are common sites for avulsion fractures?

Where the Sartorius attaches to the ASIS Where the rectus femoris attaches to the AIIS Where the hamstring muscle group attaches to the ischial tuberosity

In the context of injuries to the pelvic region, which of the following statements are true about an iliac crest contusion?

Protection is the key to recovery from this injury It produces immediate pain, muscle guarding, and transitory paralysis of the soft structures

The _____ muscle located on the anterior thigh acts to flex the hip and outwardly rotate the thigh

Sartorius

Grade 1 Contusion

it can be either a very superficial intra muscular bruise or a slightly deeper one

Ex of a sudden stretch

Falling on a bent knee

In the context of thigh injuries, why does a fracture of the shaft of the femur most often take place in the middle third of the bone?

Because the majority of direct blows are sustained in this area Because of the anatomical curve at this point

The muscles located on the anterior thigh are the four quadriceps that primarily function to:

Extend the knee

The ______ is the longest bone in the human body

Femur

In context of thigh injuries, identify the true statements about the fractures of the femur

Fractures of the femur most often occur in automobile accidents or in a fall from a great height Fractures of the femur are less common in sports because rarely are the forces great enough to actually cause a fracture

The muscles in the _____ region are responsible for adduction and internal rotation of the thigh

Groin

A complete quadriceps rectus femoris tear

IT may leave the person with little disability and discomfort but with some deformity of the anterior thigh

In the context of thig injuries, identify the guidelines to manage hamstring muscle strains

Initially, activity should be restricted in order to minimize soreness Rehabilitation should be incorporate eccentric strength training exercises

_____, or coxa plana, is a hip joint problem in adolescent athletes that is due to a loss of blood circulation to the articular head of the femur

Legg-Perthes

A severe blow or repeated blows to the thigh, usually the quadriceps muscle, can cause ectopic bone formation within the muscle. The condition is known as:

Myositis Ossificans Traumatica

The _____ is a bony ring formed by two innominate bones, the sacrum, and the coccyx

Pelvis

In the context of hip injuries, the sciatic nerve can be compressed or irritated by tightness or spasm of the muscle that is located above the nerve or being pierced by the nerve. This condition is known as:

Piriformis Syndrome

_____ has been found to be the best treatment for groin strains

Resting

what typically causes dislocation of the hip joint?

Traumatic force along the long axis of the femur Falling on one's side

Straight leg raise

Typically used to test tightness in the hip extensors