Deck 17: The Thigh, Hip, Groin, and Pelvis

Question 1

Discuss the importance of proper immediate care of a quadriceps contusion.

Answer 1

Not Answer

Question 2

Discuss the signs of hamstring strains.

Answer 2

Not Answer

Question 3

Discuss the two hip problems commonly found in adolescent athletes.

Answer 3

Not Answer

Question 4

Explain the management of a hamstring muscle strain.

Question 5

Discuss the causes of hip labral tear.

Question 6

Which of the following is caused by improper care of a thigh contusion, leading to ectopic bone formation within the quadriceps muscle?

A) Myositis ossificans traumatica
B) Piriformis syndrome
C) Acute femoral fracture
D) Osteitis pubis

Question 7

Which of the following is a hip muscle that abducts the thigh?

A) The gluteus mini­mus
B) The inferior gemellus
C) The gluteus medius
D) The quadratus femoris

Question 8

Which of the following occurs due to the loss of blood circulation to the articular head of the femur in children ages 3 to 12?

A) Osteopyroxymia
B) Legg-Perthes disease
C) Osteomyelitis dissecans
D) Femoral epiphysis

Question 9

Which of the following is an injury that is caused by a direct blow that results in an extremely painful contusion to the iliac crest leading to bleeding in the transversus abdominus and oblique muscles?

A) Hip pointer
B) Groin strain
C) Dislocated hip
D) Quadriceps strain

Question 10

The tearing away of a body part from its point of attachment is known as a(n):

A) contusion.
B) avulsion.
C) reflex.
D) laceration.

Question 11

Which of the following should be avoided while managing an initial hamstring strain?

A) Applying an ice pack immediately
B) Applying an elastic wrap for compression
C) Stretching with exces­sive hip flexion
D) Using eccentric exercises during rehabilitation

Question 12

Which of the following is true of an acute fractured femur?

A) In sports, it usually occurs at the bone ends.
B) It is usually not accompanied by bone displacement.
C) It usually does not cause shock, and the patient remains lucid.
D) It usually causes a shortened thigh.

Question 13

Which of the following is an unusual disorder of the adolescent hip and is found mostly in boys between the ages of 10 and 17 who are very tall and thin or are obese?

A) Legg-Perthes disease
B) Osteitis pubis
C) Snapping hip phenomenon
D) Slipped capital femoral epiphysis

Question 14

A hip sprain is best revealed through the athlete's inability to:

A) circumduct the thigh.
B) flex the thigh.
C) hop on the injured leg.
D) squat.

Question 15

The Thomas test indicates whether:

A) kidney stones are present.
B) a brain tumor is present.
C) a chest infection is present.
D) hip contractures are present.

Question 16

In an athlete who has suffered a second-degree quadriceps contusion, knee flexion is usually limited to:

A) greater than 90 degrees.
B) no more than 90 degrees.
C) zero degree.
D) less than 90 degrees.

Question 17

What percentage of the strength to the opposing quadriceps group should the hamstring group have in most athletes?

A) 40 to 50
B) 45 to 55
C) 60 to 70
D) 80 to 90

Question 18

Strains are always a problem for athletes. Why do they tend to recur?

A) Because they sometimes heal with inelastic fibrous scar tissue
B) Soreness associated with the initial injury
C) Permanent muscle atrophy
D) Limitations to full knee flexion

Question 19

Which of the following positions would the thigh be unable to do if the hip was dislocated?

A) External rotation
B) Flexion
C) Adduction
D) Internal rotation

Question 20

Which of the following is a common site for an avulsion fracture in the pelvis?

A) The ischium
B) The posterior superior iliac spine
C) The anterior inferior iliac spine
D) The pubis

Question 21

Pelvis stress fractures tend to occur during what type(s) of activity?

A) Intensive training
B) Competitive racing
C) Overuse forces
D) All of the answers are correct.

Question 22

Which of the following types of tears in the quadriceps creates little disability and discomfort but causes some deformity of the anterior thigh?

A) A peripheral tear
B) A deep tear
C) A partial tear
D) A complete muscle tear

Question 23

Which of the following is a complication of a hip dislocation?

A) Avascular necrosis
B) Coxa plana
C) Myositis ossificans
D) Legg-Perthes disease

Question 24

Which of the following is true of quadriceps contusions?

A) They occur owing to a herni­ated lumbar disc pressing on the sciatic nerve as it exits the lumbar spine.
B) They are disorders in which the epiphysis of the femur slips from the femoral head in a backward direction.
C) They usually de­velop as the result of a severe impact on the relaxed thigh.
D) They often result from repetitive movements that cause degeneration of the labrum.

Question 25

A positive Thomas test indicates tightness in:

A) hip extensors.
B) hip flexors.
C) hip adductors.
D) hip internal rotators.

Question 26

Which of the following would produce a negative result when performing a straight leg raise test?

A) Lower back problems
B) Injury to the sacroiliac joint
C) Tightness in the hip extensors
D) Inflexibility in the hip flexors

Question 27

The femur is the longest bone of the body and is designed for maximum support and mobility during weight-bearing activity.

Question 28

Improper care of a thigh contusion can lead to ossification in muscle.

Question 29

In a second-degree thigh contusion, the fascia is split, causing the muscle to protrude.

Question 30

In sports, fractures of the femur most often occur at the bone ends rather than in the shaft.

Question 31

The functions of the pelvis are to support the spine and trunk and to transfer their weight to the lower limbs.

Question 32

Hamstring muscle strains rank first in incidence of sports injuries to the thigh.

Question 33

A severe blow or repeated blows to the thigh can produce a myositis ossificans.

Question 34

On-site care of the quadriceps strain in­cludes rest, cold application, and pressure to con­trol internal bleeding.

Question 35

The pelvis is formed from five bones.

Question 36

Slipped capital femoral epiphysis is most commonly seen in young girls aged 10 to 17 who are tall and thin and/or who are obese.

Question 37

The hip joint is formed by articulation of the femur with the innominate.

Question 38

Pain in the pubic symphysis (termed osteitis pubis) is common in runners, soccer players, football players, and wrestlers.

Question 39

After a hip dislocation, complications such as muscle paralysis and degeneration of the femoral head are likely to develop.

Question 40

Femoral fractures, pelvic fractures, and hip dislocations are considered medical emergencies.

Question 41

An avul­sion fracture occurs when a tendon that attaches a muscle to a bone pulls part of the bone away after sudden, forceful contraction of that muscle.

Question 42

The innominate bones of the pelvis are made up of the ilium, ischium, and pubis.

Question 43

The straight leg raise test is used to check the flexibility of the hip flexors.