Lower Extremity- Hip Injuries
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- Results from severe blow or repeated blow
- Sometimes is a result of insufficient care of contusion
- Calcification will appear on X-Ray 2-6 weeks after injury
- Conservative treatment but may need surgery after a year.
- Sudden, violent, forceful contraction
- Caused by overstretching
- Rare, significant trauma
- Not uncommon to occur in epiphysis to develop avascular necrosis
- S&S include: External rotation of hip and slightly adducted. Shortening of gait or limp
Femoral Stress Fractures
- Repetitive Trauma
- S&S: Pain in groin or anterior thigh which worsens with activity and lasts after activity.
- Walking with antalgic gait. (Pain with walking)
- Condition of greater trochanter
- E: Blow, trauma, or tight muscles.
- S&S: Complains of lateral hip pain, may radiate to knee causing a limp.
- Palpation reveals tenderness over greater trochanter.
Sprains of Hip Joint
- Violent twist, direct impact, or foot is planted and trunk is forced in opposite direction.
- S&S: consistent with acute injuries. May also be inability to circumduct the thigh.
- Rare, usually a traumatic force on axis of femur often when knee is bent.
- Often presents picture of flexed, adducted and internally rotated thigh.
- Palpation will reveal femoral head as moved posteriorly of acetabulum.
Hip Labral Tear
- Most often repetitive stresses like running and pivoting.
- Can also be from acute trauma such as dislocation
- S&S: Catching, locking, clicking. Pain in hip and groin. Limited ROM
Sciatica/ Piriformis Syndrome
- Sciatica term used to describe pain produced by irritation of sciatic nerve.
- Causes: disc problem, direct trauma or tightness of surrounding tissue.
Leg- Calve- Perthes Disease
- Avascular necrosis of femoral head.
- Generally occurs to children 4-10
- E: not greatly understood but trauma accounts for 25% of cases.
- S&S: pain in groin which is mistaken with abdomen or knee. Abnormal gait.
- Several causes: muscle imbalance, narrow pelvis, etc.
- Can involve different articular structures.
- S&S: snapping in the hip generally associated with pain.
- Contusion on iliac crest from a blow to the unprotected iliac crest.
- S&S: pain, spasms and transitory paralysis of soft structure.
- Athlete is often unable to rotate or flex the thigh without pain.
- Repeated stress of pubic symphysis and adjacent bony structures caused by a pulling of muscles creating inflammation.
- S&S: pain in groin and symphysis area. Point tenderness on pubic tubercle.
- Athlete experiences pain while running, doing squats or sit ups.
- Conservative Treatments.
Athletic Pubalgia (Sports Hernia)
- Catch all term refers to chronic pubis or inguinal pain.
- Repetitive stress
- Microtears of transverse abdominis or oblique
- S&S: Chronic pain starting with exertion. Can develop into sharp burning pain.
- Pain is increased with hip flexion, internal rotation and abdominal muscle contraction.
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