Thigh, Hip and PelvisAcute Care Lab

Spring ‘10

Adduction◦ Move toward the midline of the body (medial)

ABduction◦ Move away from the midline of the body (lateral)

Flexion◦ Move the extremity up (anteriorly)

Extension◦ Move the extremity back (posteriorly)

Terms

Pelvis◦ You ‘hips’◦ Head of femur sits in the acetabulum for

ambulation Muscle attachments

Femur◦ Quadriceps muscles (anterior)◦ Hamstring muscles (posterior)

Anatomy

Made up of three bones◦ Ilium ◦ Ischium◦ Pubic

Serves as originfor muscles

Pelvis

Hip flexor◦ Flexes the hip

Commonly injured in sprinters, runners Hip adductors

◦ Adduct the hip ‘pulled groin’

pain on the medial aspect of the leg Hip abductors

◦ Abduct the hip Pain on the lateral aspect of the leg

Hip Muscles

Hip muscles

Hip flexor

Hip Adductors

Hip Abductors

Quadriceps muscles◦ Flexes the knee

Commonly strained

Hamstring muscles◦ Extends the knee

Also commonly strained

Femur

Quadriceps Muscles

Hamstrings

Standing, hip in slight flexion, leg in slight internal rotation◦ Lateral to medial (6” double)

Wrap two to three times around upper leg Wrap around the pelvis, pulling across the abdomen

and torso and back to the leg Repeat until wrap is gone Secure wrap with tape

Hip Spica- Adductors

Adductor wrap

Standing, hip in slight flexion◦ Medial to lateral (6” double)

Beginning at the quadriceps wrap two to three anchors Pulling medial to lateral

At the waist, wrap around pulling across the abdomen, torso and back to the hip

Repeat until wrap is gone Secure wrap with tape

Hip flexor wrap

Hip Flexor Wrap

Standing, hip in slight flexion◦ Medial to lateral (6” single)

Begin at the distal aspect of the leg Anterior aspect of the leg Pulling medial to lateral, overlap by half

Pulling up the leg Distal to proximal

Continue until wrap is gone Secure with tape

Quadriceps wrap

Standing, hip in slight flexion◦ Medial to lateral (6” single)

Begin at the distal aspect of the leg Posterior aspect of the leg Pulling medial to lateral, overlap by half

Pulling up the leg Distal to proximal

Continue until wrap is gone Secure with tape

Hamstring wrap