Transcript thigh

THIGH INJURIES OUTLINE
• Discuss Gross Anatomy.
• Quadriceps Strain.
• Hamstring Strain.
• Charley’s Horse and
Myositis Ossificans.
• ‘Pulled’ Groin.
HAMSTRING STRAIN: is
the most frequently
strained muscle in the
body.
Caused by a rapid
contraction of the muscle
during ballistic action or
violent stretch.
HAMSTRING
STRAIN
Right Leg –
Posterior View
Risk Factors: Hamstring
• Muscle Imbalance (3:2)
• Poor dynamic flexibility
• Muscle fatigue
• Previous Injury
• Overuse
HAMSTRING INJURY
Gluteus Maximus is the
major extensor of the hip.
When hamstring function
changes from a
stabilizing knee flexor to
an active hip extensor,
injury happens.
Signs and Symptoms:
Grade 1: Slight tightness
and tension in the muscle.
Grade 2,3: feel a ‘pop’ or
experience a tearing
sensation. Unable to
extend the knee. Pain and
weakness in the muscle.
Routine rehab is carried
out on the injured
hamstring muscle. The
athlete can return when
they are at a Grade I
level. The following
criteria are tested……
Passive
Single Leg
Straight
Raise
Test
Resistance plus Palpation
QUADRICEPS STRAIN
• Usually Rectus Femoris
• Rectus Femoris is a two
joint muscle.
• Determine which function
is affected.
• Ice, Stretch and Strength
ADDUCTOR STRAIN
ADDUCTOR STRAIN:
Excessive abduction of
the thigh.
• Icing
• Gradual Stretching
• Strengthening
GROIN STRAIN – Hip Flexor
Caused by Forced Extension
and/or excessive contraction
of hip flexors.
• Icing and Tensoring
• Stretching
• Strengthening of Flexors
Groin Strain: Abduction,
Extension and External
Rotation of Hip.
• Icing and Tensoring
• Stretching
• Strengthening
QUADRICEPS CONTUSION
Bleeding within Quads
Loss of Flexion
Treatment of Quad
Contusion
• Icing and Tensor
• Crutches and P.W.B.
• Knee flexion – using
only hamstring
force.
‘DOWN UNDER’ Treatment
Bring the knee
to max flexion.
Hold the knee in
that position,
apply ice.
Move leg or do full
squats.
If the impact was enough
to irritate the periosteum
of the bone…. Or
If there was a secondary
impact to the thigh….
The result may be……..
MYOSITIS
OSSIFICANS
MYOS ITIS
MUSCLE
INFLAMMATION
OSSIFICANS
FORMATION OF BONE
FROM BLOOD
FIXED
TWO
MONTHS
QUAD CONTUSION REHAB
Patience on the part of
the athlete.
Icing, Icing, Icing
Knee flexion with the
force generated by
hamstrings.
Isometric quads.
COMPARTMENT
PROBLEMS
IN THE THIGH
FOLLOWING
TRAUMA