THIGH INJURY

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

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.

HAMSTRING STRAIN Right Leg – Posterior View

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

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.

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.

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……

Passive Single Leg Straight Raise Test

Resistance plus Palpation

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

ADDUCTOR STRAIN

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

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

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

Quadriceps Contusion

QUADRICEPS CONTUSION

Bleeding within Quads

Loss of Flexion

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

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

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……..

MYOSITIS OSSIFICANS

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

FIXED TWO MONTHS

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

COMPARTMENT PROBLEMS IN THE THIGH FOLLOWING TRAUMA