Hip Flashcards

1
Q

The gluteal region, or buttock, is bounded superiorly by the ___ and inferiorly by the ____.

A

The gluteal region, or buttock, is bounded superiorly by the iliac crest and inferiorly by the fold of the buttock.

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2
Q

T or F
The superficial fascia is thick, especially in women, and is impregnated with large quantities of fat. It contributes to the prominence of the buttock.

A

TRUE

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3
Q

On the lateral surface of the thigh, the fascia is thickened to form a strong, wide band, called the?
It forms a sheath for the tensor fasciae latae muscle and receives the greater part of the insertion of the gluteus maximus.

A

iliotibial tract

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3
Q

★ The largest of the 3 hip bones
★ Forms superior 2/5 of the acetabulum
★ The wing (ala) spans from PSIS to ASIS

A

ILIUM

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3
Q

Bones of the Hip (innominate bones)

A

The ilium, ischium, and pubis form the hip bone

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3
Q

The ilium, ischium, and pubis form the hip bone where do they meet?

A

They meet one another at the acetabulum.

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3
Q

What type of joint is the COXOFEMORAL JOINT?

A

Multiaxial Synovial Ball and Socket

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3
Q

What is the articulation of the coxofemoral joint?

A

Head of the femur to the lunate surface of the acetabulum

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3
Q

Movements of the coxofemoral joint?

A

Flexion and Extension;
Abduction and Adduction;
Internal and External Rotation

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4
Q

★ Serves as the insertion of iliacus
★ Anterior forms a fossa that serves as a proximal attachment to gluteus medius

A

ILIUM

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4
Q

★ There is also a ligament, which is sacrospinous and sacrotuberous
★ The spine serves as an attachment to gemellus superior

A

ISCHIUM

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4
Q

★ The smallest of the 3 hip bones
★ Forms the anterior 5th of the acetabulum

A

PUBIS

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4
Q

★ Forms the posterior 2/5 of the acetabulum
★ Ischial tuberosity is a landmark for palpation since several muscles are attached to it

A

ISCHIUM

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4
Q

T or F
ACETABULUM is also called the butter cup

A

FALSE
The ACETABULUM is Also called Vinegar’s Cup

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4
Q

Orientation of the ACETABULUM

A

O: Faces laterally, inferiorly, and anteriorly

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5
Q

★ Coverage of the femoral head by the acetabulum is measured by the ___________. Normal = 30
○ Undercoverage = <20 (Coxa Profunda)
○ Overcoverage = >43 (Protrusio Acetabuli)

A

★ Coverage of the femoral head by the acetabulum is measured by the Central Edge Angle (CEA) of Wiberg. Normal = 30

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5
Q

CEA of Wiberg, normal value=
○ Undercoverage = <20 is called?
○ Overcoverage = >43 is called?

A

Normal value = 30
○ Undercoverage = <20 (Coxa Profunda)
○ Overcoverage = >43 (Protrusio Acetabuli)

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6
Q

At what age is the acetabulum fully ossified?

A

Full ossification – 15 – 25 y/o

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7
Q

The femur holds how many percent of the body’s weight?

A

20%

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7
Q

Strongest and longest bone in the bod

A

Femur

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8
Q

Orientation of the Femur

A

Angled Anteriorly, superiorly, medially

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8
Q

Trabecular bone and neck – designed to ____?

A

Trabecular bone and neck – designed to withstand high loads

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8
Q

When is the Iliofemoral ligament taught?

A

Taut during extension and ER
Inferior band tautest during extension

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8
Q

Strongest ligament in the body
★ Reinforces anterior aspect of the hip

A

ILIOFEMORAL LIGAMENT

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8
Q

site of osteoporotic fracture

A

Ward triangle

8
Q

Y Ligament of Bigelow
★ 2 parts
○ Inferior (Medial)
○ Superior (lateral)

A

ILIOFEMORAL LIGAMENT

8
Q

What movement does the ILIOFEMORAL LIGAMENT limit? +its function

A

Limits: overextension during standing
★ With the pubofemoral ligament, it helps maintain upright posture, reducing the need of the hip extensors contraction

8
Q

★ Posterior thickening of the capsule
★ Taut during IR when the hip is at flexion and extension, flexion with adduction

A

ISCHIOFEMORAL LIGAMENT

8
Q

T or F the ilium is smooth anteriorly and rough post

A

TRUE

8
Q

spiral shaped and is attached to the body of the ischium near the acetabular margin

A

ISCHIOFEMORAL LIGAMENT

8
Q

If the Synovial fluid is gone/less what condition could it result to?

A

Osteoarthritis 9narrowing of joint space)

8
Q

★ Taut during extension, and ER (Ligament)

A

PUBOFEMORAL LIGAMENT

9
Q

Composition of Synovial Fluuid

A

Lubricin
Collagen
Hyaluronic acid (main)

9
Q

What hormone causes lax of ligament for the pelvis for increase pelvic outlet for child birth?

A

Relaxin

9
Q

Reinforces joint capsule along the medial surface
★ limits extension and abduction
★ Base: attaches to the superior ramus of the pubis
★ Apex: lower part of the intertrochanteric line

A

PUBOFEMORAL LIGAMENT

9
Q

placed on tensile load during weight bearing when the head of the femur relocates in the acetabulum and widens the acetabular notch
★ acetabular labrum as it bridges the acetabular notch
★ converts the notch into a tunnel through which the blood vessels and nerves enter the joint

A

TRANSVERSE ACETABULAR LIGAMENT

9
Q

★ A semicircular ring consisting of fibrocartilage and dense connective tissue
★ Functions as a force distributor and shock absorber

A

ACETABULAR LABRUM

9
Q

★ Capitis Femoris Ligament
★ Edges of the Acetabular notch attaching to the Fovea Capitis

A

LIGAMENTUM TERES

9
Q

Orientation of PUBOFEMORAL LIGAMENT?

A

Orientation is inferior-medial

9
Q

LIGAMENTUM TERES attaches to?

A

Fovea Capitis

10
Q

When is the LIGAMENTUM TERES taught?

A

Taut during weight bearing

10
Q

BURSA in the hips

A

ILIOPSOAS BURSA
TROCHANTERIC BURSA\
ISCHIOGLUTEAL BURSA

10
Q

Bursa
★ Largest and most constant
★ Inflammation > RA

A

ILIOPSOAS BURSA

10
Q

T or F
Proposed function of the collagen is to improve the mobility of the hip by providing an elastic alternative to the bony rim

A

FALSE
Proposed function of the labrum is to improve the mobility of the hip by providing an elastic alternative to the bony rim

10
Q

Bursa:
Ischium and Gmax
★ Weaver’s Bottom

A

ISCHIOGLUTEAL BURSA

10
Q

triangular depression situated in the upper part of the medial aspect of the thigh just below the inguinal ligament

A

FEMORAL TRIANGLE

10
Q

★ Medial Floor and Lateral Floor: (femoral triangle)
Roof: Skin and fasciae of the thigh

A

○ Gutter shaped and formed from lateral to medial by the iliopsoas, the pectineus, and the adductor longus
Roof: Skin and fasciae of the thigh

11
Q

★ Subgluteus medius Bursa
○ Glut Med and Great Troc
★ Subgluteus maximus Bursa
○ Gmax and ITB

A

TROCHANTERIC BURSA

11
Q

boarders of the femoral triangle
Superior
Medial
Lateral

A

Superior: Inguinal ligament
Medial: Adductor longus muscle
Lateral: Sartorius muscle

12
Q

HIP BIOMECHANICS
OPEN-PACKED POSITION:
CLOSE-PACKED POSITION:

A

OPEN-PACKED POSITION: 30 degrees flexion, 30 degrees abduction, slight ER
CLOSE-PACKED POSITION: Full extension, medial rotation, abduction

12
Q

★ The major contents of the femoral triangle are

A

○ Femoral nerve and its terminal branches
○ Femoral sheath
○ Femoral artery and its branches
○ Femoral vein and its tributaries
○ Deep inguinal lymph nodes

13
Q

HIP BIOMECHANICS
CAPSULAR PATTERN:
STABILITY:

A

CAPSULAR PATTERN: Flexion, abduction, and medial rotation (but in some cases, it is limited)
STABILITY: 27 muscles that crosses the hip joint act as: PRIMARY MOVERS and STABILIZERS

13
Q

How manty degrees?
Coxa Vara=
Coxa Valga =

A

Coxa Vara= less than 120 (110)
Coxa Valga = greater than 140

13
Q

Hip Angulations
Normal anteversion: __degrees
- Excessive: above __ degrees
- Retroversion: below __ degrees

A

Normal anteversion: 10-15 degrees
- Excessive: above 15 degrees
- Retroversion: below 10 degrees

14
Q

How many muscles crosses the hip?

A

27

14
Q

T or F
The extensor group of muscles is more powerful than the flexor group, and the lateral rotators are more powerful than the medial rotators.

A

TRUE

15
Q

Accounts for substantial morbidity, mortality, and healthcare costs in aging population
■ Type 2 osteoporosis of 75 y/o

A

Idiopathic Transient Osteoporosis of the Hip

15
Q

■ One of many causes of hip and groin pain in aging patients.
■ Diagnosis
● Confirmed by radiograph;
● jt space width of 2.5 mm or less
● Osteophytes
● Subchondral bone sclerosis
● Cyst

A

Osteoarthritis

16
Q

Systemic, inflammatory, chronic, idiopathic,
auto-immune

A

Rheumatoid Arthritis

16
Q

Infection of the hip joint
■ Standard treatment
● Open/arthroscopic arthrotomy
● Irrigation and debridement

A

Septic Arthritis