Hip Flashcards
Coxofemoral Joint
-synovial, diarthrodial, ball and socket
-flx/ext, ab/ad, IR/ER
-weight bearing and support
Acetabulum
-fuse ilium, ischium, pubis
-50 deg inferior and 20 deg anterior
-luneate surface: hyaline cartilage articulating with femur
-acetabular notch + transverse acetabular lig: creates tunnel for BVs
-Acetabular fossa: deepest, does not touch femur
Acetabular Dysplasia
shallow acetabulum, prone to instability
Coxa Profunda
over coverage of acetabulum leading to impingement
Anterversion
-more than 20 deg
-positioned more ant
-instability
Retroversion
-less than 20 deg
-positioned more post
-over coverage`
Center Edge Angle
-coverage of the femortal head by acetabulum
-lat rim of acetabulu, to center of femoral head
-Norm: 22-50
<acetabular>pincer- type impingement
</acetabular>
Acatabular Inclination
-measure of debth
-line parallel to teardrops to lat acetabulum
Norm: 32-45
> acetabular inclination
Acetabular Labrum
-ring of fibrocartilage; blends with acetabular lig
-deepens socket
-negative pressurre
-proprioceptive nerves
Femoral Head
-hyaline cartilage
-medial, superiorly, anteriorly
-lig teres attached to foeva
Angle of Inclination
-frontal plane measurement, smaller in women, greater during childhood
Norm: 125
> 125: Coxa valga: straighter in relation to shaft, less shear on neck, decreases MA of abductors, decreases coverage of acetabulum, associated with genu varum (kids with CP and spasticity have valgum)
<125: Coxa Vara: increased stability and MA, increased shearing forces on neck, associated with genu valgum and SCFE
Angle of Torsion
-transverse plane measurement
-axis through head and neck and femoral condyles
Norm: 10-20deg
Anteversion: >15-20; increased internal rotation to compensate, decreased stability; toe in
Restroversion: < 10-15; increased external to compensate rotation; toe out
Most Congruence
-flexion, ab, slight ER
Joint Capsule
-irregular; dense fibrous tissue
-retinacular fibers: carry BVs
-Femoral neck is intracapsular
-Trochanters are extracapsular
Hip Bursae
Lateral:
-trochanteric, reduce friction btwn post facet, glut max, IITB and greater troch
Anterior:
-glut med bursa
-iliopsoas bursa
Posterior:
-ischiogluteal
Ligaments
Ligamentum Teres:
-ligament of the head of the femur
-reisits rotation in 90 deg of flexion
-intrarticular but extrasynovial
-attaches from acetabular notch, transverse acetabular lig, to fovea
-secondary blood supply (avascular necrosis)
Iliofemoral Lig:
-Y lig
-ASIS to intertrochanteric line
-anterior stability
-reists ER
Pubofemoral Lig:
-pubis to iliopectineal eminence
-supports inferior femoral neck
-resists ER in Ext
Ischiofemoral Lig:
-posterior acetabulum and labrum to greater troch
-resist IR
Capsuligamentous Tension
Close packed: ext, abd, IR
Loose packed: flx, abd, mid-rotation
-ligs taut in ext
-capsule and ligs suport 2/3 body weight w/o muscles
-LoG is post to hip, slight ext
-most vulnerable to post dislocation in flx and abd