anatomy

Question 1

hip joint
bones
nerves

Answer 1

• synovial multiaxial ball & socket
• Made up from the acetabulum of the innominate bone ischium, ilium, & pubis & the head of femur
• Branches of the femoral, obturator, gluteal and sciatic nerves

Question 2

degrees of freedom

Answer 2

3
f/e
ad/abd
ir/er

Question 3

closed pack position

Answer 3

• Extension with some abduction and medial rotation

Question 4

flexors

Answer 4

1. psoas major
2. illiacus
3. rect fem
4. sartorius
5. tfl

Question 5

extensors

Answer 5

1. glute max
2. long head of bicep femoris
3. semimem
4. semiten

Question 6

adductors

Answer 6

1. add brevis
2. add long
3. add mag
4. pectineus
5. gracillis

Question 7

ligaments

Answer 7

• Ligamentum teres – fovea capitis- acetabulum
• Anterior (iliofemoral/pubofemoral) - femur
• Posterior (ischiofemoral) ischium- femur

Question 8

bursae

Answer 8

• Trochanteric bursa
• Iliopsoas bursa
• Ischial bursa

Question 9

Bicep femoris

Answer 9

O- ischial tuberosity and lateral lip of linea aspera
I- head of fibula
F- Knee flexion & latral rotation
- Hip extension & lateral rotation
- Long head: tibial division of sciatic nerve (L5-S2)
Short head: common fibular division of sciatic nerve (L5-S2)

Question 10

Glute Max

Answer 10

O- gluteal surface of sacrum, illium and coccyx
I- posterior aspect of ITB. gluteal tuberosity of proximal femur
F- hip extension, lateral rotation
lateral stabilisser of hip & knee joints
Inferior gluteal nerve (L5, S1, S2)

Question 11

rectus femoris

Answer 11

O- AIIS & supracetabular groove on ilium
I- Patella via the patella ligament into the tibial tuberosity
F- hip flexion & knee extension
Femoral nerve (L2-L4)

Question 12

rom hip flexion

Answer 12

100

Question 13

rom extension

Answer 13

30

Question 14

rom abduction

Answer 14

40

Question 15

rom adduction

Answer 15

20

Question 16

rom internal

Answer 16

40

Question 17

rom external

Answer 17

50

Question 18

ASIS

Answer 18

Situated at anterior end of iliac crest

Question 19

PSIS

Answer 19

Trace backwards along crest, (in ladies found in dimples, in men small raised tubercles)

Question 20

greater trochanter

Answer 20

Run hands down from middle of crest
7-10cm or bring fingers forward from hollows in sides of buttocks

Question 21

ischial tuberosity

Answer 21

In sitting, the body rests on these and can be felt underneath this area

Question 22

pubic tubercle

Answer 22

About 5cm above genitalia, bony ring can be felt. Pubic tubercles are about 1cm above and lateral to pubic symphysis. - Get patient to do it themselves.

Question 23

joint line of the hip

Answer 23

Palpate the anterior superior iliac spine and the pubic tubercle find the midpoint of this line the hip joint is approximately 1.5 cm below it, inferiorly (can’t be directly palpated as deep)

Question 25

femoral triangle

Answer 25

With the hip flexed in abduction and lateral rotation i.e. with the heel of the leg resting on the opposite knee, palpate the borders of the femoral triangle - inguinal ligament superiorly - the Adductor Longus medially - Sartorius laterally - The floor of the triangle is formed by portions of the Adductor Longus muscle, the Pectineus, and lliopsoas muscles.

Question 26

femoral artery

Answer 26

it passes just inferior to the inguinal ligament. Take the pulse and compare with the radial pulse, (femoral nerve lies lateral to the artery, vein medial lateral - medial = Nerve, Artery, Vein, Y-Fronts - NAVY).