Exam 1 Flashcards
Acetabular dysplasia
Shallow acetabulum
Coxa profunda
Acetabulum excessively covers the femoral head
Center angle or Angle of Wilburg
Normal is greater than 25
Normal angle for acetabular anteversion
Normal is 20 degrees
Functions of labrum
Deepens socket Increases concavity Enhances joint stability Decreases force transmission Provides proprioceptive feedback
How does femoral head face
Medially, superiorly, and anteriorly
Angle of inclination (description and normal angle)
Through the femoral head and neck and the longitudinal axis of the femoral shaft. Normal is 125
Angle of torsion (description and normal angle)
transverse plane between the axis of the femoral neck and the axis of the femoral condyles. Normal is 10-20
Anteversion angles
Angle of anterior torsion is greater than 15 to 20 degrees
Retroversion angle
Angle of anterior torsion is less than 15 to 20 degrees
Maximal contact of hip joint
Flexion, abduction, and ER
What does superior and inferior gluteal arteries supply
Capsule proximally and medially
What does lateral circumflex artery supply
Capsule distally
What does the medial femoral circumflex artery supply
Femoral head
Ligamentum Teres
Intra-capsular but extrasynovial
Passes under transverse acetabular ligament
Functions as a conduit for blood supply to the femoral head
Iliofemoral ligament
Limits medial and lateral roation
The inferior fibers abduct
The superior fibers adduct
Pubofemoral ligament
Limits lateral rotation in neutral
Resists hip abduction
Ischiofemoral ligament
Limits medial rotation regardless of hip position
Close packed position of hip
hip extension, slight abduction, and medial rotation
Position of comfort of the hip
moderate flexion, slight abduction, and midrotation
Medial trabecular system resists
compressive forces passing through hip joint
Lateral trabecular system resists
bending from parallel forces of the HAT and ground reaction forces
Hip flexion ROM (knee bent and extended)
Knee bent - 120
Flexed - 90
Hip extension ROM
30
Hip abduction ROM
45
Hip adduction ROM
20-30
Hip IR/ER
45
Functional requirements for gait
Flexion - 30
Extension - 10
Abduction/Adduction - 5
Medial/Lateral Rotation - 5
Posterior pelvis tilt
Hip extension
Anterior pelvis tilt
Hip flexion
Elevate pelvis
Wt bearing leg is in abduction
Drop pelvis
Wt bearing leg is in adduction
If hip moves forward
Wt bearing IR
If hip moves backward
Wt bearing ER
Greatest MA for gluteus maximus
Neutral
Greatest MA for extension for gluteus maximus
70 degrees of hip flexion
Greatest MA for hamstrings
Increases up to 35 degrees of hip flexion and then starts to decrease
Optimal length tension for hamstrings
90 degrees hip flexion and 90 degrees knee flexion
Anterior tilt force couples
Erector spinae and iliopsoas
Posterior tilt force couples
Hip extensors and abdominal muscles
CAM impinegement
Originates from pistol grip deformity of femoral neck (neck fails to taper as femoral head merges laterally into femoral neck)
Pincer impingement
Greater coverage or overhang of acetabulum on femoral head due to excessive retroversion of acetabulum and coxa profunda