Hip Flashcards
3 functions of the pelvis
- common attachment point for many large muscles of lower extremity and trunk
- transmits weight of upper body and trunk either to ischial tuberosities during sitting or to lower extremities during standing and walking
- supports organs involved with bowel, bladder, and reproductive functions
The femoral head projects _____ and slightly ______ for an articulation with acetabulum
medially
anteriorly
The shaft of the femur displays slight _____ convexity.
anterior
What is the angle of inclination?
The angle within frontal plane between the femoral neck and medial side of the femoral shaft
What is the angle of inclination at birth?
What is the normal adulthood value?
140°-150°
125°
Coxa vara describes an angle of inclination ____ than 125°.
Coxa valga describes an angle of inclination ____ than 125°.
less
greater
What is femoral torsion?
The relative rotation (twist) between the bone’s shaft and neck
Normally, the femoral neck projects about __° anterior to a ML axis through femoral condyles. What is this called?
15°
Anteversion
Excessive anteversion is described as greater than __°.
Retroversion is described as less than __°.
35°
5°
Does excessive anteversion lead to toeing in or toeing out?
Toeing in
Excessive anteversion is common in what types of patients?
Persons with cerebral palsy
Describe acetabular alignment
It projects laterally from the pelvis with varying amount of inferior and anterior tilt
A dysplastic acetabulum often times leads to what?
chronic dislocation and increased stress, often times leading to degeneration or OA
What are the two measurements commonly used to describe the extent to which the acetabulum naturally covers and helps secure the femoral head?
Center-edge angle and acetabular anteversion angle
What is the average center-edge angle in adults?
35°
A significantly lower central-edge angle ____ acetabular coverage of femoral head which tends to lead to what?
Decreases
Increased risk of dislocation and decreases contact area within the joint
A central-edge angle of only 15° reduces normal contact area by as much as __%
35
What is the acetabular anteversion angle?
The angle at which the acetabulum projects anteriorly within horizontal plane, relative to pelvis
What is the average acetabular anteversion angle in adults?
20°
A hip demonstrating excessive acetabular anteversion is more exposed in what direction?
anteriorly
An acetabulum that projects directly laterally, or even slightly posterior-laterally, within horizontal plane is described as being abnormally _____.
retroverted
The center-edge angle defines the extent to which the acetabulum covers the ___ of the femoral head
top
The acetabular anteversion angle indicates the extent to which the acetabulum covers the ____ of the femoral head
front
Which tissues are taught during hip flexion with the knee extended?
Hamstrings