Hip & Pelvis Injuries & Illnesses
Free Template from www.brainybetty.com Apophysitis Sudden pain either @ ischial tuberosity @ hamstring origin or @ ASIS @ rectus femoris attachement Felt a snap during sudden deceleration Point tender over muscle attachment, has edema, & ROM increase pain X-ray, RICE, crutch walking 1-2 months, NSAID’s, gradual stretching when pain subsides 9/15/2018 Free Template from www.brainybetty.com
Free Template from www.brainybetty.com Athletic Pubalgia Pain in the abdominopelvic region of the body on the anteior side Activities of daily living (ADL’s) have become uncomfortable Palpable bulge in the groin region near the pubis Like an inguinal hernia; treated by surgery to fix bulge 9/15/2018 Free Template from www.brainybetty.com
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Contusion (Hip Pointer) Sustained a direct blow to iliac crest Hurts to flex and extend hip Spasm in inguinal region, ecchymosis present and edema over ASIS Can not rotate trunk without pain RICE, NSAIDS, refer to MD for x-ray 9/15/2018 Free Template from www.brainybetty.com
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Femoral Shaft Fracture Sustained direct traumatic blow to greater trochanter Leg is deformed and can not move Activate EMS X-ray, treat with intramedullary rod and weight bear immediately post-op With a severe fracture, use tibial traction pin with rod 9/15/2018 Free Template from www.brainybetty.com
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Free Template from www.brainybetty.com Groin Strain Felt a slight pull when running and jumping and had externally rotated hip Point tender over adductor muscle Ecchymosis and edema RICE, NSAIDS, CWP, gradual stretching 9/15/2018 Free Template from www.brainybetty.com
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Free Template from www.brainybetty.com Hip Anterversion Skeletal disorder where there is excessive medial rotation of the femur Walks pigeon toed History of patellar chondromalacia Condition normally corrects itself by age of 7-8 9/15/2018 Free Template from www.brainybetty.com
Free Template from www.brainybetty.com Hip Dislocation Involved in catastrophic trauma during a football game Violently twisted hips while knee stayed in place Sudden and severe pain, found lying supine with hip internally rotated and unable to move Activate EMS Monitor vitals especially LE pulses MD will reduce dislocation and splint 9/15/2018 Free Template from www.brainybetty.com
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Free Template from www.brainybetty.com Hip Retroversion Skeletal disorder where there is excessive lateral rotation of the femur Tightness in back and hips “toe-out” gait Condition might fix itself; children may wear braces to fix disorder 9/15/2018 Free Template from www.brainybetty.com
IT Band Friction Syndrome Discomfort on the lateral aspect of the thigh Pain worsens with running, stair climbing and getting out of a car + Ober’s Test Treat by RICE, stretching, change shoes and running patterns 9/15/2018 Free Template from www.brainybetty.com
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Legg-Calve Perthes Disease A young male child (3-8) questions why he’s been limping and having pain in the knee and groin; states leg goes “tingly” Point tender on anterior thigh region, groin, and knee Has decreased hip abduction, extension, and external rotation Treatment involves immobilization and possible surgery; if detected too late, hip replacement 9/15/2018 Free Template from www.brainybetty.com
Free Template from www.brainybetty.com Osteitis Pubis Presents with aching pain that is localized in anterior groin region Relieved with rest but worsens with weight bearing Point tender over pubic symphysis Pain with adduction and flexion X-ray reveals stress fracture Treat symptomatically 9/15/2018 Free Template from www.brainybetty.com
Free Template from www.brainybetty.com Piriformis Syndrome Aching mid-buttock region with numbness down the leg, low back pain, and decreased ADL’s Weakness with hip abduction & ER + FABER Test RICE, NSAIDS, stretching 9/15/2018 Free Template from www.brainybetty.com
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Free Template from www.brainybetty.com Pubis Stress Fracture Normally found in cyclist or distance runners due to the reaction force of the pelvis during impact More common in women than men c/o general groin pain that increases with activity Can not stand on one leg b/c of pain Treatment is rest and swimming for aerobic exercise – AVOID breaststroke 9/15/2018 Free Template from www.brainybetty.com
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Slipped Capital Femoral Epiphysis Tall thin boy between 10-17 y.o. c/o pain in both hips Limited in ABD, flexion, & IR Has antalgic gait X-ray shows femoral head slipping inferiorly and posteriorly Minor cases – rest, NWB Major cases – surgery to restore normal hip mechanics 9/15/2018 Free Template from www.brainybetty.com
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Trochanteric Bursitis c/o discomfort on lateral hip Pain can radiate down leg Has a limp States they have been running in the same direction every day More common in females b/c of increased Q-Angle Point tender over greater trochanter RICE, NSAIDs, prohibit hill running 9/15/2018 Free Template from www.brainybetty.com
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