THIGH

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THIGH
INJURY
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THIGH INJURIES OUTLINE

• Discuss Gross Anatomy.
• Quadriceps Strain.
• Hamstring Strain.
• Charleys Horse and Myositis Ossificans.
• Pulled Groin.

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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.
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HAMSTRING STRAIN
Right Leg Posterior View
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Risk Factors Hamstring

• Muscle Imbalance (32)
• Poor dynamic flexibility
• Muscle fatigue
• Previous Injury
• Overuse

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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.
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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.
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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
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Passive Single Leg Straight Raise Test
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Resistance plus Palpation
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QUADRICEPS STRAIN

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

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ADDUCTOR STRAIN
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ADDUCTOR STRAIN Excessive abduction of the
thigh.

• Icing
• Gradual Stretching
• Strengthening

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GROIN STRAIN Hip Flexor
Caused by Forced Extension and/or excessive
contraction of hip flexors.

• Icing and Tensoring
• Stretching
• Strengthening of Flexors

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Groin Strain Abduction, Extension and External
Rotation of Hip.

• Icing and Tensoring
• Stretching
• Strengthening

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Quadriceps
Contusion
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QUADRICEPS CONTUSION
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Bleeding within Quads
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Loss of Flexion
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Treatment of Quad Contusion

• Icing and Tensor
• Crutches and P.W.B.
• Knee flexion using only hamstring force.

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DOWN UNDER Treatment
Bring the knee to max flexion.
Hold the knee in that position, apply ice.
Move leg or do full squats.
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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..
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MYOSITIS OSSIFICANS
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MYOS ITIS
MUSCLE INFLAMMATION
OSSIFICANS
FORMATION OF BONE FROM BLOOD
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FIXED
TWO MONTHS
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QUAD CONTUSION REHAB

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

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COMPARTMENT PROBLEMS IN THE THIGH FOLLOWING TRAUMA
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