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
Q

Primary Hip abductors

A

gluteus medius, minimus, TFL

26
Q

Secondary Hip abductors

A

sartorius, piriformis

27
Q

What are the gluteus medius fibers different motions

A

anterior: IR and flexion
posterior: ER and extension
Entire glut med: abduction

28
Q

Primary Hip external rotators

A

gluteus maximus, sartorius, piriformis, obturator internus, superior/inferior gemellus, quadratus femoris

29
Q

Secondary hip external rotators

A

posterior fibers of gluteus medius, gluteus minimis, long head biceps femoris, obturator externus

30
Q

Normal angle of inclination

A

125 degrees
coxa vara, less–105
coxa valga, greater– 140

31
Q

Normal Torsion Angle

A

10-15 degrees

greater: excessive anteversion–head goes forward, greater trochanter comes back
less: retroversion, greater trochanter goes forward

32
Q

extension of femur

A

extends 20 degrees beyond neutral with knee straight

limited to neutral with knee bent

33
Q

closed chain hip extension

A

posterior pelvic tilt

34
Q

pelvic on femoral hip flexion

A

anterior pelvic tilt

force couple between hip flexors and back extensors