The Thigh, Hip, Groin, & Pelvis

Chapter 17

Pages 386-408

Anatomy of Thigh, Hip, Groin, & Pelvis

Thigh – Bony anatomy: femur– Muscular anatomy:

Quadriceps Sartorius Hamstrings Abductors Adductors

Pelvis– Bony anatomy: 2 innominate bones (ilium, ischium, and pubis), sacrum and

coccyx– Muscular anatomy:

Anterior: iliacus and psoas Posterior: TFL, Glutes, Rotators

Assessing Thigh, Hip, Groin, & Pelvis Injuries: HHistory

What mechanisms do you think caused this injury? When did you first notice discomfort? Have you ever had this problem before? Has training intensity recently changed? Where is the pain located? Describe the type of pain? Does pain radiate down front/back of legs/buttocks When is pain the worst?

Assessing Thigh, Hip, Groin, & Pelvis Injuries: OObservation

Observe the athlete for postural asymmetry while standing on one leg and during ambulation.

From the front view, do the hips look even? From the side view, is the pelvis abnormally tilted? The patella should be noted for position and

alignment. Does standing on one leg produce pain in the hip? Observe the athlete during walking, bending, and

sitting.

Assessing Thigh, Hip, Groin, & Pelvis Injuries: PPalpation and SSpecial Tests

Bony palpation: iliac crest, hip joint, femur, sacrum, and coccyx.

Soft tissue: anterior/posterior thigh, groin, buttocks, and anterior/lateral hip.

Special tests:– Thomas test– Straight leg raise

Prevention of Injuries

Maintain the strength and flexibility of the muscles of the hip, thigh, and pelvis.

Stretching programs should focus on quadriceps, hamstrings, and groin muscles.

Types of Thigh Injuries

Quadriceps contusion Muscle ossification Quadriceps muscle

strain Hamstring muscle

strain Acute femoral fracture Stress fracture of the

femur

Types of Hip Injuries

Hip sprain Dislocated hip joint Groin strain Immature hip joint

problems– Coxa Plana/Legg-

Perthes Disese– Slipped growth site of

the femoral head

Types of Pelvic Injuries

Iliac crest contusion (Hip Pointer)

Osteitis pubis Acute fracture of the

pelvis Stress fracture of the

pelvis Avulsion fractures

Homework Assignment:

Injury Key Points: Group 1

Quadriceps contusion Muscle ossification Quadriceps muscle strain Hip sprain Dislocated hip joint Groin strain Iliac crest contusion (Hip

Pointer) Osteitis pubis

Injury Key Points: Group 2

Hamstring muscle strain Acute femoral fracture Stress fracture of the femur Coxa Plana/Legg-Perthes

Disease Slipped growth site of the

femoral head Acute fracture of the pelvis Stress fracture of the pelvis Avulsion fractures.