thigh injuries outline discuss gross anatomy. quadriceps strain. hamstring strain. charley’s horse...
TRANSCRIPT
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. 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
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
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