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
