Hip Flexor injury

• Hip Flexor injury - Mechanism:

  • 30% of groin injuries involve hip flexors
  • Movements include: Kicking, sprinting, change of direction
• Hip Flexor injury - Muscles affected:

  • Mainly Iliopsoas and rectus femoris
  • Often associated with adductor related injuries
  • Difficult to differentiate each muscle with imaging and it will not change the management
• Hip Flexor injury - Common areas of injury:

  • Proximal insertion of the tendon
  • musculotendinous junction
• Hip Flexor injury - Testing:

  • Palpation
  • Resisted muscle test
  • Modified Thomas test