HIP Flashcards

1
Q

Centre of the hip joint lies

A

1/2 way between ASIS and Symphysis Pubis then drop down 1/2 inch

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2
Q

Head of Femur is

A

Convex

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3
Q

Acetabulum is

A

Concave and deepened by the acetabular labrum

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4
Q

Ball and socket, ___ , ____

A

Synovial Joint, Triaxial

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5
Q

Capsule is strong and dense, thickest part at _______, thin ____

A

Thickest: upper front part of the joint
Thin: behind

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6
Q

Angle between femoral neck and shaft is

A

125 degrees

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7
Q

Muscles holding head of Femur in the Acetabulum are

A

Piriformis, Obturator Externus, Gluteus Medius, Gluteus Minimus, Quadratus Femoris

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8
Q

What jams head of femur into acetabulum

A

Spasm of Piriformis

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9
Q

What are the 3 Ligaments of the Hip Joint

A

Iliofemoral-anterior
Pubofemoral-blends in with iliofemoral
Ischiofemoral-posterior
Foveal -fovea; tense in semiflexion and adduction of hip

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10
Q

Movements of the Hip Joint are:

A

Flexion/Extension
Medial/Lateral Rotation
Abduction/Adduction

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11
Q

Muscles of the Hip Joint

A

Answer

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12
Q

Flexion of the Hip:

A

Posterior glide of head of femur (also spins)

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13
Q

Extension of the Hip:

A

Anterior glide of head of femur (also spins)

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14
Q

Adduction:

A

Lateral movement of head of femur (also swings)

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15
Q

Abduction:

A

Medial movement of head of femur (also swings)

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16
Q

External Rotation:

A

Posterior glide of head of femur (also spins)

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17
Q

Internal Rotation:

A

Anterior glide of head of femur (also spins)

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18
Q

Palpate Greater Trochanter

A

Answer

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19
Q

Palpate Piriformis

A

Answer

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20
Q

Palpate ASIS

A

Answer

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21
Q

Palpate Ischial Tuberosity

A

Answer

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22
Q

Palpate Femoral Artery

A

Answer

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23
Q

Parts of the Innominate Bone

A

Ilium, Pubis, Ischium

24
Q

Pelvis is formed by

A

sacrum and 2 innominate bones which articulate with each other to form the pelvic girdle

25
Q

Ilium includes

A

Upper acetabulum and area above it

26
Q

Ischium includes

A

Lower acetabulum and bone anterior to it

27
Q

Ilium includes

A

ASIS (Lateral end of Inguinal Ligament, TFL, and Sartorius)
AIIS (Rectus Femoris, Iliacus, and Iliofemoral Ligaments)
PSIS (Posterior Sacroiliac Ligament, Gluteus Maximus)

28
Q

Ischial tuberosity is the large rough area on the lower surface of the Ischium

A

Hamstrings,
Sacrotuberous Ligament,
Gemellus Inferior,
Adductor Magnus,
Quadratus Femoris

29
Q

Ischial Spine

A

Sacrospinous ligament,
Gemellus Superior

30
Q

Acetabulum

A

Faces Antero-inferiorly,
Formed by all 3 bones
Acetabular fossa is the central floor of the acetabulum

31
Q

Sacrum

A

Formed by the 5 Sacral Vertrebrae

32
Q

Diameter of females

A

is greater than the diameter of male pelvis

33
Q

Primary function of pelvis in both sexes is ______. Pelvis of female is adapted for _________.

A

Locomotion and Childbearing

34
Q

Greater Sciatic Notch

A

Converted to a foramen by sacrospinous ligament, this foramen transmit piriformis and sciatic nerve

35
Q

SI Joints (Movement occurs here)

A

Sacral surface has hyaline
Iliac Surface has fibrocartilage; Sacral cartilage is thicker than ilial cartilage

36
Q

Symphysis Pubis

A

Interpubic disc of white fibrocartilage connects the adjacent surfaces; pubic width 4mm can go to 9 mm for females

37
Q

Ligaments of the Pelvic Girdle: SI Joints

A

Anterior Sacroiliac Ligament
Posterior Sacroiliac Ligament
Interosseous Ligament

38
Q

Other Ligaments of the Pelvic Girdle

A

Iliolumbar Ligament
Sacrospinous (forms the foramen) and Sacrotuberous Ligaments

39
Q

Ligaments of Symphysis Pubis

A

Superior Pubic Ligament
Thick Arcuate Pubic Ligament
Anterior Pubic Ligament
Posterior Pubic Ligament

40
Q

Movements of the Pelvis

A

Rotations of Ilium
Upslips
Inflare/Outflare
Sacral Flexion or Nutation
Sacral Extension or Counternutation

41
Q

Rotation of Ilium

A

Anterior (ASIS tips downward, PSIS upward)
Posterior (PSIS tips downward, ASIS upward)

42
Q

Upslips

A

Ilium moves up in comparison to sacrum

43
Q

Inflare / Outflare

A

Outflare ASIS away from midline; PSIS toward midline
Inflare ASIS toward midline; PSIS away from midline

44
Q

Nutation

A

top of sacrum dips in or anteriorly (Donald Duck)

45
Q

Counternutation

A

Top of sacrum goes posteriorly (Pink Panther)

46
Q

Sacral Motion with Respiration

A

Top of sacrum moves posteriorly with inhalation and forwards with exhalation; on expiration: top of sacrum goes anteriorly vs. on inspiration: top of sacrum goes posteriorly

47
Q

Angles

A

Lumbosacral 140
Sacral 30
Pelvic 60

48
Q

Factors which affect pelvic position and mobility

A

Age
Gender
Hormones
Anatomical Structures
Pathology
Habitual Patterns

49
Q

Functional Role of Pelvis

A

Designed to absorb energy and transmit weight of trunk through the pelvis to the lower extremities. Important for locomotion.

50
Q

Limited SI mobility may result in

A

Increased mobility at other joints to compensate, which can impair their function

51
Q

Evaluation of the Mobility of Innominate Bone then describe each

A

PSIS Test and Gillet’s

52
Q

Evaluation of the Mobility of Sacrum then describe each

A

Sacral Sulcus Test

53
Q

Palpate Iliac Crest, ASIS, Greater Trochanter of femur, Symphysis Pubis, Femoral Artery, Ischial Tuberosity, PSIS, Sacral Sulcus, Piriformis Muscle, Sacral Movement with Breathing, Inferior Later Angle of Sacrum

A

Describe

54
Q

Which ligaments resist separation of the Innominate Bones from the Sacrum Laterally

A

Iliolumbar
Anterior SI Ligament
Posterior SI Ligament
Interosseous Ligament

55
Q

What ligaments limit nutation of the sacrum

A

Sacrotuberous
Sacrospinous
Anterior Sacroiliac

56
Q

What ligaments limit counternutation of the sacrum

A

Anterior and Posterior SI Ligaments