Hip Injuries in the Athlete: What you should know

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Hip Injuries in the AthleteWhat you should know

• Basics of Athletic Training Lab
• James Maison, BS, ATC, CSCS

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Muscular Function at the Hip

• Flexors
• Adductors
• Internal rotators
• Extensors
• Abductors
• External rotators

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L
M
M
L
L
M
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Adductor strains

• Common mechanism Long strides running, jumping,
  twisting with external rotation
• Most Common muscle injured Adductor Magnus
  (Why?)
• Tx Rice, Hip Spica wrap

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Hamstring Strain

• Suddenly change directions of contraction
  hurdling, sprinting etc.
• Quick change from one of knee stabilization to
  extend the hip when running
• Most commonly strained Hamstring MM. (Why?)
• Tx RICE, Reverse Hip Spica or Compression Wrap

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Thigh Contusion

• Mechanism direct blow, typically from contact
  sports
• Swelling, inflammation, limited ROM, decreased
  strength
• Tx RICE, Compression Wrap (with donut pad )
• (dependent on severity)

Perfusion of blood hematoma (Bruise) between the
muscles.The bruise isnt just near the surface
of the skin!
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Untreated Thigh Contusion

• Myositis Ossificans (calcification of a hematoma)
  can develop from untreated or poorly managed
  cases of repeated severe blows to a muscle
• Blood and muscle turn to bone, and loss of ROM
  and Strength follow.

?
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Hip Pointer

• Contusion to the bony prominence of the Iliac
  Crest
• History of a direct blow or fall onto the hip
• Swelling and Inflammation become very obvious
• Tx RICE, Donut pad secured with hip spica wrap

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Commercial Hip Braces

• Used to restrict unwanted motion to prevent
  further injury

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Commercial Thigh Sleeve