Chpt.9 Hip Flashcards

1
Q

3 parts of the hip:

A
  1. Ball & socket joint
  2. Pelvic Girdle (joined by sacrum)
  3. Femur (longest bone in body)
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2
Q

What 3 main muscles makes up the hip adductors?

A
  • adductor longus
  • adductor brevis
  • addutor magnus
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3
Q

What is the Gerdy’s tubercle?

A

the area where the IT (iliotibial) tract and the Tensa Fascia Lata go into the tibia
(attach anterolaterally)

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4
Q

What makes up the Anteriorly Joint at the hip?

Is it amphiarthrodial or dyarthrodial?

A
  • Two pelvic bones join to form symphysis pubis

- amphiarthrodial ( slightly movable)

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5
Q

What makes up the Posteriorly Joint?

Is it amphiarthrodial or dyarthrodial?

A

-Sacrum is between the 2 pelvic bones & forms the Sacroiliac joints

  • Strong ligaments unite these bones to form rigid
  • amphiarthrodial
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6
Q

During running, what increases the length of stride to achieve faster movement and greater R.O.M. ?

A

Pelvic Rotation

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7
Q

What ligament prevents hyperextension of the hip?

A

Iliofemoral or Y ligament (anteriorly)

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8
Q

What ligament limits excessive extension & abduction

A

-pubofemoral ligament (anteromedially & inferiorly)

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9
Q

What ligament at the acetabulofemoral limits adduction?

A

teres ligament

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10
Q

What ligament limits internal rotation at Acetabulofemoral joint?

A

Ishiofemoral ligament (postero-medially)

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11
Q

What is the possible Range of FLEXION in hip joint?

A

0-130 degrees of FLEXION

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12
Q

What is the possible Range of EXTENSION in hip joint?

A

0-30 degrees of EXTENSION

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13
Q

What is the possible Range of ABDUCTION in hip joint?

A

0-45 degrees of ABDUCTION

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14
Q

What is the possible Range of ADDUCTION in hip joint?

A

0-35 degrees of ADDUCTION

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15
Q

What is the possible Range of INTERNAL rotation in hip joint?

A

0 to 45 degrees of INTERNAL rotation

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16
Q

What is the possible Range of EXTERNAL rotation in hip joint?

A

0 to 50 degrees of EXTERNAL rotation

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17
Q

*****What are 6 two-joint muscles that have 1 action at Hip and another?

A
  1. Hamstring
  2. Semi-membranosis
  3. Semi-tendinosis
  4. . Long head of bicep femoris
  5. Sartorius
  6. IT band: tensor fascia lata
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18
Q

*What are the 4 muscles that primarily FLEX hip (Anterior)?

A
  1. Iliopsoas
  2. Pectineus
  3. Rectus femoris
  4. Sartorius
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19
Q

*What are the 4 muscles that primarily ADDUCT the hip (Medially)?

A
  1. Adductor brevis
  2. Adductor longus
  3. Adductor magnus
  4. Gracilis
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20
Q

*What are the 5 muscles that primarily EXTEND the hip (Posterior)?

A
  1. Gluteus maximus
  2. Biceps femoris
  3. Semitendinosus
  4. Semimembranosus
  5. External rotators
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21
Q

*What are the 4 muscles that primarily ABDUCT the hip (Laterally)?

A
  1. Gluteus medius
  2. Gluteus minimus
  3. External rotators
  4. Tensor fasciae latae
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22
Q

??? What are 4 muscles that FLEX the hip at the iliac region?

A
  1. iliopsoas
  2. Iliacus
  3. Psoas major
  4. Psoas minor
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23
Q

What pelvic muscles EXTEND & ROTATE hip? (4)

A
  1. Gluteus maximus
  2. Gluteus medius
  3. Gluteus minimus
  4. Tensor fascia latae
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24
Q

What pelvic muscles EXTEND & ROTATE hip?

(6) deep external rotators

A
  1. piriformis,
  2. superior gemellus
  3. obturator externus
  4. obturator internus
  5. inferior gemellus
  6. quadratus femoris
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25
Q

The hip and Pelvic Girdle muscles innervate from where?

Which plexus?

A
  • lumbar (L1-L4)
  • sacral (L4, L5, & S1-S4)
  • plexus (lumbosacral plexus)
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26
Q

? Lumbar plexus is formed by lower ____ and the ____ & ____ portions of lower extremity

A
  • lower abdomen
  • anterior
  • medial
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27
Q

*What muscles are innervate by the femoral nerve? (7)

A
  1. Iliopsoas
  2. Rectus femoris
  3. Vastus medialis
  4. Vastus intermedius
  5. Vastus lateralis
  6. Pectineus
  7. Sartorius
28
Q

What function does the hip have?

A

weight bearing and locomotion (movement)

29
Q

What are the bones that make up the pelvis? (3)

A
  • ilium (biggest part)
  • ishium
  • pubis
30
Q

The Anterior pelvis is the origin for what muscle?

The Lateral pelvis is the origin for what muscle?

The Medially pelvis is the origin for what muscle?

A
  • hip flexors
  • hip abductors
  • hip adductor
31
Q

What muscles innervate in the Obturator nerve? (5)

A
  • Adductor brevis
  • Adductor longus
  • Adductor magnus
  • Gracilis
  • Obturator externus ( 1/6 deep lateral rotators)
32
Q

What muscles innervate the Superior Gluteal nerve? (3)

A
  • gluteus medius
  • gluteus minimus
  • tensor fasciae latae

(arises from L4, L5, S1)

33
Q

What muscle innervate the Inferior Gluteal nerve? (1)

A

gluteus maximus

arises from L5, S1, S2

34
Q

What muscles innervate from the Branches from Sacral plexus? (4)

A
  • piriformis (S1, S2)
  • gemellus superior (L5, S1, S2)
  • gemellus inferior (L4, L5, S1, S2)
  • quadratus femoris (L4, L5, S1)
35
Q

What muscles innervate the Sciatic nerve? (4)

A
  • semitendinosus,
  • semimembranosus
  • biceps femoris (long head)
  • adductor magnus
36
Q

What muscle innervate the Common peroneal nerve?

A

bicep femoral (short head)

37
Q

What is the OINA for Iliopsoas?

2 origins

A
O: - iliac fossa
-Transverse process and bodies of T12-L5
I: lesser trochanter
N: femoral nerve
A: hip flexion
38
Q

What is the OINA for Sartorius?

“sitting cross legged”

A

O: ASIS
I: Pes anseriunus: anteromedial tibia
N: femoral
A: flexes hip, flexes knee (sitting cross legged), externally rotate

39
Q

What is the OINA for Rectus Femoris?

“kicking soccer ball”

A

O: AIIS
I: Tibial tuberosity
N: femoral nerve
A: flexes hip, extension of knee

40
Q

What is the OINA for Tensor Fascia Lata?

different nerve

A

O: ASIS
I: Into IT band, and continuing to Gerdy’s tubercle
N: Superior Gluteal nerve
A: abduct + internally rotate (when flexing)

41
Q

Which 2 muscles originate on the ASIS?

A
  • Sartorius

- Tensa Fascia Lata

42
Q

What is the OINA for Gluetus Medius?

A

O: lateral surface of ilium
I: greater trochanter
N: SGN (superior gluteus nerve)
A: Abduct, Internally rotate

43
Q

What is the OINA for Gluteus Minimus?

A

O: lateral surface of ilium
I: greater trochanter
N: SGN (superior gluteus nerve)
A: Abduct, Internally rotate

44
Q

What are 3 muscles that adduct and internally rotate the hip?

A
  • Tensa fascia lata
  • Gluteus medius
  • Gluteus minimus
45
Q

What are the 3 muscles that are innervated by the gluteal nerve

A
  • TFL
  • G medius
  • Gminimus
46
Q

What is the OINA for Gluteus Maximus?

A

O: Post-ilium crest, sacrum and coccyx
I: gluteal line and IT band (on femur)
N: IGN (inferior gluteal nerve)
A: extension + ext. rotation

47
Q

What are the 3 deep lateral (External) Rotator Muscles?

A
  1. Piriformis
  2. Gemellus Superior
  3. Gemellus Inferior
  4. Obturator externus
  5. Obturator internus
  6. Quadratus femoris
48
Q

What is the OINA for Six Deep Lateral (external) Rotator muscles?

different nerves

A

O: Sacrum, ischium, obturator foramen
*I: greater trochanter
N: nerves from Sacral Plexus
A: Externally rotate

49
Q

*Name 8 muscles that insert into the Greater Trochanter?

A
  1. Piriformis
  2. Gemellus Superior
  3. Gemellus Inferior
  4. Obturator externus
  5. Obturator internus
  6. Quadratus femoris-Gluetus 7.Medius
  7. Gluteus Minimus
50
Q

What is the OINA for Semitendinosus (Hamstring) ?

A

O: ischial tuberosity
I: anteromedial Tibia (pes anserinus)
N: Tibial
A: extension of hip, flexes knee

51
Q

Which 3 muscles make up pes anserinus?

“Say grace before Tea”

A
  1. Sartorius
  2. Gracilis
  3. Semitendinosis
52
Q

What is the OINA for Semimembranosus?

A

O: ischial tuberosity (SIT BONES)
I: posteromedial tibial condyle
N: Tibial
A: hip extension+ knee flexion

53
Q

What is the OINA for Bicep femoris

A

O: Ishial tuberosity
I: lat. Condyle of tibia + fibula
N: Tibial
A: hip ext. + knee flex.

54
Q

What is the strongest bones part in the pelvis?

A

-Ishial tuberosity; it carries all the weight when we are sitting

55
Q

What is the OINA for Adductor Brevis ?
SAME AS ADD. LONGUS!!
**nerve

A

O: Ramus of pubis
I: upper ½ linea aspera
N: Obturator nerve
A: adduction

56
Q

What is the OINA for Adductor Longus?

A

O: Ramus of pubis
I: middle ½ linea aspera
N: Obturator nerve
A: adduction

57
Q

What is the OINA for Add. Magnus?

how many nerves?

A

O: ramus, ischium+ ischial tubercle
I: Linea aspera
N: obturator + tibial nerve
A: adduction + ext. rotation

58
Q

??Which 2 nerves that innervate the tibia?

A
  • Tibial nerve

- Obturator nerve

59
Q

Which 3 muscles insert into the Linea Aspera

A
  • Adductor Brevis
  • Adductor Longus
  • Adductor Magnus
60
Q

What is the OINA for Pectineus?

action?

A

O: Crest of pubis
I: Pectineal line
N: Femoral
A: flex. + add. of hip

61
Q

What is the OINA for Gracilis (pg. 160) ?

insertion?

A

O: Ramus of pubis
I: Pes anserinus- anteromedial tibia
N: obturator nerve
A: flex knee + adduction

62
Q

What are the 4 muscles that originate at the Ramus of Pubis?

A

Add:

  • Brevis
  • Longus
  • Magnus
  • Gracilus
63
Q

What are 4 agonists for Hip FLEXION ?

A
  • Psoas
  • Iliacus (Iliopsoas)
  • Rectus Femoris
  • Pectineus
64
Q

What are the 4 agonists for Hip ABDUCTION ? (gluteus medius

A
  • Gluteus Medius
  • Tensor Fasciae Latae
  • Gluteus Maximus
  • Gluteus Minimus
65
Q

What are the 4 agonists for Hip ADDUCTION (Gluteus minimus)

A
  • Adductor Brevis
  • Adductor Longus
  • Adductor Magnus
  • Gracilis
66
Q

What are the 3 agonists for Hip INTERNAL rotation?

A
  • Gluteus Minimus
  • Gluteus Medius
  • Tensor Fasciae Latae
67
Q

What are the 2 agonists for Hip EXTERNAL rotation?

A
  • Gluteus Maximus

- Six Deep External Rotators