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20 Cards in this Set
- Front
- Back
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dislocations |
mechanism: violent twisting with hip and knee flexed to 90 degrees force thought shaft of femur |
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fractures |
stress: more common in females. pubis, femoral neck and proximal 1/3 of femur avulsion: ASIS w/ displacement of sartorius ASIS w/ rectus femoris displacement ischial tuberosity with hamstring displ. lesser trochanter with iliopsoas displ. due to rapid and sudden acceleration and decceleration
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displaced fracture |
mechanism: direct compression direct blow - tremendous impact force contrecoup fracture/sprain s+s: severe disability, blood loss, genitourinary injuries |
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Hip Pointer |
direct blow to the ASIS can be subcutaneous hematoma or a periostial hematoma (is not always visible) immediate pain and muscle spasm severe limit to motion palpable hematoma |
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Quadriceps Contusion |
Mechanism: direct blow intramuscular bleeding, decreased ROM, strength and flexibility |
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Myositis Ossificans |
mechanism: develop secondary to single significant blow or repetitive blow to same area |
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strains |
explosive movements tensile stress from over stretching decreased ROM, decreased strength |
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Sciatic Nerve |
more shearing force/ angle impinging the disc |
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piriformis syndrome |
sciatic nerve through piriformis pressure on sciatic nerve causing posterior thigh pain localizes pain |
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Sacroiliac joint sprain |
singe traumatic episode involving bending and twisting repetitive stress from lifting fall on buttocks running on uneven terrain |
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Coccyx conditions |
coccygeal conditions -contusions and fractures = direct blow -coccygodynia = irritation of coccygeal nerve plexus |
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Hip joint sprain |
excessive forcible exertion of the extremity pain in groin, buttock or lateral hip muscle spasm, unable to abduct leg restricted internal rotation |
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iliopsoas bursitis |
commonly in runners. pain in groin, upper anteromedial thigh passive adduction and hip flexion is most painful |
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bursitis |
excessive friction or shear forces due to overuse posttraumatic bursitis from direct blow that causes bleeding in bursa |
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trochanteric bursitis |
friction over greater trochanter direct blow or inflammation usually running hip "snapping" |
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ischial bursitis |
prolonged sitting on hard surface or proximal hamstring strain or uphill running |
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leg-calve-perthes disease |
osteochondrosis category avascular necrosis of proximal femoral head pain activity related |
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Venous disease |
direct blow -thrombophlebitis (inflammation of vein) -phlebothromposis (thrombosis or clotting w/o inflammation) s+s: superficial: acute, hot, red, palpable, tender deep: via proxmial long and short saphenous veins to common femoral and popliteal veins |
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Slipped capital femoral epiphysis |
adolescent coxa vara femoral head slips at epiphyseal plate. displaces inferiorly and posteriorly relative to femoral neck limits in abduction, medial rotation and flexion unable to touch abdomen with thigh unable to rotate femur internally |
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Osteitis Pubis |
periostitis of pubic symphysis shearing of pubis, direct trauma, continued stress on pubic symphysis |
