Flashcards in The Hip And Thigh: Exam 3 Deck (56)
What is the rectus femoris?
Where is the rectus femoris?
Crosses the hip and knee
What does the rectus femoris do?
Extend the knee and flexes the hip
Where are the hamstrings?
Crosses the knee and hip joints
What does the hamstring do?
Extends hip and flexes the knee
What causes a quad contusion?
Exposed to traumatic blunt blow
Symptoms of quad contusion
-temporary loss of function
-palpable swollen area
Grade 1-4 contusion
Superficial to deep with increasing loss of function
Management of quad contusion
-NAIDs and analgesics
-ROM and Progressive resistance exercise
-heat and massage to prevent myositis ossificans
-ice with gentle stretching with a gradual transition to heat
Formation of calcium deposits or bone in the muscle fibers
What causes myositis ossificans
Repeated trauma or impacts to an area or improper care of contusion
Symptoms of MO
-x-ray shows @ 2-6 weeks
-pain, weakness, swelling, decreased ROM
-tissue tension and point tenderness
Management of MO
-can require surgical removal due to pain and decreased ROM
What causes quad strain?
Sudden stretch, violent forceful contraction of hip and knee into flexion
Symptoms of quad strain
-pain and point tenderness, spasm, loss of function, little discoloration (decreased knee flexion)
What can happen with complete quad tear?
Patient will have disability discomfort and some deformity
Grade 1 quad strain
-tightness in front of thigh
-near normal ambulation
-mild discomfort in palpation
Grade 2 quad strain
-abnormal gait cycle
-noticeable swelling with pain on palpation
-possible defect in muscle
What will produce pain in grade 2 quad strain?
Resistive knee extension
How will quad strain be splinted?
Grade 3 quad strain
-possibly unable to ambulate
-pain with palpation
-may be unable to perform knee extension
What will isometrics do to grade 3 quad strain?
Produce defect or bulging in muscle belly
Management of quad strain
-Progress to isometrics and stretching
Grade 1 quad strain management
Neoprene sleeve can provide support
Grade 2 quad strain management
Ice and compression for 3-5 days with gradual increase in isometrics and pain free knee ROM exercises **limit passive stretching
Grade 3 quad strain management
-crutches 7-14 days
-restore normal gait
-compression for support
-may require 12 week to return to full activity
Hamstring muscle strain
Disruption of fiber hamstring musculature
What causes hamstring strain
Sudden forceful contraction (deceleration) or over stretch (knee hyperextension or hip flexion)
Where is the pain in a hamstring strain?
-muscle belly or point of attachment pain