THE THIGH, HIP GROIN, and PELVIS

1
THE THIGH, HIPGROIN, and PELVIS

• Chapter 17

2
INTRODUCTION

• Although the thigh, hip, groin and pelvis area
  have a relatively low incidence of injury
  compared to some of the other body areas we have
  studied, there are some serious problems which
  can occur in this area, as well as some common
  problems such as the hamstring and groin strains.

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Anatomy of the Thigh

• The Femur
• Muscles
• Anterior Thigh Muscles
• Posterior Thigh Muscles
• Nerve Supply
• Blood Supply
• Fascia
• Functional Anatomy

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Assessment of the Thigh

• History
• Observation
• Palpation
• Special Tests

5
Recognition Care of Thigh Injuries

• Quad Contusions
• Myositis Ossificans
• Strains
• Quadriceps
• Hamstrings
• Femur Fractures
• Acute
• Stress

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Anatomy of Hip, Groinand Pelvis

• Bones
• Articulations
• Sacroiliac
• Hip
• Ligaments, joint capsule, and synovial membrane
• Musculature
• Bursae
• Nerve supply
• Blood supply

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Assessment of Hip / Pelvis

• History
• Observation
• Postural Asymmetry
• Ambulation
• Palpation
• Bony palpation
• Soft Tissue palpation
• Special Tests

8
Recognition Care of Hip, Groin, Pelvis

• Groin Strain
• Trochanteric Bursitis
• Sprains of Hip Joint
• Subluxated or Dislocated Hip
• Other Problems
• Legg-Calve-Perthes Disease
• Slipped Capital Femoral Epiphysis
• Snapping Hip Syndrome

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Recognition Care of Conditions (cont.)

• Pelvic Conditions
• Hip Pointer
• Osteitis Pubis
• Stress Fractures
• Avulsion Fractures Apophysitis

10
Thigh Hip Rehabilitation Techniques

• General Body Conditioning
• Flexibility
• Mobilization
• Strength
• Neuromuscular Control
• Functional Progressions
• Return to Activity

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Summary

• Thigh contusions and hamstring and groin strains
  are common injuries.
• A major complication of the thigh contusion is
  myositis ossificans.
• It is not clearly understood why strains occur.
• Femur fractures and hip dislocations are serious
  injuries and medical emergencies.