HIP

Question 1

Cartilage most developed in posterior & anterior-superior region of dome where femoral head has greatest contact & loading during gait

Answer 1

ACETABULUM

Question 2

• Lines outer acetabular margin and enlarges articular surface
• Attachment site for joint capsule
• Maintains fluid pressurization
• Provides proprioceptive and sensory information regarding hip position
• Women incur more stresses on the cartilage than men

Answer 2

LABRUM

Question 3

sartorius (lateral), adductor longus (medial), inguinal ligament (superior)

Answer 3

FEMORAL TRIANGLE

Femoral Vein, Artery, Nerve (VAN)

Question 4

Angle between femoral head, neck, and shaft
- Starts at 150 degrees at birth decreases to 120-130 by adulthood

Answer 4

Collodiaphyseal angle (CD)

Question 5

angle b/t femoral head & acetabulum in front plane (normally 30*) - helps determine coxa vara or valga

Answer 5

Center Edge Angle

Question 6

• Carries neurovascular supply
• Potential source of pain in pathology, compromise can l/t avascular necrosis
• Helps reduce femoral head in acetabulum
• Connects fovea centralis to floor of the fenestra

Answer 6

Teres Ligament

Question 7

• Originates at ischial outer wall of acetabulum and inserts into intertrochanteric line
• Reinforces posterior coxofemoral joint

Answer 7

Ischiofemoral ligament

Question 8

noninfectious inflammatory overuse syndrome of the pubic symphysis
- Worse w kicking, twisting, cutting, pivoting, sprinting
- Risks: OA, RA, decreased hip IR ROM, infxn post urology/gynecology surgery - Men > Women
- Steroid injections may be beneficial, imaging to r/o fx or hip pathology
- If MRI shows bilat or unilat marrow edema = KEYSTONE manifestation for OP

Answer 8

OSTEITIS PUBIS

Question 9

MC hip disorder in kids, commonly in obese children, boys, 8-15 y/o, summer

Answer 9

Pediatric Hip: Slipped capital femoral epiphysis (SCFE)
- slippage of proximal femoral epiphysis (femoral head) on the metaphysis at
the epiphyseal plate OR anterosuperior displacement of metaphysis on femoral epiphysis

Question 10

**- Common in F athletes w low bone mineral density or menstrual dysfunction
- Low energy availability +/- disordered eating

Answer 10

FEMALE ATHLETE TRIAD

Question 11

Femoral Torsion Test =

Answer 11

CrAIG TEST

Question 12

Imaging reveals a tear of the ligament connecting the ischium to the femur. Where would you look for the insertion of this ligament?

Answer 12

Intertrochanteric line