Lower Extremity- Hip Injuries

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  1. Heterotrophic Ossification
    • 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.
  2. Muscle Strain
    • Sudden, violent, forceful contraction
    • Caused by overstretching
  3. Femoral Fractures
    • 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
  4. 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)
  5. Trochanteric Bursitis
    • 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.
  6. 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.
  7. Dislocated Hip
    • 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.
  8. 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
  9. 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.
  10. 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.
  11. Snapping Hip
    • Several causes: muscle imbalance, narrow pelvis, etc. 
    • Can involve different articular structures. 
    • S&S: snapping in the hip generally associated with pain.
  12. Hip Pointer
    • 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.
  13. Osteitis Pubis
    • 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.
  14. 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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Lower Extremity- Hip Injuries
2014-11-18 06:25:24

Hip Injuries
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