Hip Flashcards

1
Q

When is the iliofemoral ligament maximally stretched?

A

extension and full external rotation

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2
Q

Where does the iliofemoral ligament run from

A

AIIS to intertrochanter line

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3
Q

Where does the ischiofemoral ligament run from?

A

ischium to greater trochanter

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4
Q

Where does the pubofemoral ligament run?

A

anterior/inferior rim of acetabulum to superior pubic ramus

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5
Q

When does the pubofemoral get taut?

A

extension and abduction

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6
Q

When does the ischiofemoral get taut?

A

Superficial fibers: extension and IR
Superior: adduction
Inferior: taut in felxion

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7
Q

Closed Packed position of the hip

A

Extension, IR, Abduction

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8
Q

Hip position of maximal congruency

A

90 deg hip flexion, moderate ER, abduction

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9
Q

Full hip flexion, knees bent and straight?

A

knees bent: 120
knee straight: 80
(hamstrings stop you)

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10
Q

What limits hip abduction?

A

40 degrees due to tension in the pubofemoral ligament and adductor and hamstrings

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11
Q

What limits adduction?

A

25 degrees beyond neutral limited by hip abductor muscles, contralateral limb and superficial fibers ischiofemoral ligament and ITB

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12
Q

How much internal rotation is there at the hip?

A

35 degrees, limited by piriformis and parts of ischiofemoral ligament

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13
Q

How much ER is there at the hip?

A

45 degrees, limited by TFL and lateral fibers of the iliofemoral ligament

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14
Q

Ipsi-directional Lumbopelvic Rhythm

A

pelvis and spine rotate in same direction

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15
Q

Contradirectional lumbopelvic rhythm

A

pelvis rotates one direction while lumbar spine rotates the opposite direction

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16
Q

Primary Hip Flexors

A

iliopsoas, sartorius, TFL, rectus femoris, pectineus, and adductor longus

17
Q

Secondary hip flexors

A

adductor brevis, gracilis, anterior fibers of gluteus medius

18
Q

Primary hip adductors

A

pectineus, adductor longus, brevis, magnus and gracilis

19
Q

Secondary hip adductors

A

biceps femoris LH, gluteus max inferior fibers, quadratus femoris

20
Q

Internal Rotators

A

All Secondary
anterior fibers glut minimus, glut medius, TFL, Adductor longus, adductor brevis, pectineus, semitendinosis, semimembranosis

21
Q

Primary Hip Extensors

A

gluteus maximus, hamstrings, posterior head of adductor magnus

22
Q

Secondary Hip Extensors

A

posterior fibers of gluteus medius, and adductors with hip flexed more than 50 degrees

23
Q

Posterior Pelvic tilt force couple

A

hip extensors (glut max, hamstrings) and abdominals (rectus abdominis and external oblique muscle )

24
Q

anterior pelvic tilt force couple

A

hip flexors, back extensors

25
Primary Hip abductors
gluteus medius, minimus, TFL
26
Secondary Hip abductors
sartorius, piriformis
27
What are the gluteus medius fibers different motions
anterior: IR and flexion posterior: ER and extension Entire glut med: abduction
28
Primary Hip external rotators
gluteus maximus, sartorius, piriformis, obturator internus, superior/inferior gemellus, quadratus femoris
29
Secondary hip external rotators
posterior fibers of gluteus medius, gluteus minimis, long head biceps femoris, obturator externus
30
Normal angle of inclination
125 degrees coxa vara, less--105 coxa valga, greater-- 140
31
Normal Torsion Angle
10-15 degrees greater: excessive anteversion--head goes forward, greater trochanter comes back less: retroversion, greater trochanter goes forward
32
extension of femur
extends 20 degrees beyond neutral with knee straight | limited to neutral with knee bent
33
closed chain hip extension
posterior pelvic tilt
34
pelvic on femoral hip flexion
anterior pelvic tilt | force couple between hip flexors and back extensors