ch. 19 hip and pelvis injuries
DESCRIPTION
Ch. 19 Hip and Pelvis Injuries. Bursitis. Most common is greater trochanteric bursitis Caused by lack of stretching and improper warm up Treatment: limit activity, stretch, ice, NSAIDs. Fractures. MOI: falling (most common), car accidents Mostly in elderly Use x-ray or MRI to diagnosis - PowerPoint PPT PresentationTRANSCRIPT
CH. 19 HIP AND PELVIS INJURIES
Bursitis• Most common is greater trochanteric bursitis
• Caused by lack of stretching and improper warm up
• Treatment: limit activity, stretch, ice, NSAIDs
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
Quad and Hip Flexor Strain• Usually involves rectus femoris
• MOI: jumping, kicking, sprinting
• Treatment: ice, compression, NSAIDs
• Rehab: ROM, strengthening, jogging
Hamstring Strain• Most commonly injured is long head of biceps femoris
• Hamstring strain: mild or moderate damage
• Hamstring tear: muscle separating from tendon
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
Adductor (Groin) Strain• Common in sports requiring quick changes in direction• Soccer• Tennis
• Most commonly involves adductor longus
• Treat same as hamstring
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
Hip Dislocation• Most are posteriorly• Severe damage can occur to nerve and blood supply
• Extreme pain, leg internally rotated
• Long rehab including gait training
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
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
Rehab• Strengthening
• Straight Leg Raises• Stool scoots• Theraband
• Balance• Foam pad• Pro Fitter• Slide board