Hip Anatomy Flashcards
Normal angle btwn verticle of femur & center of femoral head
125-135
Coxa Vara is a ____ (larger/smaller) angle
smaller
Center Edge Angle
Verticle line from center of fem head and line to edge of labrum.
Normal = 22-42
Larger center edge angle is seen in _____
OA
Antetorsion angle
> 15
Retrotorsion angle
<8
Roles of labrum
shock absorption
pressure distribution
lubrication
semi-stabilizer
Vascularization of labrum
No intrinsic blood supply (similar knee meniscus, better supply to outer edges).
Less blood supply to superior region = most commonly torn.
Iliofemoral ligament function
Resists ER, Ext, Hyperext.
Locks/stabilizes joint in extension.
Ischiofemoral ligament function
Resists IR, Adduction (in flex).
Stability to posterior capsule - kinda, mostly muscles do this though.
Pubofemoral ligament function
Resists IR, ABDuction, Ext.
Only main restraint on inferior side.
Ligamentum Teres function
Carries Obturator Artery
Doesn’t help out much with stability
Transverse ligament function
Completes circle with labrum
What arteries supply the femoral head?
Obturator
Femoral
What nerves invx the femoral head?
Obturator
Femoral
Superior Gluteal
Sciatic
Open Pack position
30° Flexion
30° ABDuction
Slight ER
Closed Pack position
Extension
ABDuction
IR
Greatest bony congruency position
Flexion
ABDuction
ER or IR
Capsular pattern
- Flexion
- ABDuction
- IR
OA Capsular pattern
- IR
- Flexion
- ABDuction
- Extension
Things that stabiliize
Acetabulum
Capsule
Labrum
Muscles
Ligaments
Bony congruency during WB
Things that mobilize
Large SA.
More motion in ABDuction d/t capsular redundancy inferiorly.
Force thru hip in standing
0.3x BW
Force thru hip in SL stance
2.4-2.6x BW
Force thru hip during gait
1.3-5.8x BW
Force thru hip during stairs
3x BW
Force thru hip during running
4.5x BW
Use of cane unweights hip by ___%
40%
Hip pain can refer to ____ (Femoral N distribution)
Anterior thigh
Hip pain can refer to ____ (Sciatic N distribution)
Gluteal region
Posterior/lateral thigh
Systemic pathologies that may cause hip pain
Cancer
PAD
Urologic/renal
Osteoporosis
Inflammatory disease
Hemophelia
Sickle Cell