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Vocabulary

Vocabulary. Atrophic necrosis Ectopic bone formation Iliac crest contusion Legg-Perthes disease Osteitis pubis Trochanteric bursitis. Anatomy. Quadriceps: hip flexion and knee extension vastus medialis vastus lateralis vastus intermedius rectus femoris Hamstrings: knee flexion

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Vocabulary

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  1. Vocabulary • Atrophic necrosis • Ectopic bone formation • Iliac crest contusion • Legg-Perthes disease • Osteitis pubis • Trochanteric bursitis

  2. Anatomy • Quadriceps: hip flexion and knee extension • vastus medialis • vastus lateralis • vastus intermedius • rectus femoris • Hamstrings: knee flexion • Biceps femoris • semitendinosus • semimembranosus

  3. Anatomy Cont. • Groin: hip adduction • Adductor magnus • Adductor longus • Adductor brevis • pectineus • Misc. Muscles: • sartorius • gracilis • ilio tibial band • Gluteus maximus, medius, minimus • popliteus

  4. Anatomy: Bones • Hip/pelvis • Iliac crest • Anterior superior iliac spine: ASIS • Greater Trochanter- femur

  5. Injuries to the Thigh • Hamstring strains -vs quad and hip flexor strains. • Hamstring= most injured muscle in the thigh. Caused from deceleration • Quad strain most common= rectus femoris • Hamstring should be at least 60% 70% as strong as the quads.

  6. Injuries cont. • Hip pointer: contusion to the iliac crest • Very point tender and loss of ROM in hip function, swelling, ecchymosis • Thigh contusion:3 grades of contusions • 1st degree= mild hemorrhage, point tender, full ROM • 2nd degree= pain, swelling moderate pain, restricted ROM • 3rd degree= muscle herniation, hematoma, severe pain, loss of ROM and limping

  7. Misc. Injuries • Ilio tibial band friction syndrome (ITB). • Common with runners and bicyclists. • Pain over the lateral surface of knee. • Rx.= Rest, ice, NSAID’s ultrasound, and stretching/soft tissue. • Trochanteric bursitis. • Also common with runners affects origin of ITB.

  8. Treatment of Thigh Injuries • Strains-rice, NSAID’s, do not stretch unless painfree, TKE (terminal knee extensions), soft tissue massage, progress to activity slowly • Hip pointer- RICE, NSAID’s, gentle ROM, ultrasound, protective padding for competition • Bursitis- RICE, NSAID’s, ultrasound, gentle stretching • Stress fractures- non weight bearing, rest approx. 6 weeks, easy progression to sport

  9. Stretching of lower extremity • Gastroc./soleus • Hamstring • Quad • Hip adductors • Hip Abductors • Low back

  10. Rehabilitation • Limited exercises: TKE (terminal knee extension), isometrics, SLR (straight leg raises), isotonic to isokinetics, PNF, pool exercises, stationary bike, rowing machine, stair climber, • PNF D1/D2 flexion/ extensions patterns- rotational motions for the hip or manual resistance

  11. Rehab. Cont. • Close kinetic chain -vs- open chain exercises. • First stages of rehab for knee and thigh will consist of closed kinetic chain exercises: PNF, balance, 1/4 squats, tubing, weight machines. • Then open kinetic chain exercises: jogging, running, trampoline, jumping, defensive slide.

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