Hip 1 Flashcards
Describe the hyaline cartilage and labrum of the hip
Horseshoe for hyaline cartilage and fibro cartilage rim for labrume
Where does the ligamentum teres attach
Femoral head
Image of labrum ligaments and capsule
Ligaments are a continuum or condensation of the capsule no distinction we can appreciate between
Image of Anterior labral tear
fluid infiltrating a small tear. Common in athletic individual over age 30
What is a key feature in anterior hip capsulitis
no longer follows the femoral contour
Integration of data for hip RA
inflammatory arthritis
Image of anterior hip ilio psoas bursitis T or F is this the biggest bursa in the body
yes, caused by friction when tendon slides over the pubic ili pectineal eminence
Image of Ilio Psoas bursitis
It is superficial to the capsular margin
What muscles combine to make up the ilio psoas tendon.
Ilio psoas tendon hyperecohoicic and iliopsoas muscle above is hyoechoic.The conjoined tendon of iliacus and psoas major
Image of SAX of Ilio psoas tendon
Adjacent to pectineal rim
What are the two origins of the rectus femoris
direct head from the AIIS and indirect head or reflected head from upper acetabulum and fibrous capsue of the hip
Name the 3 types of snapping hip syndromes
Internal Ilio psoas tendonsnapping over pectineal brim external ITB snappin over GT of femur and intra artcular acetabular labrum tears The frist two may be grouped as extra arctiular
What is the most common snapping hip
Internal the frog leg reproduces snap
Image of internal snapping hip
bony margin of the pecineal rim and femoral artery. Lateral is psoas muscle and medial is ilacus and star is the psoas tendon lying over the bony rim
Where does the ITB normally sit and how does it snap
snaps anteriorly to a position in front of the GT
Image of protocol for ITB snapping syndrome
note pt in decubitus or can be in standing position
What area of the trochanter can true bursitis occur
Posterior sub gluteus maximus
Name the four trochanteric facets
anterior lateral superior posterior and posterior
What attaches to the anterior facet
Gluteus minimus
What attaches to the lateral facet
Gluteus medius
What attaches to the posterior facet
Glut maximus
Image of the 3 facets of GT
Image like a house
Image of MSK US of GT and tendons
Done in SAX
T or F is Glut min deep to G med
TRUE
Image of sub gluteal space of GT and bursa
Also pic of Gmin tendinosis
What tendons does trochanteric syndrome involve
G min and med
What is Morel Lavallee Lesion
Degloving injury that occurs usually of GT of femur
What is the origin and attachment of the adductors and name the superficial to deep
origin is the pubis near symphsis and attaches to linea aspera of femur
Name the 3 grades of a Adductor longus tendon tear
Grade 1 2 and 3
What is the largest nerve in the body
Sciatic nerve
What is the Dynamic maneuver for the piriformis imaging
Internally and externally rotate the hip foot Piriformis contracts and slides over the Gmax which is stationary
What are some of the symptoms of Piriformis syndrome
Neuro muscular disorder causing sciatic nerve irritation
