1. THIGH
INJURY

2. THIGH INJURIES OUTLINE
Discuss Gross Anatomy.
Quadriceps Strain.
Hamstring Strain.
Charley’s Horse and Myositis Ossificans.
‘Pulled’ Groin.

3. 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.

4. HAMSTRING
STRAIN
Right Leg –
Posterior View

5. Risk Factors: Hamstring
Muscle Imbalance (3:2)
Poor dynamic flexibility
Muscle fatigue
Previous Injury
Overuse

6. 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.

7. 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.

8. Routine rehab is carried out on the injured hamstring 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……

9. Passive
Single Leg
Straight
Raise
Test

10. Resistance plus Palpation

11. QUADRICEPS STRAIN Usually Rectus Femoris
Rectus Femoris is a two joint muscle.
Determine which function is affected.
Ice, Stretch and Strength

12. ADDUCTOR STRAIN

13. ADDUCTOR STRAIN: Excessive abduction of the thigh.
Icing
Gradual Stretching
Strengthening

14. GROIN STRAIN – Hip Flexor
Caused by Forced Extension and/or excessive contraction of hip flexors.
Icing and Tensoring
Stretching
Strengthening of Flexors

15. Groin Strain: Abduction, Extension and External Rotation of Hip.
Icing and Tensoring
Stretching
Strengthening

16. Quadriceps
Contusion

17. QUADRICEPS CONTUSION

18. Bleeding within Quads

19. Loss of Flexion

20. Treatment of Quad Contusion
Icing and Tensor
Crutches and P.W.B.
Knee flexion – using only hamstring force.

21. ‘DOWN UNDER’ Treatment
Bring the knee to max flexion.
Hold the knee in that position, apply ice.
Move leg or do full squats.

22. 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……..

23. MYOSITIS
OSSIFICANS

24. FORMATION OF BONE FROM BLOOD
MYOS ITIS
MUSCLE INFLAMMATION
OSSIFICANS
FORMATION OF BONE FROM BLOOD

25. FIXED
TWO MONTHS

26. QUAD CONTUSION REHAB Patience on the part of the athlete.
Icing, Icing, Icing
Knee flexion with the force generated by hamstrings.
Isometric quads.

27. COMPARTMENT
PROBLEMS
IN THE THIGH
FOLLOWING
TRAUMA