Leg Stress Fracture, Tibia |
Liver Injury |
Neck Dislocation |
Neck Fracture |
Neck Sprain |
Neck Strain |
Nose Injury |
Pelvis Strain, Hip-Trunk |
Pelvis Strain, Ischium |
Perineum Contusion |
Rib Dislocation |
Rib Fracture |
Rib Sprain |
Rib Strain |
Shoulder-Blade (Scapula) Bursitis |
Shoulder-Blade (Scapula) Contusion |
Shoulder-Blade Fracture, Acromion |
Shoulder-Blade (Scapula) Fracture, Coracoid Process |
Shoulder-Blade (Scapula) Fracture, Glenoid Fossa |
Shoulder-Blade (Scapula) Fracture, Neck |
Shoulder-Blade (Scapula) Strain |
Shoulder Bursitis, Gleno-Humeral |
Shoulder Bursitis, Subacromial |
Shoulder Contusion |
Shoulder Dislocation |
Shoulder Sprain, Acromio-Clavicular |
Shoulder Sprain, Gleno-Humeral |
Shoulder Strain |
Shoulder Tendinitis & Tenosynovitis |
Skin Abrasion |
Skin Laceration |
Skin Puncture Wound |
Spine Fracture, Lower Thoracic & Lumber Region |
Spine Fracture, Sacrum |
Spine Fracture, Tailbone |
Spine Stress-Fracture, Neck or Back |
Spleen Rupture |
Thigh-Bone Fracture |
Thigh Contusion |
Thigh Hematoma |
Thigh Injury, Hamstring |
Thigh Strain, Quadriceps |
Thigh Strain |
Thumb Fracture |
Thumb Sprain |
Toe Dislocation |
Toe Exostosis |
Toe Fracture |
Tooth Injury & loss |
Wrist Contusion |
Wrist Dislocation, Lunate |
Wrist Dislocation, Radius or Ulna |
Wrist Ganglion |
Wrist Sprain |
Wrist Strain |
Wrist Tenosynovitis |
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Pelvis Strain, Hip-Trunk
Injury to the muscles or tendons
in the region of the hip and trunk where these
parts attach to the upper pelvis. Tendons,
muscles and bones comprise units. These units
stabilize the pelvis and allow its motion. A strain
occurs at the weakest part of a unit. Strains are of 3 types:
- Mild (Grade I)-Slightly pulled muscle without
tearing of muscle or tendon fibers. There is no
loss of strength.
- Moderate (Grade II)- Tearing of fibers in a
muscle, tendon or at the attachment to bone. Strength is diminished.
- Severe (Grade III)-Rupture of the
muscle-tendon-bone attachment with separation
of fibers. Severe strain requires surgical repair.
Chronic strains are caused by overuse. Acute strains are caused by direct injury or overstress.
Body Parts Involved
-
Muscles and tendons of the trunk and hip.
- iliac-crest bone.
- Soft tissue surrounding the strain, including
nerves, periosteum (covering to bone), blood vessels and lymph vessels.
Causes
- Prolonged overuse of muscle-tendon unit in
the region of the iliac crest.
- Single violent injury or force applied to thomuscle-tendon units in the upper pelvic area.
Signs & Symptoms
-
Pain when moving or stretching the leg or trunk.
- Muscle spasm at the injury site.
-
Swelling at the injury site.
- Weakened trunk and thigh muscles (moderate or severe strain).
- Crepitation ("crackling") feeling and sound
when the injured area is pressed with fingers.
- Calcification of the muscle or tendon (visible with X-rays).
- Inflammation of the tendon sheath.
Treatment
Note:-
Follow your doctor's instructions. These instructions are supplemental.
First Aid
Use instructions for R.I.C.E., the first letters of rest, ice, compression and elevation (If possible).
Continuing Care
- Use ice massage 3 or 4 times a day for 15
minutes at a time. Fill a large Styrofoam cup with water and freeze. Tear a small amount of foam from the top so ice protrudes. Massage firmly over the injured area in a circle about the size of a softball.
- After the first 24 hours, apply heat instead of ice, if it feels better. Use heat lamps, hot soaks, hot showers, heating pads. or heat liniments and ointments.
- Take whirlpool treatments, if available.
- Massage gently and often to provide comfort and decrease swelling.
Medication
-
For minor discomfort, you may use:
Aspirin, acetaminophen or ibuprofen. Topical liniments and ointments.
- Your doctor may prescribe:
Stronger pain relievers.
Injection of a long-acting local anesthetic to reduce pain.
Injections of corticosteroids, such astriamcinolone, to reduce inflammation
Home Diet
Eat a well-balanced diet that includes extra protein, such as meat, fish, poultry, cheese, milk and eggs. Increase fiber and fluid, intake to prevent constipation that may result from decreased activity.
Diagnostic Measures
-
Your own observation of symptoms.
- Medical history and exam by a doctor.
- X-rays of the hip, thigh and pelvis to rule out fractures.
Prevention Tips
- Participate in a strengthening and conditioning
program appropriate for your sport.
- Warm up before practice or competition.
- Wear proper protective equipment for contact
sports.
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