PELVIS & HIP

BONES 2 Bones or sides Connected by the

Sacrum

PARTS OF THE BONEIlium

Ischium Pubis

BONES Illium Ishium Femur

HIP JOINT Acetabulum + Femur Head

PELVIC BONES

PELVIC MUSCLES

Psoas Major Iliacus

Flex the thigh Gluteus Maximus

Flex hip, laterally (ER) rotate Gluteus Medius Gluteus Minimus

Abduct & medially (IR) rotate Adductor Longus

Adducts, flexes, laterally rotates

PELVIC MUSCLES Adductor Magnus

Adduction, extension, lateral rotation Gracilis

Adduction, flexion, medial rotation @ knee Pectineus

Adducts thigh Sartorius

Flexes hip, laterally (ER) rotate Tensor Fascia Late

Flex hip, Abduction, medially (IR) thigh

PELVIC MUSCLES

Piriformis Extend hip, Abduction, laterally (ER) thigh

Gameles & Obturator Laterally (ER) Thigh

IT Band Lateral Stabilizer

Hamstring Flex knee & Extend hip

Quadriceps Extend knee & Flex hip

MUSCLES

MUSCLES

INJURIES

FRACTURES Unable to be weight bearing Foot in ER

HIP POINTER Direct blow on Iliac Crest

STRAINS & SPRAINS Over stretch of tendons, muscles, ligaments

BURSITIS Trochanteric-Ache or pain while running; hip joint pain Illiopsoas-passive rotary motion; medial groin pain

R.O.M. TESTING

Hamstring Flexibility Actively/Passively Bring knee to chest & straight leg

Internal/External Rotation Bend knee 90 degrees Rotate hip internally & externally

Thomas Test (Hip flexor or RF) On back, buttock on edge of table Flex knee & bring to chest Watch for movement of other leg

R.O.M. TESTING

Ober’s Test (IT Band tightness) Sidelying, top leg straight bottom knee bent Raise & extend hip. Tightness if stays ABDUCTED

Patrick’s (Faber) Test (Iliopsoas) Supine with involved heel on opposite knee Hand on opposite hip & apply downward

pressure to involved knee

STRENGTH TESTING

ABduction sidelying Hand on hip, apply pressure to leg as they lift leg Gluteus Medius & Minimus, TFL, Sartorius, Piriformis

ADduction sidelying Hand on inside of lower leg, apply pressure to leg as

they lift leg Adductor brevis, magnus, longus & Gracilis, Pectineus

Extension prone (on stomach) Hand on gluts, apply pressure to leg as they lift leg Gluteus maximus, hamstrings, adductor magnus

STRENGTH TESTING

Internal Rotation sitting with knees @ 90 Stabilize thigh with one hand Apply resisitance: Lateral Malleolus as they IR hip so it

doesn’t move Gluteus medius & minimus or TFL

External Rotation sitting with knees @ 90 Stabilize thigh with one hand Apply resistance: Medial Malleolus as the ER hip so it

doesn’t move Piriformis, Gluteus maximus or Quadratus Femoris

STRENGTH TESTING

Flexion sitting with knees @ 90 Hand on femur & distal end of tibia Resist on femur as thigh is raised off of table Rectus femoris, iliopsoas, pectineus, sartorius or TFL

Trendelenburg standing Stand behind athlete Watch hips as they balance on univolved leg Hip abductors on weight bearing side