Professional Documents
Culture Documents
Impact Injury
1
Plantar Impacts
Hip in Flexion
Hip in Extension
Frontal Impacts
Occipital Impacts
2
Plantar Impacts -- Hip in Flexion
Left calcaneal impact with hip in flexion is the most
common. Usually from "missing a step". Patient will
usually not remember the incident and symptoms are
variable, many times contra lateral to the side of impact.
5. The force is carried from the hip via the psoas muscle,
and from the pelvis via the quadratus lumborum muscle
to the arcuate ligaments of the diaphragm which creates a
left rotational strain of the thoracolumbar diaphragm
limiting right rotation of the thorax.
6
Occipital Impacts Unilateral
Nearly universal in motor vehicle accidents from impact
with the headrest; side corresponds to position of
shoulder harness.
7
Frontal Impacts Unilateral
Frontal impacts of all kinds very common. Lateral and
anterior/ lateral frontal impacts exhibit a predictable
pattern. Patients may complain of thoracocervical
stiffness and/or pain. May be part of a larger pattern of
dysfunction creating headaches.
8
Treatment
Plantar Impacts- Hip in Flexion (left calcaneal
impact)
9
Treatment
Plantar Impact- Hip in Flexion(left calcaneal
impact)
10
Treatment
Plantar Impact- Hip in Flexion(left calcaneal
impact)
11
Treatment
Plantar impact -- hip in extension(left calcaneal
impact)
12
Treatment
Posterior Hip Impact
13
Treatment
Unilateral Occipital Impacts
Treatment
Frontal Impacts Unilateral
15
Treatment
Frontal Impacts Unilateral
16