Unraveling the Mystery of Hip & Thigh Pain #4: Adductor Injuries
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1 Unraveling the Mystery of Hip & Thigh Pain #4: Adductor Injuries 1 Instructor: Ben Benjamin, Ph.D. 2 1
2 Instructor: Ben Benjamin, Ph.D. 3 Webinar Goals Explore the assessment and treatment of the most common adductor injuries. 4 2
3 Pretest 1. Which adductor muscle is part of the pes anserinus? a. Adductor Longus b. Adductor Magnus c. Adductor Brevis d. Gracilis 5 Pretest 2. Adduction of the thighs at 90 degrees of hip flexion are primarily controlled by which adductor? a. Adductor Longus b. Pectineus c. Adductor Brevis d. Gracilis 6 3
4 Pretest 3. Which test is the most useful in assessing a gracilis injury? a. Resisted abduction of the hip b. Passive abduction of the hip c. Resisted adduction of the thighs d. Passive stretching of the inner thigh 7 Pretest 4. You can most easily locate the distal attachment of the adductor magnus in which position? a. Resisted adduction b. A lunge c. A squat d. A thigh stretch 8 4
5 Pretest 5. Which of these adductors is two jointed? a. Gracilis b. Adductor Magnus c. Adductor Brevis d. Pectineus 9 Pretest 6. An avulsion fracture is: a. When a tendon is ruptured at its attachment b. When a bone is fractured in pelvis c. When a tendon pulls totally away from it s bony attachment taking a piece of bone with it. d. A small crack in a bone 10 5
6 Anatomy Gracilis 11 Adductor Longus 12 6
7 Adductor Brevis 13 Adductor Magnus 14 7
8 Pectineus 15 Gracilis 16 8
9 Assessment 17 Resisted Adduction, Legs Apart Gracilis 18 9
10 Resisted Adduction, Legs Apart Magnus 19 Resisted Adduction Longus 20 10
11 Resisted Adduction Brevis 21 Resisted Adduction in Hip Flexion Pectineus 11
12 Palpation Testing - Gracilis Palpation Testing - Pectineus 12
13 Palpation Testing Longus/Brevis Palpation Testing - Magnus 13
14 Pain on Resisted Adduction at Different Angles Gracilis Adductor Magnus Adductor Longus Adductor Brevis Pectineus
15 Teaching by Example
16 Avulsion Fracture 31 Friction Therapy Gracilis 32 16
17 Friction Therapy Adductor Longus & Brevis 33 Friction Therapy Adductor Magnus 34 17
18 Friction Therapy Pectineus 35 Massage Therapy 36 18
19 Exercise Therapy 37 Exercise Therapy 38 19
20 Active Isolated Stretching 39 Strength 40 20
21 Questions Facebook.com/DrBenBenjamin 41 Post-test 1. Which adductor muscle is part of the pes anserinus? a. Adductor Longus b. Adductor Magnus c. Adductor Brevis d. Gracilis 42 21
22 2. Adduction of the thighs at 90 degrees of hip flexion are primarily controlled by which adductor? a. Adductor Longus b. Pectineus c. Adductor Brevis d. Gracilis Post-test 43 Post-test 3. Which test is the most useful in assessing a gracilis injury? a. Resisted abduction of the hip b. Passive abduction of the hip c. Resisted adduction of the thighs d. Passive stretching of the inner thigh 44 22
23 4. You can most easily locate the distal attachment of the adductor magnus in which position? a. Resisted adduction b. A lunge c. A squat d. A thigh stretch Post-test Which of these adductors is two jointed? a. Gracilis b. Adductor Magnus c. Adductor Brevis d. Pectineus Post-test 46 23
24 Post-test 6. An avulsion fracture is: a. When a tendon is ruptured at its attachment b. When a bone is fractured in pelvis c. When a tendon pulls totally away from it s bony attachment taking a piece of bone with it. d. A small crack in a bone 47 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 Anatomy Trains All Webinars Available at 24
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