Assessment History –Onset (sudden or slow?) –Previous history? –Mechanism of injury? –Pain description, intensity, quality, duration, type and location? Observation –Postural symmetry? –Size, deformity, swelling, discoloration? –Skin color and texture? –Is athlete in obvious pain? –Is the athlete willing to move the thigh?
Quad Strain Cause of Injury –Sudden stretch when athlete falls on bent knee or experiences sudden contraction –Associated with weakened or over constricted muscle Signs of Injury –Peripheral tear causes fewer symptoms than deeper tear –Pain, point tenderness, spasm, loss of function and little discoloration –Complete tear may leave athlete w/ little disability and discomfort but with some deformity Care –Rest, ice and compression to control internal bleeding –Determine extent of injury early –Neoprene sleeve may provide some added support
Legg-Calve’-Perthes Disease (cont’d.) Care –Bed rest to reduce chance of chronic condition –Brace to avoid direct weight bearing –Early treatment and head may reossify and revascularize Complication –If not treated early, will result in ill-shaping and osteoarthritis in later life
Iliac Crest Contusion Hip pointer Cause of Injury –Contusion of iliac crest or abdominal musculature –Result of direct blow Signs of Injury –Pain, spasm, and transitory paralysis of soft structures –Decreased rotation of trunk or thigh/hip flexion due to pain Care –RICE for at least 48 hours, NSAID’s, –Bed rest 1-2 days in severe cases –Referral must be made, X-ray –Padding should be used upon return to minimize chance of added injury