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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

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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
Sartorius attachments
From: ASIS To: Inferomedial of tibial tuberosity
26
Tensor Fascia lata
From: lateral aspect of iliac crest To: Gerdy’s tubercle (iliotibial tract of fascia lata)
27
Piriformis attachments
From: Anterior surface of sacrum To: Medial of superior border of greater trochanter
28
Hip Adductors (5)
Adductor Longus Adductor Brevis Adductor Magnus (add part) Pectineus Gracilis (weak)
29
Adductor longus attachments
From: lateral to pubic symphysis and inferior to pubic tubercle To: Linea aspera half way down femur shaft
30
Adductor brevis attachment
From: Inferior pubic ramus To: Posterior surface of femur on linea aspera which
31
Adductor Magnus (add) attachments
From: Ischiopubic ramus To: Adductor tubercle
32
Gracilis attachments
From: external surface of body of pubis To: medial surface of tibia shaft
33
Pectineus attachments
From: pectineal line of pubis To: Pectineal line runs from base of lesser trochanter to linea aspera which is posterior on prox femur
34
Hip internal rotators
Anterior fibres of Glute medius+minimus TFL Adductor Magnus
35
Hip external rotators
Glute max Piriformis Obturator int+ext Gemellus sup+inf Sartorius Quadratus femoris
36
Femoral nerve
Pectineus Rectus femoris Sartorius
37
Gluteus Maximus nerve supply
Inferior Gluteal nerve
38
Sciatic nerve
**Hamstrings** Biceps Femoris Semitendinosus Semimembranosus Adductor Magnus (ham part)
39
Superior Gluteal nerve
Gluteus medius Gluteus minimus Tensor Fascia Lata
40
Piriformis nerve supply
Direct branches of S1&S2
41
Obturator Nerve
Adductor Magnus (add part) Adductor Longus Adductor Brevis Gracilis
42
What nerves supply Hip Flexion?
Anterior rami for Iliopsoas (L1-L3) Femoral nerve for Rec Fem, Pectineus and Sartorius
43
What nerve supply Hip Extension?
**Superior Gluteal** nerve for Glute Max **Sciatic Nerve** for 3 hamstrings
44
What nerves supply Hip Abduction
**Superior Gluteal Nerve** for Gluteal Med&Min and TFL Piriformis direct from branches S1&2
45
What nerves supply Hip Adduction
**Obturator Nerve**for 3 Adductors and Gracilis Femoral nerve for Pectineus
46
Borders of the femoral triangle
Superior/base: Inguinal ligament Medial: Adductor longus muscle Lateral: Sartorius muscle
47
Contents of the femoral triangle
*Remember NAVL* Femoral… Nerve Artery Vein Lymphatics

Lower limb anatomy (8 decks)

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