Transcript Vocabulary - Olympic High School

Vocabulary
• Atrophic necrosis
• Ectopic bone formation
• Iliac crest contusion
• Legg-Perthes disease
• Osteitis pubis
• Trochanteric bursitis
Anatomy
• Quadriceps: hip flexion and knee extension
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vastus medialis
vastus lateralis
vastus intermedius
rectus femoris
• Hamstrings: knee flexion
• Biceps femoris
• semitendinosus
• semimembranosus
Anatomy Cont.
• Groin: hip adduction
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Adductor magnus
Adductor longus
Adductor brevis
pectineus
• Misc. Muscles:
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sartorius
gracilis
ilio tibial band
Gluteus maximus, medius, minimus
popliteus
Anatomy: Bones
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Hip/pelvis
Iliac crest
Anterior superior iliac spine: ASIS
Greater Trochanter- femur
Injuries to the Thigh
• Hamstring strains -vs
quad and hip flexor
strains.
• Hamstring= most injured
muscle in the thigh.
Caused from deceleration
• Quad strain most
common= rectus femoris
• Hamstring should be at
least 60% 70% as strong
as the quads.
Injuries cont.
• Hip pointer: contusion to the iliac
crest
• Very point tender and loss of
ROM in hip function, swelling,
ecchymosis
• Thigh contusion:3 grades of
contusions
– 1st degree= mild hemorrhage, point
tender, full ROM
– 2nd degree= pain, swelling moderate
pain, restricted ROM
– 3rd degree= muscle herniation,
hematoma, severe pain, loss of ROM
and limping
Misc. Injuries
• Ilio tibial band friction syndrome (ITB).
• Common with runners and bicyclists.
• Pain over the lateral surface of knee.
• Rx.= Rest, ice, NSAID’s ultrasound, and
stretching/soft tissue.
• Trochanteric bursitis.
• Also common with runners affects origin of ITB.
Treatment of Thigh Injuries
• Strains-rice, NSAID’s, do not stretch unless
painfree, TKE (terminal knee extensions), soft
tissue massage, progress to activity slowly
• Hip pointer- RICE, NSAID’s, gentle ROM,
ultrasound, protective padding for competition
• Bursitis- RICE, NSAID’s, ultrasound, gentle
stretching
• Stress fractures- non weight bearing, rest
approx. 6 weeks, easy progression to sport
Stretching of lower extremity
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Gastroc./soleus
Hamstring
Quad
Hip adductors
Hip Abductors
Low back
Rehabilitation
• Limited exercises: TKE (terminal knee
extension), isometrics, SLR (straight leg raises),
isotonic to isokinetics, PNF, pool exercises,
stationary bike, rowing machine, stair climber,
• PNF D1/D2 flexion/ extensions patternsrotational motions for the hip or manual resistance
Rehab. Cont.
• Close kinetic chain -vs- open chain
exercises.
• First stages of rehab for knee and thigh will
consist of closed kinetic chain exercises: PNF,
balance, 1/4 squats, tubing, weight machines.
• Then open kinetic chain exercises: jogging,
running, trampoline, jumping, defensive slide.