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h.i.p.

I. Hip Contusion
A. Mechanism--Direct blow on the anterior thigh
B. S+S
1. pt. tenderness
2. decrease ROM (lack of knee flexion)
3. decrease Strength (Ext. Knee)
C. Treatment
1. RICE
2. Quad Stretching - keep knee bent when icing
3. Quad Strengthening - (if needed)
4. Allowed to compete when they have fully recovered (full rom, strength)
5. Padding for protection
****6. BE CAUTIOUS WITH HEAT!!!!! Heat could cause increased bloodflow and a Maiocitis Osificans
II. Myositis Osificans
possible compication of a thigh contusion
A. Mechanism
Quad smashing against the femur and bone cells(osteoblasts and osteoclasts) bleeding into the muscle tissue and forming bone.
B. S+S
1. Decreasing ROM
2. Decreasing Strength
3. Hard Mass felt when palpated
C. Treatment (Rx) 1. Dr. Referral
2. Rest
3. Return to activity when full ROM and Strength is achieved
4. Padding
5. If problems occur, surgical intervention is needed
III. Hamstring String Strains
A. Mechanism
1. Hip Flexion
2. Knee Extension
B. S+S
1. pain
2. feels a "pull"
3. decrease in ROM
4. Decrease in strength
5. Discoloration (2 or 3 degree sprains)
6. Palpate diformity
C. Treatment (Rx) 1. RICE
2. for 2/3 degree sprains, Dr. Referral
3. Gradual ROM (strengthening exercizes
4. Strengthening Exercizes
5. Hip Spica
6. Limit sprinting
7. Gradual Return-- down time depends on the severity of a sprain.
D. Prevention
--Strength Ratios between Quads and Hamstrings.
----Hamstrings 80% of Quad Strength
IV. Groin Strains
A. Mechanism - forced ABduction
B. S+S
1. Pain
2. Pt. Tenderness
3. Decreased Rom (aBduct)
4. Decreased Strength (aDduction)
5. Felt "Pull"
6. 2degree/3degree has ecchymosis
7. 3 degree deformity
C. Treatment
1. RICE
2. Hip Spica
V. Hip Pointer cotrusion to the illiac crest
A. Mechanism
1. Direct Blow
B. S+S
1. Major Pain with trunk movement
2. Swelling
3. Echymosis
4. Pt. Tenderness
C. Treatment
1. RICE
2. Trunk ROM
3. Padding
4. Play when able
VI. Trochanteric Bursitis
***Trochanteric means having to do with the trochanters (usually the greater) and Bursitis means swelling of (itis) the BURSa sacks***
-The bursa sacks are used to reduce friction in between the Iliotibial Band and the Greater Trochanter
A. Mechanism
1. Overuse
B. S+S
1. Pt. Tender over the Greater Trochanter
2. Popping
C. Treatment
1. RI (ice message)
2. anti-inflamatories
3. Stretching IT band
4. Play as able


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