of 2 View as TextDownload                                                                                                                                                                                                                                                                                                            Human Anatomy Lab Case Study 1Content of case study sourced/based from https://trigenics.com/hamstring-injury-a-case-study/Chief Complaint: 18-year-old female dancer with left posterior thigh painAn eighteen-year-old female dancer presented with a complaint of pain in the posterior leftthigh for the past 5 weeks. She stated that the symptoms started when she quickly raised herleft leg into an overhead position (a movement that requires a large amount of abduction andflexion). During this movement, she felt a “pop” in the posterior thigh, then immediately feltpain. She did not notice any bruising or swelling in the posterior thigh area. However, she didnotice that she had decreased flexibility in hip flexion and abduction due to pain following theinjury. She also felt weakness with hip extension and knee flexion following the injury. Prior tothe injury, she stated that she was able to do the splits with either leg forward, but followingthe injury, she could not do the splits if her left leg was forward. She also had a difficult timeperforming exercises like RDLs when lifting weights in the gym because she feels like her “leftside is weaker.” The patient stated she has continued to train 12 hours per week, but hasavoided provocative positions/movements.Examination of the patient revealed normal lumbar spine ranges of motion with the exceptionof pain in the posterior thigh during forward flexion as the patient’s fingertips got close to theground. During supine straight leg testing, she had 135 degrees or better on the right side andpainful limitation at 70 degrees on the left. Her pain was located in both the mid-belly of themedial hamstrings and at the origin at the ischial tuberosity. Pain and weakness was elicited onresisted testing of the medial hamstrings on the left.1. Based on the patient presentation and physical exam findings, list the SPECIFICmuscle(s) you expect are injured.2. What is the most likely diagnosis for this patient? (use correct terminology)3. Based on the likely diagnosis, why does it make sense that she feels “weak”with hip extension and knee flexion?       4. If this patient would have heard the pop when performing a fast movementexclusively into excess hip abduction (no flexion), list some muscle(s) that mayhave been injured instead?5. Based on the patient presentation and physical exam findings, do you thinkthat this patient needs to get an x-ray? Why or why not?6. Based on your suspected diagnosis, what is the typical time frame it will takefor the patient to heal from this injury?7. What types of treatment recommendations will the patient likely be given andwhy?8. After this patient has fully healed, what types of preventative measures canshe take to prevent experiencing an injury like this one again in the future?

Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
Publisher:Elaine N. Marieb, Katja N. Hoehn
Chapter1: The Human Body: An Orientation
Section: Chapter Questions
Problem 1RQ: The correct sequence of levels forming the structural hierarchy is A. (a) organ, organ system,...
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Human Anatomy Lab Case Study 1
Content of case study sourced/based from https://trigenics.com/hamstring-injury-a-case-study/
Chief Complaint: 18-year-old female dancer with left posterior thigh pain
An eighteen-year-old female dancer presented with a complaint of pain in the posterior left
thigh for the past 5 weeks. She stated that the symptoms started when she quickly raised her
left leg into an overhead position (a movement that requires a large amount of abduction and
flexion). During this movement, she felt a “pop” in the posterior thigh, then immediately felt
pain. She did not notice any bruising or swelling in the posterior thigh area. However, she did
notice that she had decreased flexibility in hip flexion and abduction due to pain following the
injury. She also felt weakness with hip extension and knee flexion following the injury. Prior to
the injury, she stated that she was able to do the splits with either leg forward, but following
the injury, she could not do the splits if her left leg was forward. She also had a difficult time
performing exercises like RDLs when lifting weights in the gym because she feels like her “left
side is weaker.” The patient stated she has continued to train 12 hours per week, but has
avoided provocative positions/movements.
Examination of the patient revealed normal lumbar spine ranges of motion with the exception
of pain in the posterior thigh during forward flexion as the patient’s fingertips got close to the
ground. During supine straight leg testing, she had 135 degrees or better on the right side and
painful limitation at 70 degrees on the left. Her pain was located in both the mid-belly of the
medial hamstrings and at the origin at the ischial tuberosity. Pain and weakness was elicited on
resisted testing of the medial hamstrings on the left.
1. Based on the patient presentation and physical exam findings, list the SPECIFIC
muscle(s) you expect are injured.
2. What is the most likely diagnosis for this patient? (use correct terminology)
3. Based on the likely diagnosis, why does it make sense that she feels “weak”
with hip extension and knee flexion?
 
 
 
4. If this patient would have heard the pop when performing a fast movement
exclusively into excess hip abduction (no flexion), list some muscle(s) that may
have been injured instead?
5. Based on the patient presentation and physical exam findings, do you think
that this patient needs to get an x-ray? Why or why not?
6. Based on your suspected diagnosis, what is the typical time frame it will take
for the patient to heal from this injury?
7. What types of treatment recommendations will the patient likely be given and
why?
8. After this patient has fully healed, what types of preventative measures can
she take to prevent experiencing an injury like this one again in the future?
 
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