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