09-06 The Hip Flashcards

1
Q

Bones of the Hip Joint

A
  • Proximal Femur

- Pelvis

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2
Q

Bones of the Pelvis (Inominate Bones)

A
  • Ilium
  • Ischium
  • Pubic Bone
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3
Q

Articulation of inominate bones

A
  • Anterior: Pubic Symphysis

- Posterior: Sacrum via sacroiliac jts

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4
Q

Femur Characteristics

A
  • Angle of Inclination: 125˚

- Angle of torsion: 8˚-25˚, avg angle 12˚

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5
Q

Hip joint - Characteristics

A
  • Ball-and-socket triaxial jt
  • Acetabulum + Head of Femur
  • Reinforced by iliofemoral, pubofemoral, and ischiofemoral ligaments
  • Two hip jts linked through pelvis and to vertebrae through SI and L/S jts
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6
Q

Hip joint - Articular surfaces

A
  • Concave: Acetabulum
  • Acetabulum faces laterally, anteriorly, and inferiorly
  • Convex: Head of femur
  • Femur faces medially, anteriorly, and superiorly
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7
Q

Hip joint - Ligaments

A
  • Iliofemoral (Anterior)
  • Pubofemoral (Anterior)
  • Ischiofemoral (Posterior)
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8
Q

Iliofemoral Ligament

A
  • Anterior pelvis
  • Also known as Y ligament of Bigelow
  • Strongest of hip ligaments
  • Limits Hip ER
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9
Q

Pubofemoral Ligament

A
  • Anterior Pelvis

- Limits Hip ABDts

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10
Q

Ischiofemoral Ligament

A
  • Posterior pelvis

- Limits Hip IR; ADD (when hip flexed)

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11
Q

Hip Joint - Arthrokinematics (Femoral Head)

A
  • Vex on Cave
  • FLEX: Ant Roll, Post Glide
  • EXT: Post Roll, Ant Glide
  • ABD: Lat Role, Inf Glide
  • ADD: Med Roll, Sup Glide
  • ER: Lat Roll, Ant Glide
  • IR: Med Roll, Post Glide
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12
Q

Hip Joint - Arthrokinematics (Pelvis)

A
  • Cave on Vex
  • LE stabilized distally (closed chain), acetabulum moves on femoral head, so glides same direction as pelvis
  • Motion at both hip jts, L/S
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13
Q

Balance strategies

A
  • Reflex muscle contractions of the entire kinematic chain
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14
Q

Motions of femur/muscle function

A
  • Three planes

- Flexion/Extension (sagittal); ABD/ADD (frontal); IR/ER (transverse)

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15
Q

Motions of pelvis/muscle function

A
  • Movement at hip jts and L/S
  • Pelvic contraction, reverse action
  • Stabilized by trunk to prevent excessive motion
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16
Q

Ant Pelvic Tilt

A
  • ASIS move ant and inf
  • Pelvis rotates forward
  • Results in hip flexion, increased L/S extension
  • Hip Flex - Stabilized by Abs to prevent Ant Tilt
17
Q

Post Pelvic Tilt

A
  • PSIS move post and inf
  • Pelvis rotates backward
  • Results in hip ext, L/S flex