Hip Case Study 2: Thigh Strain
Karen Patton is a 21 year old club footballer who has recently pulled a muscle at thefront of her right thigh. The injury occurred whilst kicking a ball 5 days ago. Sheattended the local walk-in centre where a diagnosis of grade 2 rectus femoris strainwas made and she was referred to physiotherapy. Karen walks on elbow crutches andis partial weight bearing through her right leg. She is off work from her job as postalworker. Apart from a previous similar injury 8 months ago she is otherwise fit andwell.
Anatomy & Pathology
Muscle Strains assosciated with overstreching of muscle tissue – in thigh. Hamstringsstrain come during active contraction – quadriceps – strain somes through direct blow.Grades of muscle strains :Grade 1 < 5% fibres damages - 2-3 weeks to recover Grade 2 >5% damage - 3-6 weeksGrade 3 – rupture – surgey may be necessary in sports person – 3 months
: pain in rectus femoris
: 5 days ago
: kicking a ball
: mid range
24 hour cycle
: walking, stairs , stretching
Type of pain
: expect burning/ tearing – not tingly or crepitus
Past Medical History/ General History
Red Flags and general concerns
: proximal femur tumor – gives pain in groin at restor night.