Hip

Question 1

ASIS

Answer 1

Situated at anterior end of iliac crest (upper part of pocket area

Question 2

PSIS

Answer 2

Trace backwards along crest, (in ladies found in dimples, in men small raised tubercles)

Question 3

Greater Trochanter

Answer 3

Run hands down from middle of crest
7-10cm or bring fingers forward from hollows in sides of buttocks

Question 4

Ischial Tuberosity

Answer 4

In sitting, the body rests on these and can be felt underneath this area

Question 5

Pubic tubercle

Answer 5

About 5cm above genitalia, bony ring can be felt. Pubic tubercles are about 1cm above and lateral to pubic symphysis. - Get patient to do it themselves.

Question 6

Joint line of the hip

Answer 6

Palpate the anterior superior iliac spine and the pubic tubercle find the midpoint of this line the hip joint is approximately 1.5 cm below it, inferiorly (can’t be directly palpated as deep)

Question 7

Femoral triangle - borders
floor of the trinagle

Answer 7

With the hip flexed in FABERS - inguinal ligament superiorly, the Adductor Longus medially and Sartorius laterally.

The floor of the triangle is formed by portions of the Adductor Longus muscle, the Pectineus, and lliopsoas muscles.

Question 8

Femoral artery

Answer 8

it passes just inferior to the inguinal ligament. Take the pulse and compare with the radial pulse, mark the artery and thereby mark the femoral nerve and vein
(femoral nerve lies lateral to the artery, vein medial so, lateral medial = Nerve, Artery, Vein, Y-Fronts - NAVY).