Unraveling the Mystery
of Hip & Thigh Injuries #1:
Hip Joint, Psoas & Sartorius
Injuries
1
Instructor: Ben Benjamin, Ph.D.
2
1
Instructor: Ben Benjamin, Ph.D.
3
Webinar Goals
• Explore the assessment and
treatment of the more
ubiquitous injuries at the
anterior hip.
4
2
Pretest
1. The sartorius muscle is:
a)
b)
c)
d)
The longest muscle in the body
The strongest muscle in the body
A muscle that crosses one joint
None of the Above
5
Pretest
2. The primary tests that tell you the hip
joint is inflamed is:
a) Passive hip flexion and extension
b) Passive medial rotation and flexion of the
hip joint
c) Passive medial rotation and lateral rotation
of the hip joint
d) Passive medial rotation and abduction of
the hip joint
6
3
Pretest
3. Psoas muscle is attached to the:
a) Transverse processes in the lumbar
region
b) Vertebral bodies in the lumbar
region
c) The intervertebral discs in the
lumbar region
d) All of the above
7
Pretest
4. The hip joint can refer pain to the:
a) Low back
b) From the groin and to the knee
c) From the anterior hip and down to
the ankle
d) From the lateral hip to the calf
8
4
Pretest
5. A loose body in the hip joint means
that:
a) The person is very relaxed
b) There is an infection in the hip joint
c) A tendon that crosses the hip is
inflamed
d) There is a loose piece of bone or
cartilage in the hip joint
9
Pretest
6. If the hip is painful when side lying
on a wooden floor this means
a)
b)
c)
d)
Psoas bursitis
Hip joint inflammation
A strained gluteus muscle
Trochanteric bursitis
10
5
Anatomy
11
Hip Joint
12
6
The Illiofemoral Ligament
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The Pubofermoral Ligament
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7
The Ischiofermoral Ligament
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The Ligamentum teres femoris
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8
17
Psoas Muscle
18
9
Psoas Bursa
psoas
bursa
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Sartorius Muscle
Sartorius
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10
Assessment
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Hip Tests
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11
Passive Flexion of the Hip Joint
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Passive Medial Rotation of the Hip Joint
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12
Passive Lateral Rotation of the Hip Joint
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Passive Abduction of the Hip Joint
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13
Passive Posterior Hip Joint Stress
27
Passive Extension of the Hip Joint
28
14
Passive Adduction of the Hip Joint
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Resisted Flexion of the Hip at 90-95°
30
15
Sartorius Test
31
Theory
32
16
Sartorius Muscle-Tendon Unit Injury
Sartorius
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Sartorius Muscle-Tendon Unit Injury
Sartorius
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17
Loose Body in the Hip Joint
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Hip Joint Inflammation
Passive Medial Rotation and
Passive Flexion
As the Condition Progresses:
Passive Abduction and
Lateral Rotation
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18
Hip Joint Inflammation
As the Condition Progresses to the end phase:
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Psoas Muscle Strain
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19
Psoas Bursitis
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Referred Low Back Pain
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20
Referred Low Back Pain
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Trochanteric Bursitis
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21
Treatment
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Loose Body in the Hip Joint
44
22
Hip Joint Inflammation
45
Psoas Muscle Strain
46
23
Psoas Muscle Strain
47
Psoas Muscle Strain
48
24
Psoas Muscle Stretch
49
Psoas Bursitis or Trochanteric Bursitis
psoas
bursa
50
25
Sartorius Muscle or Tendon Strain
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Referred Low Back Pain
52
26
If I didn’t get to your
question ask me here:
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53
Post-test
1. The sartorius muscle is:
a)
b)
c)
d)
The longest muscle in the body
The strongest muscle in the body
A muscle that crosses one joint
None of the Above
54
27
Post-test
2. The primary tests that tell you the hip joint is
inflamed is:
a) Passive hip flexion and extension
b) Passive medial rotation and flexion of the
hip joint
c) Passive medial rotation and lateral rotation
of the hip joint
d) Passive medial rotation and abduction of
the hip joint
55
Post-test
3. Psoas muscle is attached to the:
a) Transverse processes in the lumbar
region
b) Vertebral bodies in the lumbar
region
c) The intervertebral discs in the
lumbar region
d) All of the above
56
28
Post-test
4. The hip joint can refer pain to the:
a) Low back
b) From the groin and to the knee
c) From the anterior hip and down to
the ankle
d) From the lateral hip to the calf
57
Post-test
5. A loose body in the hip joint means
that:
a) The person is very relaxed
b) There is an infection in the hip joint
c) A tendon that crosses the hip is
inflamed
d) There is a loose piece of bone or
cartilage in the hip joint
58
29
Post-test
6. If the hip is painful when side lying
on a wooden floor this means
a)
b)
c)
d)
Psoas bursitis
Hip joint inflammation
A strained gluteus muscle
Trochanteric bursitis
59
Other Webinars Available on Demand
Unraveling the Mystery of Low Back Pain
Unraveling the Mystery of Cervical Pain
Unraveling the Mystery of Shoulder Pain
Unraveling the Mystery of Knee Pain
Unraveling the Mystery of Ankle Pain
Massage in Cancer Care with Tracy Walton
Anatomy Trains with Tom Myers
All Webinars Available at
www.benbenjamin.com
30
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