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Lower limb anatomy > Hip 2 > Flashcards

Hip 2 Flashcards

1
Q

Degrees of movement available at the hip

A

Three
Flexion/ Extension
Abduction/Adduction
External/Internal rotation

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2
Q

Flexion ROM

A

120-130

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3
Q

Extension ROM

A

10-15

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4
Q

Abduction ROM

A

45

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5
Q

Adduction ROM

A

20-30

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6
Q

External rotation ROM

A

40-50

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7
Q

Internal rotation ROM

A

30-40

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8
Q

What limits ROM of hip joint

A

Ligaments
Tension of antagonists
Soft tissue apposition

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9
Q

Hip flexors (5)

A

GRIPS
Gracilis
Rectus femoris
Iliopsoas
Pectineus
Sartorius

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10
Q

Hip Flexion prime mover

A

Iliopsoas

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11
Q

Iliopsoas attachments

A

From:
Psoas major: Lumbar Transverse processes T12-L5
Iliacus: Iliac crest

To: Lesser trochanter

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12
Q

Pectineus attachments

A

From: Pectineal line of pubis/ Superior pubic ramus
To: Pectineal line runs from base of lesser trochanter to linea aspera which is posterior on prox femur

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13
Q

Rectus femoris attachments

A

Two heads
From: LH/ AIIS
SH- Supra acetabular groove of ilium

To: Quadriceps Femoris Tendon (above knee joint)

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14
Q

Sartorius attachments

A

From: ASIS
To: inferomedial of tibial tuberosity (below knee)

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15
Q

Clinical relevance of hip flexors

A

Weak hip flexors ca lead to a circumducting gait

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16
Q

Hip extensors (5)

A

Gluteus maximus
Hamstrings
Biceps Femoris
Adductor Magnus
Semi-Tendinosus
Semi Membranosus

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17
Q

Gluteus maximus

A

From: Outer surface of posterior Ilium, Sacrum and Coccyx

To:
1) Iliotibial tract on Fascia Lata
2) Gluteal tuberosity of prox femur

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18
Q

Biceps femoris attachments

A

From: LH- inferomedial of upper area of ischial tuberosity
SH- lateral lip o linea aspera

To: Head of fibula and lateral tibial condyle

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19
Q

Adductor Magnus- hamstring part

A

From: ischial tuberosity
To: Adductor tubercle on medial condyle of femur

20
Q

Semitendinosus attachments

A

From: Inferomedial part of upper ischial tuberosity

To: Medial surface of tibia

21
Q

Semimembranosus attachments

A

From: Ischial Tuberosity (suprolateral impression)

To: Medial and Posterior surface of Medial tibial condyle

22
Q

Hip abductors

A

Gluteus Medius
Gluteus minimus
Sartorius
TFL
Piriformis (when alr flexed)

23
Q

Gluteus medius attachments

A

From: External surface of Ilium between ant and post gluteal lines

To: Lateral surface of Greater trochanter

24
Q

Gluteus Minimus attachments

A

Deep to the medius
From: external surface of ilium between the glute lines
To: Anterolateral aspect of greater trochanter

25
Q

Sartorius attachments

A

From: ASIS
To: Inferomedial of tibial tuberosity

26
Q

Tensor Fascia lata

A

From: lateral aspect of iliac crest
To: Gerdy’s tubercle (iliotibial tract of fascia lata)

27
Q

Piriformis attachments

A

From: Anterior surface of sacrum
To: Medial of superior border of greater trochanter

28
Q

Hip Adductors (5)

A

Adductor Longus
Adductor Brevis
Adductor Magnus (add part)
Pectineus
Gracilis (weak)

29
Q

Adductor longus attachments

A

From: lateral to pubic symphysis and inferior to pubic tubercle
To: Linea aspera half way down femur shaft

30
Q

Adductor brevis attachment

A

From: Inferior pubic ramus
To: Posterior surface of femur on linea aspera which

31
Q

Adductor Magnus (add) attachments

A

From: Ischiopubic ramus
To: Adductor tubercle

32
Q

Gracilis attachments

A

From: external surface of body of pubis
To: medial surface of tibia shaft

33
Q

Pectineus attachments

A

From: pectineal line of pubis

To: Pectineal line runs from base of lesser trochanter to linea aspera which is posterior on prox femur

34
Q

Hip internal rotators

A

Anterior fibres of Glute medius+minimus
TFL
Adductor Magnus

35
Q

Hip external rotators

A

Glute max
Piriformis
Obturator int+ext
Gemellus sup+inf
Sartorius
Quadratus femoris

36
Q

Femoral nerve

A

Pectineus
Rectus femoris
Sartorius

37
Q

Gluteus Maximus nerve supply

A

Inferior Gluteal nerve

38
Q

Sciatic nerve

A

Hamstrings
Biceps Femoris
Semitendinosus
Semimembranosus
Adductor Magnus (ham part)

39
Q

Superior Gluteal nerve

A

Gluteus medius
Gluteus minimus
Tensor Fascia Lata

40
Q

Piriformis nerve supply

A

Direct branches of S1&S2

41
Q

Obturator Nerve

A

Adductor Magnus (add part)
Adductor Longus
Adductor Brevis
Gracilis

42
Q

What nerves supply Hip Flexion?

A

Anterior rami for Iliopsoas (L1-L3)
Femoral nerve for Rec Fem, Pectineus and Sartorius

43
Q

What nerve supply Hip Extension?

A

Superior Gluteal nerve for Glute Max
Sciatic Nerve for 3 hamstrings

44
Q

What nerves supply Hip Abduction

A

Superior Gluteal Nerve for Gluteal Med&Min and TFL
Piriformis direct from branches S1&2

45
Q

What nerves supply Hip Adduction

A

Obturator Nervefor 3 Adductors and Gracilis
Femoral nerve for Pectineus

Lower limb anatomy (4 decks)

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