Ch. 13 and 14 Anatomy and Injuries
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Pelvis | Made up of ilium, pubic bone, and ischium bones; iliofemeroal (prevents hyperextension and controls external rotation and adduction), isciofemoral (prevents internal rotation and adduction), and pubofemoral (prevents abduction) ligaments; iliosoas (hip fl
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Groin strain | Groin= iliosoas, rectus femoris, and adductor group
Running, jumping or twisting with external rotation
Sudden twinge during activity
RICE and NSAIDS
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Dislocated hip | Traumatic force directed along long axis of femur
Hip is flexed, adducted, and internally rotated, head of femur is posterior to acetabulum
Hospital, immobilization, and crutches
Avascular necrosis= complication- loss of blood supply
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Legg-Calve-Perthes Disease | Avascular necrosis of femoral head
comon in children 4-10
Pain in groin, limping, decreased ROM
Bed rest, special brace to avoid weight bearing
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Hip | Joint made up of pelvis and Femur (attached at Acetabulum), blood supply: femoral artery, great saphenous vein, femoral vein, nerves: tibial nerve, common peroneal nerve, sciatic nerve
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Hamstring | Controls hip extension and knee flexion
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Quadriceps | Controls hip flexion and knee extension
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Quadriceps contusion | Direct blow to area
Pain, loss of function, capillary effusion, decreased knee flexion (depends)
RICE, NSAIDs, stretching, crutches protective pad
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Quadriceps muscle strain | Sudden stretch (exc. flexion or sudden contraction)
Superficial- slight pain/discomfort, possible ecchymosis
Deep- pain, point tenderness, ecchymosis, spasm and loss of function
Rupture- little disability and discomfort, noticeable deformity
RICE, NSA
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Hamstring muscle strain | Most common injury of thigh
Muscle fatigue, faulty posture, leg length discrepancy or muscle imbalance
Grade 1- soreness and tenderness
Grade 2- sudden snap or tear, severe pain and loss of function in knee flexion
Grade 3- severe swelling, tenderness
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Acute Femoral Fracture | Generally middle third of shaft
Great force or direct blow to area
pain over fracture site or weight bearing, swelling, crepitous, and deformity
Monitor for shock, splint, and physician
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Myotisis Ossificans | Calcifications in muscle from too much blood flow- must get removed
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Knee | Tibia, Fibia, and patella- sesamoid (extension) bones; Tibiofemoral and patellofemoral joints; MCL (stabilizes medial aspect), LCL (stabilizes lateral aspect), ACL (prevents tibia from moving anteriorly), and PCL (prevents tibia from moving posteriorly) l
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Meniscus | Deepens tibial surface, provides cushion and maintains space between tibial condyles and tibial plateau (medial is C-shaped, lateral is O-shaped)
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Gastrocnemius and Soleus | knee flexion
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Leg alignment | Genu valgum- knock-kneed
Genu varum- bow-legged
Genu recurvatum- hyperextended
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